Treating a Bunion Deformity


Bunions are a bone deformity that can really affect quality of life, depending on how far the issue has progressed. The bony growth on the side of the big toe joint not only causes pain and irritation, but it can also make it difficult to fit into footwear made for the masses. 

Non-invasive treatment of this uncomfortable deformity includes addressing symptoms of bunions, such as: bony growth, swelling or redness, corns or calluses, pain, stiffness, or inflammation of the joint. Treatments may include:

  • Changing your shoes to ones that have a wider toe box so that your toes and joints do not experience tightness from shoes.
  • Using bunion pads and cushions to reduce external pressure from shoes. 
  • Orthotic inserts and custom orthotic shoes to help reduce pain.
  • Bunion relief exercises, in-shoe splints, and overnight splints to help slow the progression of bunions.

When these remedies do not work, you may need surgical intervention. Depending on the severity of the bunion, there are different surgical options (bunionectomy):

  • Tendon and Ligament Repair – If the problem of the bunion or joint deformity is due to tight or loose soft tissues, surgery to loosen or tighten them can fix the problem.
  • Exostectomy – This is considered “shaving the bump”, but usually is not the ideal choice since it only includes removing the bony bump. Truly fixing the bunion issue, however, requires realignment of the joint.
  • Osteotomy – In this type of surgery, the bones are broken and realigned. Pins or screws may be needed to hold it in the right place. Tendon or ligament repair may also be required in conjunction with this surgery.
  • Arthrodesis – This is a surgery in which arthritic joint surfaces are removed, and then screws or pins are used to hold the bones together until they heal properly.

If you have developed a bunion issue or have one that is getting worse, contact your friendly podiatrist at Texas Foot Works. Dr. Jonathan M. Kletz is ready to help you find the best treatment for your bunion problem. If surgery is necessary, we will help you prepare and ensure proper maintenance after the procedure. Make an appointment today at any of our offices in Abrams (Dallas), Athens, and Gun Barrell City, Texas!