Bunion Treatments

A bunion is a bump on the outside of the big toe joint. It is a misalignment of the bones in the foot. The bump is noted where your big toe meets the rest of your foot. The bump and deformity can gradually get worse over time making it difficult finding comfortable shoe gear. It also can cause other toes to become deformed when you have a bunion for a long time. Bunions can occur at any age, starting in childhood. The misalignment can be genetically inherited, meaning someone in your family also had/has a bunion. Specific foot types can predispose you to having a bunion including flat feet which cause the joints to move out of their normal position. Wearing improperly fitting shoe gear can also contribute to a bunion deformity.  

Bunion Causes:

  • Genetics - foot types are inherited and may predispose individuals to bunion development secondary to biomechanical abnormalities.
  • Long term use of poorly fitting, inappropriate footwear.
  • Joint instability.
  • Neuromuscular conditions
  • Rheumatologic disorders (i.e. inflammatory joint diseases)
  • Injury
  • Congenital deformities
 

Bunion Symptoms:

  • Abnormal bump to the side of the foot, which can grow larger.
  • Pain and tenderness at the bump or great toe.
  • Stiffness or restricted motion at the great toe joint.
  • Inflammation and redness.
  • Painful pressure of the great toe against the adjacent or second toe.
  • Callus or thickening of skin on the side of the foot or near the bunion.
  • Pain and swelling that can affect how the big toe joint moves and how you walk.
 

Tips to Help Manage Bunion Pain:

  • Purchase appropriately sized footwear, preferably those with a deep and wide toe box. Shop at a store with well trained staff that have the ability to correctly measure your feet. It is recommended to have your feet measured regularly.
  • Avoid high heeled shoes - these will likely put more pressure against the bunion.
  • Offload the pressure area: use of padding against the bunion is often helpful with pain relief. Make sure the pad is not so large as to cause the shoe to fit tighter, which may be painful.
  • Inserts or custom orthotics can be used in shoe gear to help the foot function properly and can slow the progression of the deformity.
  • Use of toe spacers may relieve pressure against the bunion as well as between the 1st and 2nd toes.
  • Apply ice to any inflamed areas.
  • If you are able to use over the counter pain medication, particularly nonsteroidal anti-inflammatory drugs, this may be helpful managing moderate pain. Speak with your podiatrist if pain lasts more than a few days.
If you find that you have a bunion which is causing you pain despite trying the above recommendations it is time to have an evaluation by a podiatrist. It is important not to ignore bunion pain, as it can result in other foot issues.   Surgery is the only way to remove the bunion deformity. A thorough exam, evaluation and x-rays are performed to determine the proper procedure that is needed to correct each bunion. Surgery options can include minimally invasive correction, cutting and realigning bones while securing them with screws, plates, etc, or fusing two bones together to remove excess motion or arthritis that may have formed. These procedures all have a different recovery period and will be explained by your surgeon. Contact your local FASMA office to schedule an appointment with one of our highly trained specialists.

FASMA Doctors Performing This Specialty / Service

Dr. Sagar Shah

Colonial Heights, VA Richmond, VA
Dr. Adam Grahn

Greencastle, PA Hagerstown, MD
Dr. Brandy Grahn

Gettysburg, PA Hagerstown, MD
Dr. Michelle Le

Rockville, MD (North Bethesda)
Dr. Robert Pica

Richmond, VA
Dr. Alexander Mount

Richmond, VA
Dr. Mitchell Waskin

Richmond, VA
Dr. Louis DeFazio

Annapolis, MD Clarksville, MD
Dr. Zakia Sultana

Pasadena, MD
Dr. Betsy F. Rosenthal

Hagerstown, MD
Dr. Gregory Smith

Gettysburg, PA Hagerstown, MD
Dr. Mark Roemer

Hagerstown, MD
Podiatrist Dr. Gina M. Saffo DPM Dr. Gina M. Saffo

Annapolis, MD Greenbelt, MD
Dr. Seth Rubenstein

Reston, VA
Dr. Jenny Nguyen

Pasadena, MD
Dr. Andrew Liss

Columbia, MD Kensington, MD
Podiatrist Dr. Ira Gottlieb DPM Dr. Ira J. Gottlieb

Pasadena, MD
Dr. Casey Friske

Clarksville, MD
Podiatrist Dr. Mo Esmaili DPM Dr. Mohammad Esmaili

Kensington, MD
Dr. Ian Beiser

Washington, DC (19th Street)
Podiatrist Dr. Kerry Becker DPM Dr. Kerry Becker

Clarksville, MD
Dr. Man Cho

Reston, VA
Dr. Enzo J. Leone

Pasadena, MD

Locations

  1. Washington, DC (19th Street)
    1145 19th Street NW Suite 605
    Washington, DC 20036
    Phone: (202) 833-9109
    Fax: (202) 833-5762

  2. Rockville, MD (Shady Grove Rd)
    15215 Shady Grove Rd Suite 307
    Rockville, MD 20850
    Phone: (240) 268-7450
    Fax: (301) 949-8833

  3. Wheaton, MD
    2730 University Blvd. W. Suite 1000
    Wheaton, MD 20902
    Phone: (301) 949-3668
    Fax: (301) 949-8833

  4. Frederick, MD (Solarex Ct)
    604 Solarex Court Suite 103
    Frederick, MD 21703
    Phone: (301) 698-9260
    Fax: (301) 698-8962

  5. Mt Airy, MD (North)
    1502 S. Main Street Suite 104
    Mt Airy, MD 21771
    Phone: (301) 829-2244
    Fax: (301) 698-8962

  6. Colonial Heights, VA
    4730 Puddledock Rd.
    Prince George, VA 23875
    Phone: 804-320-3668

  7. Richmond, VA
    1465 Johnston Willis Drive
    Richmond, VA 23235
    Phone: 804-320-3668
    Fax: 804-320-2600

  8. Greencastle, PA
    50 Eastern Ave Suite 122
    Greencastle, PA 17225
    Phone: 717-643-0795
    Fax: 717-643-0833

  9. Hagerstown, MD
    11110 Medical Campus Road Suite 100
    Hagerstown, MD 21742
    Phone: (301) 739-1575
    Fax: (301) 739-1578

  10. Gettysburg, PA
    506 W. Middle Street
    Gettysburg, PA 17325
    Phone: 717-778-3338
    Fax: 717-778-3340

  11. Silver Spring, MD (Fenton)
    8630 Fenton Street Suite 1
    Silver Spring, MD 20910
    Phone: (301) 587-5666
    Fax: (301) 589-4479

  12. Washington, DC (1775 K Street)
    1775 K Street NW Suite 580
    Washington, DC 20006
    Phone: (202) 331-9727
    Fax: (202) 887-0741

  13. Rockville, MD (North Bethesda)
    11801 Rockville Pike Suite 105
    Rockville, MD 20852
    Phone: (301) 881-6222
    Fax: (301) 881-1639

  14. Holly Springs, NC
    1004 Werrington Drive, Ste. 300
    Holly Springs, NC 27540
    Phone: 919-850-9111
    Fax: 919-850-2499

  15. Raleigh, NC (Millbrook)
    1418 E. Millbrook Road
    Raleigh, NC 27609
    Phone: 919-850-9111
    Fax: 919-850-2499

  16. Annapolis, MD
    129 Lubrano Drive Suite 303
    Annapolis, MD 21401
    Phone: (410) 266-7575
    Fax: (410) 266-7366

  17. Clarksville, MD
    6100 Day Long Lane Suite 208
    Clarksville, MD 21029
    Phone: (443) 535-8770
    Fax: (443) 535-8775

  18. McConnellsburg, PA
    214 Peach Orchard Road
    McConnellsburg, PA 17233
    Phone: (301) 739-1575
    Fax: (301) 739-1578

  19. Charlottesville, VA (Abbey Road)
    2050 Abbey Road Suite C
    Charlottesville, VA 22911
    Phone: 434-295-4443
    Fax: 434-295-8598

  20. Culpeper, VA
    530 Sunset Lane Suite A
    Culpeper, VA 22701
    Phone: 540-825-6113
    Fax: 540-825-4937

  21. Pasadena, MD
    8028 Governor Ritchie Hwy Suite 100
    Pasadena, MD 21122
    Phone: (410) 768-5800
    Fax: (410) 768-5806

  22. Chevy Chase, MD
    5530 Wisconsin Avenue Suite 945
    Chevy Chase, MD 20815
    Phone: (301) 913-5225
    Fax: (301) 913-9145

  23. Washington, DC (2021 K Street)
    2021 K Street NW Suite 520
    Washington, DC 20006
    Phone: (202) 223-4616
    Fax: (202) 223-0740

  24. Greenbelt, MD
    7501 Greenway Center Dr Suite 810
    Greenbelt, MD 20770
    Phone: (301) 577-4464
    Fax: (301) 577-4702

  25. Reston, VA
    1860 Town Center Drive Suite 220
    Reston, VA 20190
    Phone: (703) 391-0211
    Fax: (703) 880-1192

  26. Silver Spring, MD (White Oak)
    2415 Musgrove Road Suite 103
    Silver Spring, MD 20904
    Phone: (301) 384-6500
    Fax: (301) 384-6670

  27. Kensington, MD
    10901 Connecticut Avenue Suite 200
    Kensington, MD 20895
    Phone: (301) 949-2000
    Fax: (301) 949-2002

  28. Columbia, MD
    11055 Little Patuxent Pkwy Suite 204
    Columbia, MD 21044
    Phone: (410) 730-2623
    Fax: (410) 992-4779

  29. Frederick, MD (Thomas Johnson Drive)
    63 Thomas Johnson Dr Suite C
    Frederick, MD 21702
    Phone: (301) 696-0818
    Fax: (301) 696-8872

  30. Silver Spring, MD (International Drive)
    3801 International Drive Suite 204
    Silver Spring, MD 20906
    Phone: (301) 598-0130
    Fax: (301) 598-5091

  31. Mt Airy, MD (South)
    1502 S. Main Street Suite 307
    Mt Airy, MD 21771
    Phone: 301-696-0818
    Fax: 301-696-8872