Medically known as Hallux Abducto Valgus (HAV), the term ‘bunion’ describes a bony bulge that can develop over time on the inside of the big toe. The bulge is caused by a malaligned position of the big toe joint where the long bone (metatarsal) moves out towards the other foot and the connecting toe (phalanx) bends in on it, toward the other toes. Bunions tend to progressively worsen in ‘stages’ and become more prominent. As they do, the ligaments and tissues surrounding the joint stretch and contract accordingly, ultimately leaving the joint in a fixed position. Bony and arthritic changes can also occur within the joint. This means that bunions have different characteristics at different stages and the right management needs to be decided on a case-by-case basis.
Causes of bunions are numerous and vary greatly. Anything that squeezes or puts greater pressure and force through the big toe joint, like pointed shoes, may be a potential contributing factor. Often bunions can run in the family, are more prevalent in women than men, and are thought to be linked with an unstable function at the big toe joint. Other contributing factors include:
The biggest sign is the change in appearance (protrusion) of the big toe joint. You may also experience:
As the bunion progressively worsens, the big toe may push into the lesser toes. Over time, the toes may begin to overlap.
As bunions progressively worsen over time, starting treatment early is the key! If you’ve started noticing your bunion developing either recently or within the last couple of years, now is the best time to take action.We start by identifying the extent of the changes in the big toe joint. A treatment plan can then be implemented to reduce symptoms and limit future progression. Biomechanical and alignment issues will be identified. Periodic evaluation and x-rays may be advised or in some cases observation of the bunion is sufficient. Depending on the characteristics of your bunion, you may benefit from some of the following:
As bunions are often associated with other foot problems, treatment will also address any underlying issues that are identified. If the symptoms or the deformation is not reducible, surgery may be indicated.
We’ve welcomed the Nu-Tek low-level laser into our podiatry clinic. Here's how you tell if it could be the answer to your foot
pain.
Otherwise known as radial pressure wave therapy, shockwave therapy is a device held by our podiatrists and positioned against your foot or leg at the site of your injury.
We can transform the appearance of toenails to look healthy and clear in three ways, and as fast as in one appointment. Here's how.
Tingling or numbness in your feet and legs during or after exercise can be an odd sensation. If you’re prone to experiencing it, the most common reasons are related to pressure on nerves or problems with your circulation.
Does wearing high heels really come at a cost to our feet? If you’re wondering what effects - if any - high heels may be having on your feet, here’s the inside scoop from our podiatrists.
It’s important to not only use an evidence-based treatment plan to help you get the best outcomes for your foot and leg pain, but to help you see the best results in the shortest time. That’s the reason we’ve invested in shockwave.
Keeping your family on their feet and helping them to walk, run, play and exceed their goals is why we love getting up in the morning.
We're located inside the One Health medical centre at Building 122 Remuera Rd, Remuera, Auckland 1050, New Zealand
| MON - SAT | 8:30am – 6:00pm |
| SUN | Closed |
Make an Appointment
Online Schedule