Bunions

Alan J. Rosen, DPM, PC -  - Podiatrist

Alan J. Rosen, DPM, PC

Podiatrist located in Upper East Side, New York, NY

Bunions Specialist
While bunions often require no treatment, these can also cause you pain and difficulty with wearing shoes. Dr. Alan J. Rosen, of New York City can help you manage troublesome bunions, preventing further complications that create even more pain. He can treat them both conservatively or surgically. Call the office, located on the Upper East Side, or book an appointment online to take a step toward relief.

Bunions Q & A

What are bunions?

Bunions are bony growths that form on the joint of your big toe. A similar growth called a bunionette can affect the same joint on your baby toe. Bunions can occur due to medical or genetic conditions or may be triggered by the overlapping of your first and second toes.

Exact reasons for bunion development aren’t often known. Wearing narrow, tight, or high-heeled footwear is recognized as a risk factor that increases your chances of developing bunions. People with rheumatoid arthritis are more likely to get bunions, and you may even inherit a foot structure that predisposes you to bunions.

A bunion may be strictly a cosmetic issue, causing no pain or other complications, but not everyone with bunions is so lucky. The affected joint can become swollen and painful, with red, irritated skin. Calluses or corns may develop where your toes overlap. Since bunions involve bone deformity, they won’t heal without intervention.

What complications can result from bunions?

Toes with bunions may develop bursitis, an inflammation of the bursa sac, a small fluid-filled pad that acts as a cushion between bones. Once inflamed, the bursa can cause pain. Hammertoe is a condition where the middle joint of a toe bends abnormally causing pressure and pain. For those with bunions, hammertoe often develops in the second toe. A painful inflammatory condition called metatarsalgia may also occur in the ball of your foot.

How are bunions treated?

Dr. Rosen has two goals for bunion treatment: relieving the pain and pressure of the bunion and interrupting the bunion’s progression. Techniques to accomplish these are many, ranging from mild padding up to surgery.

Common procedures to reduce the pain and pressure of bunions include:

  • Protective padding, often made from felt material, that eliminates friction against shoes to alleviate inflammation and skin problems
  • Corn and callus removal
  • Carefully fitted footwear, designed to accommodate the bunion without contributing to its growth
  • Orthotic devices, both over-the-counter and custom made, that help stabilize the joint and hold the foot in the correct position for standing and walking
  • Exercises that maintain joint mobility while preventing stiffness or arthritis
  • Splints for nighttime wear to help the toes and joint align properly
  • Bunionectomy surgery to realign the toe
  • Plastic surgery to repair the cosmetic effects of bunion growth