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What is a Bunion and Why Does It Hurt? Birtley Podiatrist Explains

February 24, 2026

What is a Bunion?

A bunion, clinically known as hallux valgus, is a bony protrusion that forms at the base of the big toe. This deformity causes the big toe to angle toward the second toe, leading to swelling, pain, and difficulty in finding suitable footwear. Bunions are one of the most common foot deformities and can significantly impact daily activities.

What Causes a Bunion?

Bunions are primarily caused by a combination of genetic and environmental factors. Here are some common contributors:

  • Genetics: A family history of bunions may increase your likelihood of developing them.
  • Foot Structure: Certain foot types, such as flat feet or flexible ligaments, can predispose individuals to bunions.
  • Improper Footwear: Shoes that are too narrow, pointed, or high-heeled can place excessive pressure on the toes, promoting bunion development.
  • Arthritis: Conditions like rheumatoid arthritis can alter foot mechanics and lead to bunion formation.

Why Does a Bunion Hurt?

The pain associated with bunions can vary in intensity and is often exacerbated by specific factors:

  • Inflammation: The bony growth can cause inflammation of the surrounding tissues, leading to discomfort.
  • Pressure from Footwear: Wearing tight or ill-fitting shoes can increase friction and pressure on the bunion, resulting in pain.
  • Nerve irritation: When the bunion grows, it may irritate nearby nerves, causing sharp pain or numbness.

How is a Bunion Diagnosed?

Diagnosis typically involves a thorough physical examination by a podiatrist, assessing the foot structure and the presence of pain. In some cases, imaging studies such as X-rays may be recommended to evaluate the extent of the deformity and rule out other conditions.

How Can I Treat a Bunion?

Treatment for bunions can vary depending on the severity of the condition. Here are common treatment options:

  • Conservative Treatments: These include wearing wider footwear, using bunion pads, and applying ice to reduce inflammation.
  • Orthotic Devices: Custom orthotics can provide support, alleviate pressure, and improve foot function.
  • Medications: Over-the-counter anti-inflammatory medications can help manage pain and swelling.
  • Surgery: In severe cases where pain and functional limitations persist, surgical intervention may be necessary to realign the bones of the foot.

Can Bunions Be Prevented?

While not all bunions can be prevented, certain practices can reduce the risk of developing them:

  • Choose Proper Footwear: Opt for shoes that offer ample room for the toes, ample arch support, and a wider toe box.
  • Engage in Foot Exercises: Strengthening and stretching exercises can improve foot mechanics and potentially prevent bunion formation.
  • Maintain a Healthy Weight: Excess weight can put more pressure on the feet and contribute to bunion development.

When Should You See a Podiatrist?

If you're experiencing persistent or severe pain in your foot, it's advisable to consult a podiatrist. At Birtley Foot Clinic, we specialize in diagnosing and treating bunions and other foot conditions. Our experienced team in Birtley, Gateshead, is dedicated to helping you find effective pain relief and recommending appropriate treatment options tailored to your needs.

Frequently Asked Questions (FAQ)

1. How long does it take to recover from bunion surgery?

Recovery time can range from a few weeks to several months, depending on the type of surgery performed and individual healing rates.

2. Will a bunion surgery completely correct the issue?

Surgery can significantly improve the appearance of the foot and alleviate pain, but no surgical result is guaranteed, and osteoarthritis might still develop.

3. Are there non-surgical ways to treat bunions effectively?

Yes, many patients find relief through conservative treatments such as custom orthotics, adjustments in footwear, and physical therapy.

4. Can bunions affect other parts of the foot?

Yes, bunions can alter your foot's biomechanics, potentially leading to pain in other areas, such as the arch, the heel, or the knees.

5. Is it possible to prevent bunions from worsening?

Yes, with proper footwear, regular foot exercises, and monitoring your foot alignment, you can minimize the risk of progression.

Contact Us for Expert Care

If you're experiencing discomfort from a bunion or have questions about your foot health, don't hesitate to reach out. At Birtley Foot Clinic in Birtley, Gateshead, our expert podiatrists are here to help you find the most effective management strategies for your foot condition. Book your appointment online today!

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