Bunions are common, especially in
women. It is suspected that the repeated use of women's pointed-toe high-heeled shoes puts added stress and pressure on the
tissues at the base of the big toe. Accordingly, bunions occur more frequently in ballet dancers. Bunions also occur more
frequently in people with injury to the joint at the base of the big toe, and the tendency to develop bunions can be inherited.
bunions can be associated with local inflammation of the tissues around the joint and even adjacent bursitis, swelling,
redness, pain, and tenderness are common symptoms in the area of a bunion. Sometimes adjacent nerve irritation can lead to
numbness or tingling of the big toe. There is usually localized soft tissue and bony enlargement within the bunion. The
affected toe is often displaced against the adjacent toe, resulting in deformity.
are usually managed with rest, cold applications, and antiinflammatory medications. A change of footwear to lessen pressure
on the affected toe and joint is often helpful. A local injection of cortisone (Kenalog, Depomedrol) in the inflamed
area can rapidly reduce the pain, swelling, and tenderness from inflammation.