Bunions Specialist

Bryon Butts, DPM -  - Podiatrist

Performance Footcare, PC

Bryon Butts, DPM

Podiatrist & Foot and Ankle Surgeon located in Midtown West, New York, NY

Bunions are painful lumps that develop at the base of your big toe, and they can be both uncomfortable when you walk and tender to touch. If you have symptoms that could be due to bunions, Bryon Butts, DPM, of Performance Footcare PC in Midtown West Manhattan in New York can help. Dr. Butts and his team provide a range of effective noninvasive therapies for bunions, and can also carry out surgery for advanced cases. If your feet are hurting, call Performance Footcare today to schedule a consultation, or book an appointment online.

Bunions Q & A

What are bunions?

Bunions are bony lumps that develop at the broadest part of your foot, on the bottom joint of your big toe where it joins the ball of your foot. The lump gets larger over time, becoming increasingly uncomfortable as it presses against the inside of your footwear.  

As the bunion continues to get bigger, the skin gets stretched, reddened, and shiny, and the lump is likely to feel tender to touch. Bunions may also form calluses or sores where they rub inside your shoes.

What causes bunions?

Bunions develop if the joint at the base of your big toe comes under too much pressure. Excess pressure causes the joint to press against the metatarsal bone that sits behind it, pushing the bone outward.

Pressure might come from wearing unsuitable footwear. For example, regularly wearing high heels is a common cause of bunions, as the foot has to bend into an unnatural shape and the ball of your foot comes under immense pressure.

You’re also more likely to develop bunions if your feet have certain characteristics, such as big toes that point towards your other toes rather than forward. Having arthritis can increase your chances of developing bunions, and if other people in your family have them, your risk also goes up.

What are the treatment options for bunions?

Treatment for bunions varies. Nonsurgical, conservative treatments are usually effective for less serious bunions, but more severe bunions may require surgery.

Wearing roomier shoes is essential to relieving pressure on the bunion. You might also benefit from wearing shoe inserts that improve arch support or weight transfer or utilizing custom orthotics. 

These are precisely formed foot supports that Dr. Butts creates to match your individual anatomy. Orthotics provide support and stability for your foot and go a long way toward relieving pain and pressure.

If your bunions are acutely painful or you have a flare-up of pain, Dr. Butts can prescribe either topical or oral anti-inflammatory medication for rapid relief of pain. Physical therapy and exercising your feet correctly can also reduce inflammation and hasten recovery.

In some cases, patients don’t respond to conservative treatments well enough, and surgery then becomes an option. 

The goal of bunion surgery is to relieve the pain and pressure, and the surgery may involve removing swollen tissue around the affected joint or straightening your big toe through bone realignment, joining, or modification.

Traditional bunion surgery involves making an incision on the top of your toe, so the surgical scar is obvious to anyone looking at your foot. Dr. Butts performs bunion surgery using a more cosmetically pleasing medial incision on the side of your foot, so you can wear flats and sandals postsurgery without anyone noticing the scar.

If you have bunions, the earlier you receive treatment, the better, so call Performance Footcare today or book an appointment online.

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