What are the Treatments for Bunions without Surgery?

  A bunion is an abnormal and visible and visible bony growth that occurs in the joint of the big toe at the base of the toe.  This causes the area to round outwards to the side and can push the big toe up against the other toes.  Bunions can be caused by arthritic changes in the foot or structural abnormalities or may be exacerbated by wearing shoes that are too tight.  Before surgery is considered, a physician may want to try more conservative treatment for a bunion.

Change in Foot Wear

Sometimes a change in footwear is all that is needed.  The mayo clinic suggests never wearing heels that are higher than 2 ¼ inches and wearing shoes that are wide through the toes. Shoes need to provide plenty of support and space.  The goal is to prevent the bunion from rubbing against the shoe, to help reduce irritation.   While shoes my not directly cause bunions, they can make the condition worse. 

Protective Pads

Along with choosing shoes with soft insoles, and staying away from shoes with pointed toes, a physician may recommend wearing protective pad.  The American Academy of Orthopedic Surgeons claims that wearing a foot pad can help reduce friction and take pressure off of the bunion.  In addition, having favorite shoes professionally stretched may also help.

Taping and Inserts

A podiatrist can examine the feet and the way the foot lands to help detect abnormal walking patterns that may be contributing to the symptoms.  In these cases, taping the foot wearing specially made pad can help bring the foot back into better alignment.  In some cases, it may be necessary to use over the counter or customized orthotics which can correct pronation supination flat feet or high arches.  This is important as all of the above can place too much pressure on the big toe, causing a bunion. 

Medication

If a bunion is not causing serious symptoms, then no treatment is needed.  However, in some cases, pain and swelling can interfere with daily life.  In these situations, medications may be taken to help reduce inflammation.  This includes over the counter or prescription strength non steroidal anti-inflammatory drugs (NSAIDS) and/or steroid injections. This can be combined with applying ice to the area several times a day. 

Call your Podiatrist for and appointment if you are still having problems and it continues to cause you pain even after self care, such as wide toed shoes or prevents you from doing you usual activities, and if you any signs of infection like redness or swelling (especially if you are diabetic). Because remember, when your feet hurt, you hurt all over!