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. Ian Beiser

Washington, DC (19th Street)
Dr. Jason Birkel

Hampton, VA Newport News, VA
Dr. Man Cho

Reston, VA
Dr. Louis DeFazio

Clarksville, MD
Dr. Reema Dua

Rockville, MD (North Bethesda)
Podiatrist Dr. Mo Esmaili DPM Dr. Mohammad Esmaili

Kensington, MD
Dr. Casey Friske

Clarksville, MD
Podiatrist Dr. Ira Gottlieb DPM Dr. Ira J. Gottlieb

Pasadena, MD
Dr. Adam Grahn

Greencastle, PA Hagerstown, MD
Dr. Brandy Grahn

Gettysburg, PA Hagerstown, MD
Dr. Michelle Le

Rockville, MD (North Bethesda)
Dr. Enzo J. Leone

Pasadena, MD
Dr. Andrew Liss

Columbia, MD Kensington, MD
Podiatrist Dr. Eric Masternick DPM Dr. Eric Masternick

Reston, VA
Dr. Alexander Mount

Richmond, VA
Dr. Jenny Nguyen

Pasadena, MD
Dr. Alex Olivera

Columbia, MD Kensington, MD
Dr. Robert Pica

Richmond, VA
Dr. Mark Roemer

Hagerstown, MD
Dr. Betsy F. Rosenthal

Hagerstown, MD
Dr. Seth Rubenstein

Reston, VA
Podiatrist Dr. Gina M. Saffo DPM Dr. Gina M. Saffo

Annapolis, MD Greenbelt, MD
Dr. Sagar Shah

Colonial Heights, VA Richmond, VA
Dr. Gregory Smith

Gettysburg, PA Hagerstown, MD
Dr. Mitchell Waskin

Richmond, VA

Locations

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

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

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

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

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

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

  7. Mt Airy, MD (South)
    1502 S. Main Street Suite 307
    Mt Airy, MD 21771
    Phone: 301-829-2244
    Fax: 301-696-8872

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

  9. Hampton, VA
    2210 Executive Drive Suite E
    Hampton, VA 23666
    Phone: (757)-896-8800
    Fax: (757)-896-8832

  10. Newport News, VA
    754 McGuire Place
    Newport News, VA 23601
    Phone: (757) 599-5710
    Fax: (757) 591-0522

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

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

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

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

  15. Charlottesville, VA (Rio East Ct)
    887 Rio East Ct. Suite A
    Charlottesville, VA 22901
    Phone: 434-979-8116
    Fax: 434-979-8880

  16. Fishersville, VA
    66 Parkway Lane Suite 102
    Fishersville, VA 22939
    Phone: 540-949-5150
    Fax: 540-932-8535

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

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

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

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

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

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

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

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

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

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

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

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

  29. Silver Spring, MD (MedStar-Leisure World)
    3305 N Leisure World Blvd.
    Silver Spring, MD 20906
    Phone: 301-598-0130
    Fax: 301-598-5091

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

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

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

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

  34. Carrollton, VA
    13609 Carrollton Boulevard Suite 11
    Carrollton, VA 23314
    Phone: (757)-238-9600
    Fax: (757)-238-8750

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

  36. Orange, VA
    175-C Spicers Mill Road
    Orange, VA 22960
    Phone: 540-672-1402
    Fax: 540-825-4937

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

  38. Urbana, MD
    3430 Worthington Blvd Suite 101
    Urbana, MD 21704
    Phone: 301-696-0818