Women are more frequently affected with bunions because of tight, pointed, flat or high-heeled shoes. Unsupportive shoes place excessive pressure through the joint causing the bunion deformity. Tight shoes aggravate the condition. Wearing high-heeled shoes is especially stressful on the joints of the foot. What Causes Pain in the Big Toe Joint When Bunions Are Not Present? We will now explain the conditions, what causes them and how to treat them, likley these big toe pain conditions can be self treated normally without any surgery but it is important to treat the pain as over time it will get worse and walking and standing will continue to become more painfull. Some people are disappointed with their surgery results even though their joint looks and functions better. This is usually due to unrealistic expectations. You will still not be able to wear extremely high heeled shoes after surgery and it is unrealistic to think that your joint will be "perfect" or function like it never had a problem. With realistic expectation, most patients are happy with their bunion surgery. Exercise induced leg pain can have many causes, including exertional compartment syndrome, popliteal artery entrapment syndrome, medial tibial stress syndrome and stress fracture. In this article, I will briefly describe each condition and give recommendations on how to treat each one. Bunions are usually correctable with either orthotics or surgery, surgery being the most common and most effective treatment. Surgery should only be considered if the bunion is causing you so much pain that it interferes with your daily life. The recovery time for bunion surgery is usually 3-6 months. At the 3 month point many patients begin to feel as though they should not have had the surgery because of the limitations in their mobility. This is common and the patient should be educated about this. Most patients will not be able to walk correctly until the 6 month point and will not be happy with the results until then. Whirlpools, ultrasound therapy and massage may also alleviate bunion pain. Early signs of a bunion include feeling a deep, dull pain in the joint of your big toe, pain on the top or side of your big toe when you have shoes on or noticeable movement of your big toe toward your other toes. If you have bunions, don’t wear flip flops. Practicing certain yoga poses, like downward-facing dog or side-angle pose can help alleviate bunion-related pain. Things You'll Need Bunions may be the result of years of foot abuse. It’s time to give your feet the care they need, so you can get the bunion pain relief you want. When conservative treatments fail, it is time for foot surgery. A bunionectomy – to tailors bunionectomy – will involve removing excess bone, repositioning tendons, and surgically straightening the toes. This will leave the area weak, and more prone to develop bunionettes in future if care is not taken. Non-surgical treatments are always best, although they can take considerably longer to have an effect. Do you have a bump on the outside of your foot under the pinky toe? Well, you could be suffering from a tailor’s bunions or what is also known as a bunionette, a mini-bunion Brandt R. Gibson, DPM, MS is a podiatrist with special interest in keeping individuals active through education. He is located in American Fork, Utah. His goal is to educate people and help them "optimize what they were born with." For further educational materials and recommended medical products, visit A free book on foot and ankle health can also be ordered at Do not let anatomic terminology trip up your foot and ankle claims. So long as you know the specifics of each condition in this category, you'll code foot and ankle services like an ace read more Bunions are a progressive deformity. This means that over time the bump will continue to grow, unless you quit walking. The great toe will continue drifting towards and under the pointer toe until the pointer toe is cocked upwards. The good news is that a bunion may take up to sixty some years in the making. Avoiding tight shoes and wearing orthotics may slow the progression of this deformity and foot pain. If something other than a bunion hurts you then visit for free information about it. You will find some of the treatments discussed in Dr. Marble's article on his online store located at the same link.