bunion illustration
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What Is a Bunion?

It’s a bony bump that forms on the joint where your big toe meets your foot -- called the metatarsophalangeal (MTP) joint. It happens slowly over time, and eventually gets bigger and sticks out. It can make your big toe turn in, sometimes so far that it moves on top of the toe next to it.

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doctor feeling bunion
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The most obvious sign is a bulging lump on the joint. It might hurt and be swollen or red. It also can make it hard to move your toes, especially your big toe.

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woman rubbing feet
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Conditions that make your joints swell and hurt, like rheumatoid arthritis, can lead to bunions. Shoes that don’t fit well can, too, especially if they cramp your toes. And some people are just more likely to get them because of the way their feet are shaped.

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teen girls painting nails
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Adolescent Bunion

This happens most often in girls between ages 10 and 15, but boys can get them, too. Doctors aren’t sure exactly why girls are more likely to have them, but it may have something to do with changes in footwear around that age. Unlike adults, young people who have bunions can usually move their big toe, but it still hurts. Teens typically get them because they run in their families, not because of a health condition. 

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bunion on pinky toe
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This is a bunion that forms on the joint where your little toe meets your foot. It’s also called a “tailor’s bunion." Tailors were known to sit cross-legged for long hours, which put pressure on that side of their feet and led to bunions near their pinky toes.

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xray of feet
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Your doctor probably can tell you have a bunion just by looking at your foot, but they’ll want to do an X-ray to see if the joint is damaged. That also can tell them how serious it is and possibly what caused it, which can help them decide how to treat it.

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shoe options
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Treatment: Change Shoes

This might be all you need to do to manage bunion pain. Your doctor can help you choose shoes that are right for you -- they should have lots of room for your toes, and heels lower than 2 inches. High heels put pressure on the front of your foot and can cause bunions and other problems. Stay away from shoes that are tight or pointed or crowd your toes.  

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ice chips
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Treatment: Ice

To ease swelling and pain, wrap a bag of frozen vegetables or crushed ice in a towel and put it on your bunion. Be sure not to leave it on longer than 20 minutes at a time -- it can cause ice burn because your foot has less tissue and muscle than other parts of your body. If you have nerve damage or circulation problems, talk to you doctor before putting an ice pack on your feet.

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toe sling
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Treatment: Padding

Special pads can cushion the area near the bunion that hurts. But talk to your doctor first, or test the pad for a short period to see if it helps. If it’s the wrong size for you, it can add pressure and cause more problems.

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Treatment: Medication

Over-the-counter painkillers like acetaminophen, ibuprofen, or naproxen can help with swelling and pain. If your bunion is caused by arthritis or another condition, your doctor may give you medicine for that, too.

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bunion surgery
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Treatment: Surgery

If other treatments don’t work for you, your doctor might suggest surgery to straighten out your big toe. Doctors usually don’t recommend this in adolescence, though, because the foot is still growing and the bunion often comes back.

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close up bunion
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Complications: Bursitis

A fluid-filled sac, called a bursa, cushions the bone near the joint on your big toe. When that joint gets bigger because of a bunion, the bursa can get swollen and painful -- that’s called bursitis. This can make it hurt even more and may damage the smooth tissue that covers the joint, called cartilage. That can lead to arthritis.

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heel pain illustration
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Complication: Metatarsalgia

This is when the ball of your foot gets swollen and hurts. Bunions can cause it, and shoes that are too tight or too loose can make it worse. You’re more likely to get it if you run or jump a lot -- like when you jog or play basketball, for example. Shoes with insoles or arch supports can help.

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hammer toe in hot tub
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Complication: Hammertoe

A bunion can cause a bend in the middle joint of your second, third, or fourth toe that shouldn’t be there. It happens when the muscles and tendons there get pushed out of position. More comfortable shoes can help, but your doctor might recommend surgery if your hammertoe causes serious problems. 

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Sources | Medically Reviewed on 05/07/2019 Reviewed by Tyler Wheeler, MD on May 07, 2019


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American Academy of Orthopaedic Surgeons: “Bunions,” “Rheumatoid Arthritis of the Foot and Ankle.”

Mayo Clinic: “Metatarsalgia,” “Hammertoe and mallet toe,” “Bunions.”

National Institutes of Health: “Understanding Autoinflammatory Diseases.”

The Podiatry Institute: “Juvenile and Adolescent Hallux Valgus.”

Southern California Orthopedic Institute: “Should You Ice or Heat an injury?”

Reviewed by Tyler Wheeler, MD on May 07, 2019

This tool does not provide medical advice. See additional information.

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.