A bunion is a bony lump on the side of the foot at the base of the big toe. This may be an isolated problem, but it is often associated with other problems with the shape of the foot.
The most common cause of bunions is footwear that does not have enough width to fit the toes in their natural position. High heels are particularly to blame as they squash the toes into the narrowest part of the front of the shoe.
Bunions are more common in women than men, and a tendency to get them can run in families. They are occasionally associated with arthritis of the joint at the base of the big toe but many people with bunions have no underlying joint problems.
There are very few occasions where bunion surgery is the only option. The main alternative to surgery is to adapt your shoes so that they fit comfortably.
The options depend on how severe the bunion is. Using extra-wide-fitting shoes from a good- quality shoe shop may be enough. If not, the surgical appliances department at the hospital will be able to give you advice about stretching shoes or ordering a custom-made pair to fit the shape of your feet comfortably.
These shoes are not usually...
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