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Bunions may be caused by foot mechanics that result in too much pressure on the joint at the base of the big toe (metatarsophalangeal joint camera.gif). An abnormal foot motion called excessive pronation camera.gif, having certain foot shapes such as flatfoot, and wearing shoes that squeeze the toes together or shift weight to the toes (such as high-heeled shoes) may all contribute to the pressure. Over time, the constant pressure forces the big toe out of alignment, gradually bending it toward the other toes (displacement camera.gif).

A bunionette camera.gif, or tailor's bunion, is one that develops at the base of the little toe. When the long bone that connects to the toe (metatarsal camera.gif) bends away from the foot, the little toe bends inward and the joint swells or enlarges.

Other factors that can lead to a bunion include:

  • Loose ligaments in the foot.
  • Previous injury to the foot.
  • Hammer toe or removal (amputation) of the second toe. When the joint of the second toe rises, as in hammer toe, or the second toe is missing, it becomes easier for the big toe to drift toward the other toes.
  • Abnormal development of the foot.
  • Arthritis.

WebMD Medical Reference from Healthwise

Last Updated: November 14, 2014
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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