Generally, the big toe is lined up with a long bone in the main part of the foot called the metatarsal. Bunions begin when this metatarsal bone starts to drift away from the rest of the foot. This may be caused by poor foot function, for example if the foot rolls-in excessively (pronation).
As the tendons which control the movement of the big toe no longer work correctly, this causes the big toe to be pulled towards the second toe. If a bunion becomes painful, it’s best to seek advice from a registered podiatrist who can provide specialist insoles (orthotics) and protective devices to relieve pressure and pain. In some cases, surgery may be necessary to correct the bunion.
Which shoes to choose?
The correct footwear choice is essential to help keep your feet happy and healthy and the whole Hotter range is designed with your comfort in mind.
Footwear features to look for…
1. Choose shoes that have sufficient width to prevent pressure on the joint – if a shoe rubs the bunion it can create a sac of fluid over the area called a bursa which can become painful and inflamed.
2. If the second toe has become damaged, extra depth in the shoe may be needed to prevent rubbing on the top of the toe.
3. A soft leather upper will readily adapt to the shape of the foot, preventing pressure on sensitive areas.
- For people with heel pain, shoes with underfoot cushioning can provide some relief
- For those who lack sensation in their toes due to diabetes it is vital to have smooth internal seams
- To help prevent bunions you must make sure there’s plenty of space around and on top of your toes
- If you need to wear orthotics then shoes with removable insoles may be helpful
- If you suffer from rheumatoid arthritis look for shock absorbing soles to reduce the pressure on the forefoot in particular