Bunion (hallux valgus)

Causes

Generally, bunions are more common in women and can be hereditary.

Symptoms

A bunion is a painful lump at the base of the great toe and is usually associated with a deviation of the toe to the side. It can be associated with painful, stiff arthritis of the big toe. An X-ray of the foot will confirm the diagnosis and is a useful measure of the deformity.

Investigations

An X-ray is helpful to document the deformity.

Treatment

If mild the condition can be treated with insoles or shoe modifications. Depending on the severity of the condition and symptoms, it usually requires surgery to straighten the toe and remove the bunion. This is most often done as a day case under general anaesthetic.