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What to Do If You Get a Bunion

Jul 30, 2025 | General | 0 comments

bunion foot pain

A bunion is a painful and often progressive foot deformity that affects the joint at the base of the big toe (the first metatarsophalangeal joint). It forms when the big toe starts leaning toward the second toe, creating a visible bony bump on the side of the foot.

While it may start as a minor irritation, bunions often get worse over time—causing stiffness, swelling, and sometimes severe foot pain. Left untreated, bunions can significantly affect mobility and quality of life.

In this post, our expert podiatrists explain what causes bunions, what you can do to relieve the pain, and how to prevent them from progressing.

What Causes Bunions? Understanding the Risk Factors

Bunions don’t form overnight. They develop gradually due to a mix of biomechanical, genetic, and lifestyle factors.

Common causes and risk factors include:

  • Genetic predisposition – If bunions run in your family, you may be more likely to develop them.
  • Foot structure issues – Overpronation, flat feet, or unstable joints can cause poor alignment and pressure on the big toe joint.
  • Poor footwear – Tight, narrow, or high-heeled shoes squeeze the toes and force the big toe out of alignment.
  • Arthritis – Inflammatory conditions like rheumatoid arthritis can damage joint tissue and accelerate bunion formation.
  • Occupational or lifestyle pressure – Jobs that require long hours on your feet, or activities like ballet or running, can place strain on the forefoot.
  • Hypermobile joints or weak connective tissue – These increase instability and can make bunions more likely.

Fact: Studies suggest women are up to 10 times more likely to develop bunions than men, largely due to footwear choices.

What Are the Symptoms of a Bunion?

You may notice:

  • A visible lump at the side of your big toe
  • Redness, swelling, or soreness around the joint
  • Pain when wearing certain shoes or walking
  • Limited movement in your big toe
  • Development of corns or calluses where toes overlap
  • Changes in gait or posture due to foot discomfort

Early intervention is key. The sooner you address symptoms, the easier it is to manage bunions without surgery.

How to Manage a Bunion and Ease the Pain

Managing bunions effectively often comes down to reducing pressure, improving alignment, and supporting the foot. Here’s how:

1. Choose the Right Footwear

One of the most important steps in bunion care is ditching tight or high-heeled shoes. Switch to:

  • Wide-fitting shoes with roomy toe boxes
  • Soft leather uppers to reduce rubbing
  • Low heels (under 4cm) or flat soles
  • Adjustable fastenings (Velcro, laces or straps) for stability

Look for brands offering multiple width fittings, such as Clarks, Hotter, or DB Wider Fit Shoes.

2. Use Bunion Pads or Toe Spacers

Non-medicated pads or silicone spacers can help relieve friction and separate overlapping toes. While not a cure, they may ease discomfort—especially when used with appropriate footwear.

Note: These may not be suitable for people with diabetes or poor circulation. Always consult a podiatrist before use.

3. Apply Ice and Elevate

For temporary pain relief, wrap an ice pack in a towel and apply to the bunion area for 10–15 minutes, several times a day. This reduces inflammation and soothes sore joints.

4. Take Pressure Off Your Feet

Avoid standing or walking for long periods when your bunion is inflamed. Consider footstools or cushions for elevation and rest during exercise or work when possible.

5. Maintain a Healthy Weight

Extra body weight can place added stress on the foot’s joints—especially the forefoot. Keeping your weight in check can reduce bunion pain over time.

When to See a Podiatrist About Your Bunion

If you’re dealing with persistent bunion discomfort or it’s affecting your walking or daily life, a professional assessment is essential. A podiatrist can:

  • Perform a biomechanical assessment and gait analysis
  • Recommend custom orthotics to relieve pressure on the bunion
  • Provide a personalised exercise plan to strengthen supporting muscles
  • Offer guidance on appropriate footwear and lifestyle changes
  • Help with non-surgical treatment plans tailored to your condition

In severe or advanced cases, a podiatrist can refer you to a foot and ankle specialist to discuss bunion surgery (also known as a bunionectomy). Surgery may be recommended if the bunion is painful, worsening, or not responding to conservative treatments.

Are Bunions Linked to Other Foot Problems?

Yes, bunions can cause or contribute to a range of secondary issues, including:

  • Hammertoes (where other toes become bent or misaligned)
  • Ingrown toenails
  • Calluses or corns
  • Metatarsalgia (pain in the ball of the foot)
  • Postural pain in the knees, hips, or lower back from altered walking

Treating the bunion early helps prevent these knock-on effects.

How Feet By Pody Can Help with Bunions

At Feet By Pody, our experienced London podiatrists use advanced diagnostic tools—including computerised gait scanning—to assess foot function and alignment.

We offer:

  • Tailored treatment plans for bunions and foot pain
  • Custom orthotics made to your foot shape
  • Footwear advice and lifestyle recommendations
  • Treatment for associated issues like calluses, corns, or ingrown nails
  • Referrals for bunion surgery where appropriate

Our aim is always to relieve pain, improve mobility, and help you avoid long-term complications.

Book a Bunion Assessment Today

Whether you’ve just noticed a lump or you’ve been living with bunion pain for years, we’re here to help. Contact Feet By Pody today on 0207 099 6657 or book a podiatry appointment online to get expert advice and the right treatment for your feet.