(08) 7008 7566
(08) 7118 5399
physio@upplus.com.au
177 Trimmer Parade, Seaton SA 5023Bunions
A bunion is a deviation of the big toe towards the others, with a bony prominence at its base. The deformity itself is not reversible without surgery, but a great deal can be done about the pain, the pressure and the way the foot works — and strengthening the foot influences how quickly it progresses. Most people manage well without an operation.
What causes it
- Family history, which is the strongest factor
- Footwear that is narrow or has a raised heel, over many years
- Foot mechanics that load the inside of the forefoot
- Inflammatory arthritis
- More common in women, and increasing with age
What you might notice
- A visible bony prominence at the base of the big toe
- Pain and rubbing in enclosed shoes
- Redness or hardened skin over the prominence
- The big toe drifting towards the second toe
- Aching in the forefoot after time on your feet
How we treat it
- Footwear advice, which is the highest-value change for most people
- Toe and foot strengthening, which influences progression
- Joint mobilisation to maintain movement at the big toe
- Padding, spacers or offloading to reduce the pressure points
- Gait and load review
- Referral for a surgical opinion where pain persists despite all of it
This page is general information, not a diagnosis. Symptoms overlap between conditions, so the right treatment depends on an assessment. If your pain followed a significant injury, is getting worse, or comes with numbness, weakness or unexplained weight loss, please see your GP.
Most bunions are managed well without surgery
The shape will not reverse, but the pain usually responds to footwear, offloading and foot strengthening. Worth trying properly before considering an operation.
Or call us on (08) 7008 7566 — we see patients across Seaton, Modbury and Stepney.