Bunions

Bunions are progressive foot deformities that are fairly recognizable once they get going. The tell-tale sign is a big toe that starts leaning out toward the littler toes.

It’s a painful condition that will only get more debilitating with time. But if we can diagnose it early, in most cases we can slow or even stop the bunion from forming.

So don’t put off calling for an appointment.

Bunion Causes

While the obvious sign is a big toe trying to get cozy with the second toe, there’s more to it than that.

Bunions form when the joints at the ball of the foot become enlarged and re position themselves, which creates a new bone formation and throw the big toe out of alignment.

The big toe starts to lean, and a bump starts to protrude outward from the instep where the big toe meets the foot.  Sometimes the bump will become inflamed, tender to the touch and painful, adding even more discomfort.

Both traits make it very uncomfortable to wear shoes. In fact, many of our bunion patients come through the door wearing flip flops, which gets a bit chilly come January!

There’s also a less common type of bunion called a tailor’s bunion, which occurs on the other side of the foot at the base of the piggy toe.

Who Is At Risk For Bunions?

Women are 10 times more likely than men to get a bunion. Sometimes bunions are inherited (thanks, Mom), but they have also been linked with tight, narrow and high-heeled shoes as well as ballet shoes.

We frequently see them with patients that suffer from rheumatoid arthritis or who have had certain types of injuries to the foot.

It’s a myth that bunions only happen to the elderly — we’ve seen many patients in their 20s and 30s, and sometimes even kids with bunions.

When Should I Seek Treatment?

Many patients won’t realize they have bunions until they start to notice the deformity.  The first sign is pain when walking or wearing shoes, especially if it’s at the base of the big toe.  If you’re experiencing pain in this area or it hurts to walk or put on shoes, call our office for an appointment.

When you come into the office, we’ll carefully examine your foot and may take X-rays to get a better view of how the toes are aligned. This can help us rule out other conditions like arthritis and gout that could contribute to a painful big toe.

Conservative Treatment Options
  • Resting the foot to allow healing
  • Changing the type of shoes you wear
  • Prescribing anti-inflammatory medications
  • Injecting cortisone to reduce inflammation
  • Applying a cold pack to relieve pain and inflammation
  • Stretching exercises
  • Silicolne covers that fit over the bunion to reduce friction
  • Orthotics such as bunion splints or custom insoles to support and re position the joints
Surgical Options For Bunions

For more advanced bunions, surgery may be necessary to remove the bony bump and put the big toe back in order.

In these cases, we can discuss custom orthotics and certain types of shoes that can minimize the chance that the bunion will return.

Dr. Amy Barko, CWSP, our podiatric surgeon, will go over a treatment plan with you if surgery is necessary. 

If you are experiencing foot pain, call our office or make an online appointment

Reviews

Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid plans at this time. Visit our New Patient page for more details.

Bunions

If you are experiencing foot pain, call our office or make an online appointment

Reviews

Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid plans at this time. Visit our New Patient page for more details.