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2250 Hayes Street, Suite 4A
St. Mary's Medical Center
San Francisco, CA   94117

Phone: (415) 592-0938
Fax:     (415) 759-2015

 

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Bunion FACTS

On this page you will find some of the common questions we hear regarding bunions. If you have additional questions or didn’t get your answer below, please call us to set up an appointment. During your visit, one of our physicians will answer any questions you may have regarding bunions and feet.

What exactly is a bunion?
A bunion is the enlargement at the great toe joint. In most cases, as it becomes larger the great toe moves more toward the 2nd toe. In some case the enlargement occurs more on the top of the big toe joint and causes limitation of great toe motion.

I’ve heard my choice of shoes might cause a bunion?
Relax, shoes alone do not cause bunions but improper footwear can exacerbate the problem. Bunions are primarily caused by abnormal foot mechanics and/or mal-alignment of the bones which make-up the great toe area. In some cases, arthritis or injury to the great toe joint can create a bunion problem.

Do I have options for treatment?
Absolutely! People with mild bunions may find relief through simples measures such as modifying their footwear and the use of orthotic therapy. A variety of bunion surgeries exist and in general they re-align bone, ligaments and tendons to bring the great toe back to its normal position. The doctors at the Parnassus Heights Podiatry Group will develop a treatment plan that is specific for each individual patient taking into account their foot pathology, their general medical health status, their occupation and their home environment.

Will my bunion continue to get larger if it is not treated?
This is a very difficult question to answer. Bunion deformities are dynamic meaning that over time they will increase; however no one can accurately predict as to when a mild bunion may become larger. A thorough evaluation of the bunion deformity will allow a doctor to better determine whether the likelihood of the bunion becoming worse is minimal or significant.

When should a bunion be surgically corrected?
Most foot surgeons believe that if the bunion deformity is causing
pain, restricting great toe motion or the great toe is beginning toHappy Foot cause significant pressure to the 2nd toe, then a surgical correction should be considered inorder to prevent additional deformities of the forefoot.

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