| What are 'bunions'?
Bunions are a condition describing a noticeable bump at
the base of the great toe. They can occur at any age from birth
(congenital) through adulthood (acquired), but are more commonly a
problem after the mid-thirties.

Did I inherit this from my parent(s)?
Yes...and No. You do inherit the type of feet your
parent have, however, acquired bunions take time to develop through the
years. If you didn't walk, wear certain shoes or injure yourself then
you may not get bunions.
How does a bunion form?
The formation of a bunion occurs as a result of a
mechanical failure of the great toe joint to flex upward (dorsiflex).
The ability of the joint to dorsiflex is related to whether the arch of
the foot remains stable while standing and walking. If the arch does
not support itself well during walking, then the joint becomes jammed or
stiff. For normal walking (versus tip-toeing) to occur the toe MUST
dorsiflex while walking (Side note: try walking without flexing your
great toe). However, since it is difficult to naturally walk tip-toed
the body compensates subconsciously by swinging the foot outward and
walking around the stiff joint. When the foot functions this way for
long periods of time the joint eventually buckles and the buckling
effect causes the metatarsal to protrude forming a bunion at the base of
the Great Toe.
Normal walking: note great toe can bend upwards.
Great Toe Joint Stiff: Foot swings to the side because
toe cant' bend upwards.
How do shoes affect bunions?
Shoes cannot actually cause a bunion. People who have
rarely worn shoes (barefeet or sandal) do get bunions because the true
cause is abnormal mechanics of the toe joint. Shoes, though, may
accelerate the formation of it and contribute to the painful
consequences.
The edge of a shoe, combined with the large bump, can
put pressure on the nerve under the skin leading to sharp pain and
inflammation of the area.
This explains why wearing wider, larger or more
accommodating shoes helps to relieve the pain of bunions. |