A bunion is a bony, painful swelling that is often formed on the first joint of the big toe. Bunions can be extremely painful due to the weight of all your body resting on it each time you take a step. Everyday activities, such as walking and wearing shoes, can cause you extreme discomfort if you have a bunion.

Reasons that a person may develop a bunion can vary. Some patients may form bunions due to genetic factors, complications with arthritis, or a weak foot structure. General aging can also play a role in the formation of a bunion.

If you have a bunion, you may notice a bony bump on your big toe, experience swelling and redness, and the area may feel tender to the touch. To help alleviate the pain that often comes with having a bunion, it’s suggested to maintain a healthy weight to help lessen the pressure on your toe, practice both heating and icing the affected area, wear wide-fitting shoes wear to leave plenty of space for your toes and to minimize rubbing, and look into shoe inserts that can help position your foot correctly.

Because bunions can result in other painful foot problems, such as hammertoes and bursitis, we recommend that you meet with a podiatrist for a professional diagnosis and for information regarding all your treatment options.

Dealing with severe bunion pain?


Bunions are bony prominences at the very base of the big toe. Often referred to as ‘hallux valgus’, these bumps can become painful and over time can make it difficult to wear shoes or even walk. Bunions can occur at any age, but they are much more common among women than men. There is evidence that suggests that tight, narrow shoes and high heels that force your toes to squeeze together, may accelerate bunion development. Bunions also run in families and may be inherited as a family trait or also form from arthritis.

When to Consider Bunion Surgery

If conservative treatment such as padding, shoe inserts or changing shoes doesn’t help and a bunion is causing constant pain, and interferes with your daily activities, surgery may be recommended; this involves cutting/realigning bone, removing swollen tissue around the big toe joint, removing parts of the bone and more.

Surgery may also be needed when chronic big toe inflammation and swelling isn't relieved with rest or medicines.

Additional reasons to consider surgery include toe deformity, a drift in of the big toe toward the small toe, or being unable to bend and straighten the big toe.

About Bunion Surgery


At Cohen Foot & Ankle, our podiatry team can provide a variety of surgical bunion treatment options for those experiencing bunions, or misalignment of the bone and tissue in the foot joints. We will work with you and recommend treatment options that are based on the severity of your condition. We offer several forms of bunion surgery and are experienced in diagnosing and treating all types of foot and ankle injuries.


These before and after shots of treatment performed by Dr. Cohen show how incredibly valuable bunion surgery can be, especially for those interested in a quicker recovery time. Call our office today to see if bunion surgery is right for you!

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