Foot pain is a pain especially when the shape of the foot becomes a space invader in your shoe. Hallux Abducto Valgus is aBunion deviation that occurs between the 1st metatarsal and the hallux. In lay terms this means the big toe deviates medially from the long shaft like bone of the 1st metatarsal. A bunion can also involve thickening on the dorsum (top )and sides of the  1st MPJ joint line.

A bunion will occur over time there are several reasons that they can occur including length of the 1st metatarsal, ligamentous laxity, inefficiencies of foot posture and function, footwear and life style. The hereditary factors that people usually blame are the person’s foot type and connective tissue integrity.

A bunion will become painful when it is compressed into tight foot wear and when the joint becomes restricted.

5 Tips to reduce Bunion Pain

  1. Wearing footwear that offers sufficient depth and width in the toe box
  2. Reducing the heel height of the shoe
  3. Increased use of stable footwear designs.  Choosing shoes with straps ties and laces
  4. Use of commuter shoes for active times.
  5. Stretching and strengthening the musculature of the foot


Podiatrists see a lot of bunion pain. Often identifying problem footwear and making adjustments can make a big difference to day to day comfort. In the longer term the biomechanical inefficiencies of the foot should be assessed and addressed where possible. Orthoses can be used to optimize foot function and reduce excessive and destructive shearing forces that contribute to bunion formation. Use of strength and balance exercises is essential. A bunion night splint is another tool used to reduce tissues stress.

Surgical correction would be considered after conservative mangament has been exhausted.

If there is a family history of bunions a review with a podiatrist can help you determine if you or your child has a predisposition to this progressive foot deformity.

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