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What Causes Bunions and How to Treat Them Without Surgery

By May 17, 2025No Comments

If you’ve noticed a bony bump forming at the base or side of your big toe, you might be dealing with a bunion. Bunions are a common foot issue that can affect your mobility and overall comfort. At Footwyse Clinic, we frequently help residents across the Greater Toronto Area (GTA) understand and manage this condition without the need for surgery. Here’s what you need to know.

What Is a Bunion?

A bunion, medically known as hallux abducto valgus, occurs when the joint at the base of the big toe shifts out of alignment. Over time, the toe leans toward the second toe, creating a visible bump on the side of the foot. This misalignment can cause pain, swelling, redness, and difficulty fitting into certain shoes.

Risk Factors and Early Signs

Several factors contribute to bunion development:

Genetics: A family history of bunions increases your risk.

Foot structure: Flat feet, low arches, or abnormal bone structure can contribute.

Improper footwear: Tight, narrow, or high-heeled shoes force toes into unnatural positions.

Medical conditions: Arthritis, particularly rheumatoid arthritis, can affect joint health.

Early signs include discomfort near the big toe joint, slight swelling, and difficulty finding comfortable shoes. Catching these signs early can make a big difference.

How Bunions Affect Your Mobility and Shoe Choices

Bunions can disrupt the natural movement of your foot, leading to pain when walking or standing for long periods. They also make it harder to find shoes that fit well, as the protruding joint may rub against footwear, causing blisters or calluses. Over time, untreated bunions can alter your gait and contribute to secondary issues like foot and ankle pain which can then cause knee and hip pain. 

Non-Surgical Treatment Options

At Footwyse Foot Care Clinic, we focus on conservative treatment methods that relieve pain and slow progression. These include:

Custom orthotics with special added features: Designed to correct foot mechanics and reduce pressure on the bunion.

Padding and taping: Helps cushion the area and realign the toe.

Footwear recommendations: Supportive, wide-toed shoes can alleviate discomfort.

Stretching and strengthening exercises: Improve joint flexibility and muscle support.

Anti-inflammatory therapies: Topical or oral options may reduce pain and swelling.

Each treatment plan is tailored to your lifestyle and needs, minimizing discomfort without the risks of surgery.

Preventive Strategies and Custom Care

Preventing bunions or stopping them from worsening, starts with proactive care:

Choose well-fitted, supportive footwear with a roomy toe box (depth and width)

Avoid high heels or shoes that compress the forefoot (toe area)

Maintain a healthy weight to reduce pressure on your feet.

Use custom orthotics to support natural alignment.

Schedule routine foot assessments, especially if bunions run in your family.

Whether you’re managing early symptoms or want to prevent bunions entirely, Footwyse Clinic in the GTA offers expert, personalized care. Our goal is to keep you moving comfortably without surgery as much as possible.