Port Neches, TX (409) 727-1122
April 2025
Bunions
A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out. As a result, the skin over the bunion may start to appear red and it may feel sore.
There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.
The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis.
Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.
Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.
Understanding Bunions and How to Treat Them

A bunion is more than just a bump on the side of your foot. It is a misalignment of the big toe joint that causes the bone to shift outward. This can lead to pain, swelling, and difficulty in finding comfortable shoes. Over time, as the big toe leans further toward the lesser toes, bunions can worsen, and additional foot problems like hammertoes or calluses can arise. Conservative treatments can help manage symptoms. Wearing supportive shoes with a wide toe box, using orthotics, and employing techniques to reduce inflammation are common strategies. For persistent pain or significant deformity, minimally invasive bunion surgery may be recommended to correct the alignment and relieve discomfort. Ignoring a bunion will not make it go away, and early intervention can prevent the condition from getting worse. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist to discuss the best treatment options for it, as well as overall foot health.
If you are suffering from bunions, contact Pete O’Donald, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Nederland, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.