Bunions form at the base of the big toe, causing lumpy deformities that can make even a single step painful. People with bunions face significant difficulties in finding shoes that fit comfortably, and over time, they can develop very painful arthritis in the joint. As a top-rated, double-board certified podiatrist in Parker, Colorado, Dr. Kevin Blue, DPM, FACFAS, helps patients at Colorado Foot + Ankle Sports Medicine relieve bunion pain and restore normal joint shape and function, using both conservative and surgical bunion-treatment options based on each patient’s unique needs for optimal outcomes.
A bunion is a bony lump or projection that forms at the base of your big toe joint, typically as a result of the upper portion of your toe being pressed inward toward the neighboring toes. As the top of your toe is pushed inward, the joint is gradually displaced, becoming:
Without treatment, the deformity eventually can become permanent, making it very difficult to find shoes that fit comfortably. Continued inflammation in the joint can lead to arthritis and persistent pain, especially when walking and wearing shoes. In people with severe bunions, the big toe joint can become so deformed that the toe itself will be pushed over top of the neighboring toes or it may become twisted.
Bunions often occur in people with specific foot shapes or congenital deformities, or in those who have certain types of gaits. They’re also more common among people with polio and some other diseases, and traumatic injury can also play a role in bunion formation.
Wearing shoes that are very pointy or tight in the toe area can contribute to the development of bunions, especially if you have risk factors for bunions. Likewise, wearing high heels on a regular basis forces your toes down into the restricted toe space, causing your toe joint to move out of position over time.
Dr. Blue will begin your bunion treatment by carefully evaluating your foot and toe joint to confirm the diagnosis of a bunion and examine the extent of the damage and deformity. In some cases, he may order an X-ray to obtain more detailed information that can help guide him in treating your bunion.
When a bunion is relatively mild and the joint is still flexible, stretching exercises and use of special nighttime splints may help by gently coaxing the toe joint back into its proper position. Medications can also help decrease pain and inflammation in the joint and soft padding can reduce friction and soreness in the skin overlying the joint. Many patients find custom orthotics -- special custom-made shoe inserts -- can be very helpful in relieving pressure on the joint and in helping to realign the joint over time.
Switching to shoes that offer more room in the toe is also essential. When these conservative approaches for bunion treatment aren’t effective in providing long-term relief of symptoms, Dr. Blue may recommend bunion surgery to realign your big toe joint and hold it in position using tiny screws or pins.
"Extremely knowledgeable about foot and ankle conditions. Wonderful doctor, great office and staff, would recommend his services to anyone."
"Dr. Blue has great bedside manner and is a great surgeon as well. He has cared for many of my patients, friends and co-workers and the feedback is always excellent."
"I was lucky enough to be referred to Dr. Blue and he was able to come up with a treatment plan that has cleared up my gout issues and has given me a new hop in my step."
"I am very selective about the doctors I see, so I chose Dr. Blue based on his reviews and certifications. Dr. Blue is thorough and detailed oriented."