Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Can Bunions be Reversed Without Surgery?
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Can bunions be reversed without surgery?
The answer is yes—but only in cases where the bunion is caused by a soft tissue deformity rather than a structural bone deformity. Big toe joint pain can often be significantly improved with a few simple treatment changes, such as footwear modifications, orthotics, and stretching routines. As experienced foot doctors, we see patients experience real improvement with non-surgical approaches every day. The ultimate goal is to relieve pain and restore function without relying on medications or undergoing invasive procedures—so let’s get started on the path to recovery!
The answer is yes—but only in cases where the bunion is caused by a soft tissue deformity rather than a structural bone deformity. Big toe joint pain can often be significantly improved with a few simple treatment changes, such as footwear modifications, orthotics, and stretching routines. As experienced foot doctors, we see patients experience real improvement with non-surgical approaches every day. The ultimate goal is to relieve pain and restore function without relying on medications or undergoing invasive procedures—so let’s get started on the path to recovery!
Big Toe Joint, Hammer Toe & Bunionette Problems
Bunion Pictures & Photo Gallery:
Look:
- The associated photos are pictures of bunions.
- A big toe joint bunion is a prominence of the first metatarsal phalangeal joint.
- A tailor’s bunion is the prominence of the fifth metatarsal phalangeal joint.
- There are multiple stages of bunions ranging from minimal dislocation to severe dislocation to severe dislocation with arthritis.
- It is important to note that the sesamoid bones dislocate from the big toe joint and that the bunion itself is more of a dislocation injury than an arthritic injury.
- Although we frequently see bunions that also have arthritis, and is much more likely.
- We do perform minimally invasive bunion surgery at our clinic to limit the length of recovery time needed.
Please click on the gallery to read the description! Feel free to share pictures.
Causes of Big Toe Joint Pain
Bunion:
- A bunion is the beginning of the dislocation of the big toe joint.
- The official term is subluxation, this is when the first metatarsal phalangeal joint starts to come out of the joint.
- This usually means the big toe joint is starting to point towards the second toe, this forces the second toe to rise over the big toe if it gets bad enough.
- This can contribute to forming a second toe hammer toe, as well as making the second, third, fourth, and fifth toes spread towards the outside of the foot.
- You can also develop a bunion to your fifth toe, this is called a tailor’s bunion, or a tailor’s bunionette.
Turf Toe:
- A turf toe injury is the hyperextension of the first metatarsal phalangeal joint, also known as a big toe joint sprain.
- There are many tendons and ligaments and bones on the bottom of your big toe joint.
- If you strain the tendons and ligaments, these can take many weeks or many months to heal.
- If you ever watch professional football, or soccer, this is a very common sports injury when the big toe plants into the ground and all your body weight transfers over.
Sesamoiditis:
- There are two bones underneath your big toe joint called your sesamoids bones. These are the tibial sesamoid and the fibular sesamoid.
- If the big toe joint becomes disrupted, such as in a bunion these can become dislocated sesamoids.
- In sports such as basketball where there is a lot of pressure put on the big toe joint, this can lead to inflammation of the sesamoid bones. This is called the sesamoiditis.
- If your sesamoiditis gets really bad, it is also possible to get a broken sesamoid, or sesamoid fracture.
- It can be a good idea to see a podiatrist if you do have a broken or fractured sesamoid bone.
Big Toe Joint Arthritis (AKA Hallux Rigidus):
- Arthritis means that the cartilage is missing from your joint, this then prevents normal joint motion. Eventually as the damage keeps getting worse, the bone starts to crack, cause severe pain and eventually develop bone spurs and uneven bone at the site.
- In your big toe joint when you start to lose some motion, this is called hallux limitus. Eventually this starts to lose complete motion and this is now called hallux rigidus. This means that your big toe joint is rigid and unable to move.
- There are four stages to hallux rigidus,progressing from no arthritis to complete fused arthritis.
- Hallux rigidus and big toe joint arthritis essentially mean the same thing.
- This is a very common problem that we see especially in people who are on their feet all day, or have broken their toe in the past.
Flat Foot:
- Flat feet can be caused by many different things, and flat feet result in many different problems.
- The more your foot flattens, the more abnormal pressure is put onto your big toe joint. This can lead to abnormal pressure causing a dislocation also known as a bunion, or jamming of the cartilage which can lead to big toe joint arthritis or hallux rigidus.
- Flat fee are very complicated topic, as you can have a bunion in a high arched foot as well, but generally it is the act of over pronation that causes your big toe joint to receive pressure and become agitated.
- Controlling flat fee with more support has more pros than cons for sure.