Podiatrist (Foot and Ankle Specialist) Questions Bunions

Can bunions indicate an underlying foot problem?

I have painful bunions even though I take good care of my feet and wear very comfortable shoes. Could there be an underlying problem?

15 Answers

Yes, underlying problems such as inherited foot type, weak peroneal longus tendon, too tight, too narrow, and Rheumatoid arthritis. Please visit a foot and ankle surgeon near your home who can examine your foot and provide proper care.
Not always. Sometimes they are genetic and were passed down.
Bunion deformities represent a progressive misalignment of the great toe with deviation developing between the bone of the great toe and the corresponding metatarsal bone. This deformity is most often a consequence of familial or genetic predisposition and affects women more than men. The deformity may also develop from local trauma to the area. Finally,
different types of arthritis may be a contributing factor to its presentation to include osteoarthritis and rheumatoid arthritis. If you are suffering from other joint discomfort beyond the great toe or have other systemic complaints it would be prudent to be medically evaluated. Bunion deformities typically become more painful if there is developing arthritis within the joint as bump pain alone can be relieved with appropriate foot wear that minimizes compression to the area.`
Having a bunion is a structural deformity of the foot. You should schedule an appointment with a podiatric physician in order to determine the full extent of the deformity.
Yes, there is an underlying imbalance in how the muscles and joints work as a response to the genetic abnormality of bony development. Custom orthotics may alleviate this enough to not need reconstructive surgery.
Bunions Cause #1: Tight Shoes
Bunions Cause #2: Overpronation
Bunions Cause #3: Low Arched Feet
Bunions Cause #4: Uneven Weight Bearing
Bunions Cause #5: Hypermobility
Bunions Cause #6: Foot Injuries
Bunions Cause #7: Arthritis
Bunions Cause #8: Polio
Bunions Cause #9: High-Heeled Shoes
Bunions Cause #10: Excessive Standing

Congenital factors also a rule on developing factors.
Yes there is frequently an underlying structural problem that the bunions are a symptom.  Function follows structure and the bunions are a symptom of poor foot function and ill fitting foot gear will aggravate the condition not cause it in most circumstances.
Bunions are usually caused by several different factors. The mechanics of the foot is a major factor in contributing to bunion deformity. Taking care of your feet, as well as wearing good shoes is a good start. Sometimes individuals have by mechanical issues that require some type of custom-made arch support to try to prevent or the bunion deformity.

Jonathan M. Kletz, DPM
Yes, you could have a nerve impingement since there are vessels that run along the inside of the bunion area and just like in the back, it may be compressed and cause pain. A good exam, X-rays, and possible injection, padding custom insert, or surgery will alleviate all pain. Stop walking around in pain. There are so many conservative and surgical options for painful bunions. And if there's a family history, chances are the bunion pain will get worse.
Lots of luck.
There is a hereditary contribution to bunions as well as biomechanical. Almost always, you will have a contributing biomechanical instability that needs to be addressed. I would have it evaluated by a specialist.
Bunions are a biomechanical problem. They do not mean that you are in poor health. Painful bunions can progress and lead to increasing pain and difficulty walking. Depending upon the severity there are several ways your podiatrist will address this problem. See your podiatrist as soon as possible.
Hi,

Bunions are a symptom of a progressive, genetically induced structural change of your foot. You would benefit from a biomechanical evaluation and see if custom orthotics would be appropriate for you. See your podiatrist.
Bunions develop due to a muscle imbalance in the foot. I recommend you be evaluated by a Foot and Ankle specialist (podiatrist) to discuss options
The cause of bunions is a combination of genetics, shoe gear, and biomechanics. There is usually, in my experience, a mechanical issue with the function of a patient's foot that causes bunions. Just because your shoes are 'comfortable,' does not mean they are good for your feet or giving your feet the mechanical and structural support they need.
A bunion is a structural deformity and most likely other family members also have inherited them. It does not cause other underling health issues. A Podiatrist can give you options in treating them