4. Toe and Foot Exercises
Regular foot exercises can help to maintain flexibility, strengthen the muscles surrounding the toe joint, and slow the progression of bunions. Some helpful exercises include:
Toe stretches: Gently pull the big toe back into proper alignment and hold it for 10 seconds, repeating several times daily.
Towel scrunches: Lay a towel flat on the floor and use your toes to scrunch it up, which can strengthen the muscles in your feet.
Toe circles: Rotate your big toe in circular motions to improve flexibility and relieve stiffness in the joint.
5. Bunion Splints
Bunion splints, which are worn at night, can assist to realign the big toe into a more natural position while you sleep. While they won’t “cure” the bunion, they can provide temporary relief from pain and slow the progression of the condition.
6. Corticosteroid Injections
If bunion pain is persistent and severe , your doctor may suggest corticosteroid injections to reduce inflammation and provide temporary relief. This option is typically reserved for cases where other treatments have not been effective.
7. Surgery (Bunionectomy)
For severe bunions that significantly impact your daily activities and don’t respond to conservative treatments, surgery may be the best option. Bunion surgery, or bunionectomy, is a procedure that realigns the bones, ligaments, and tendons in the foot to correct the misalignment and remove the bony protrusion.
There are different types of bunion surgery, depending on the severity of the condition:
Exostectomy: The surgeon removes part of the bony bump but does not realign the bones, often performed in conjunction with osteotomy.
Arthrodesis: For severe cases or arthritic bunions, the surgeon fuses the joint to prevent further movement and pain.
Osteotomy: The surgeon cuts and realigns the bone to correct the position of the big toe.
It typically takes several weeks to months to recover from bunion surgery, and it involves wearing a cast or surgical shoe, physical therapy, and a gradual return to normal activities. While surgery is effective, it’s generally considered a last resort due to the recovery time and potential risks.
Preventing Bunions
Though bunions can’t always be prevented, especially if they are hereditary, there are steps you can take to minimize your risk:
Wear shoes with a wide toe box and avoid high heels: Properly fitting shoes that allow your toes to move freely can reduce the risk of bunions forming.
Support your feet: If you have flat feet or other structural issues, consider using orthotics to improve your foot mechanics.
Take breaks: If you’re on your feet a lot, take regular breaks to reduce pressure on your toes and prevent strain on the joints.
Maintain a healthy weight: Excess weight can place additional pressure on your feet, potentially exacerbating foot problems like bunions.