A bunionette is a bony bump on the outside of the foot at the base of the little toe. The bump forms when the fifth metatarsal, the bone behind the little toe, shifts outward or has an unusual shape. The little toe may lean inward. Pressure from shoes can irritate the area and cause redness, swelling, or a painful callus. Some patients feel pain beneath the joint rather than beside it. A podiatrist can determine whether the discomfort comes from a bunionette or another foot problem.
Treatment begins with an examination of the foot. The podiatrist checks the bump, skin, and little-toe joint. Weight-bearing X-rays can show the position and shape of the bones while the patient is standing. These images help the podiatrist select treatment that matches the deformity. Options include padding to reduce rubbing, professional callus care, and custom orthotics to improve pressure distribution. The podiatrist can also recommend shoes with a wide toe box and enough room along the outside of the foot. If swelling is severe, an injection may be considered to reduce inflammation. These measures do not remove the bump, but they can ease pressure and make standing or walking more comfortable.
Surgery can be considered when pain continues despite treatment or when the deformity limits activity. The chosen procedure depends on the location of the bump and the position of the fifth metatarsal. A surgeon may remove excess bone, realign the metatarsal, or correct the little toe. Recovery instructions depend on the procedure and can include protected weight-bearing in a special shoe. Follow-up visits allow the podiatrist to check healing and guide a safe return to regular shoes and activity. Patients should seek prompt care for worsening redness, open skin, or drainage around the bump. If you have a painful bunionette, it is suggested that you schedule an appointment with a podiatrist who can offer effective relief and management solutions.
If you are suffering from bunions, contact Donovan Gowdie, DPM of The Foot & Ankle Treatment Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Watkinsville, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
