- Presented by Dr. Mary Ann Bender, Advanced Physical Medicine

You may have noticed a bump on the inside of your foot, near the big toe joint.  What is this?  Often, the bump is a bunion. A bunion is caused by shifting of bones in the foot.  The first metatarsal bone and phalanges of the big toe move out of position, and this leads to a bump which can become red, swollen, and painful.  Bunions can be aggravated by certain shoes (especially tight ones) and certain activities.

Causes:
There are many causes of bunions, but the most common causes include the following: flat feet, genetics, arthritis, gout (also a type of arthritis), and injury or trauma to the foot.

Treatment:
Bunions can be treated either conservatively or surgically, depending on the severity of the condition.  The only way to completely correct the deformity is through surgery to realign the bones and remove the bump.  Surgery is indicated for creating a less painful foot but will not create a perfect foot.  Some patients are not good candidates for healing, and your doctor will discuss with you whether this is the best option for you.  Initial healing for bunion surgery takes 6-8 weeks, but there is often discomfort and swelling from time to time for a year after the procedure (depending on activity level).  During the initial healing period, patients often must be off work, unless they have a desk job, as prolonged standing and walking are not permitted (for correct healing).  If surgery is not an option or in an effort to delay surgery, there are a variety of conservative options for treatment: medication, injections, padding, shoe changes, and orthotics (or shoe inserts).  Orthotic devices are particularly helpful in trying to make the patient more comfortable and delaying the progression of the bunion.

If you have this condition and would like to discuss your options, please schedule an appointment with Dr. Bender at Advanced Physical Medicine Oak Park or Chicago.

Mary Ann Bender, DPM
Foot and Ankle Specialist
Advanced Physical Medicine
6931 W. North Ave.
Oak Park, IL 60302
708-763-0580