✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

Your Trusted Grand Blanc Podiatrist

How to Tell if You Have a Bunion Identify the Early Signs & What to Do Next

Bunions can sneak up slowly — but catching them early can make a world of difference. In this video, Dr. Tom Biernacki of Balance Foot & Ankle Specialists explains how to tell if you really have a bunion, the common causes, and what steps to take next. From shoe choices to potential surgery, we’ve got you covered with the facts that matter.

Bunion Warning Signs: When to See a Foot Doctor

If you’ve noticed a bump forming near your big toe, or you’re experiencing pain while walking or wearing shoes, you may be wondering: “Is this a bunion?” Dr. Tom Biernacki walks you through how to tell the difference between a true bunion and other similar foot conditions. Using real examples and simple explanations, he makes it easy to understand what’s really going on with your foot.

Many patients confuse bunions with arthritis, joint swelling, or even soft tissue growth. In this video, you’ll learn the key indicators of bunions, like toe misalignment, inflammation near the joint, and increasing discomfort over time. Dr. Biernacki also covers what shoes can help prevent bunions from worsening and how barefoot shoes or orthotics might play a role in your comfort.

If you do have a bunion, don’t panic — treatment options range from conservative care like orthotics to corrective surgery when necessary. The goal is always to help you stay active, pain-free, and confident in your steps. As always, if you’re in Michigan, you can visit one of our clinics in Detroit, Berkley, Bloomfield Hills, Lansing, or Grand Blanc for an in-person consultation.

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Not All Toe Pain Is a Bunion – How To Tell If You Have a Bunion?

While bunions, big toe joint pain, and arthritis can all cause discomfort in the same area, they are distinct conditions. A bunion is a structural deformity of the big toe joint, where the toe gradually angles inward toward the second toe, creating a visible bump on the side of the foot. This misalignment results from both genetic predisposition and external factors like tight shoes or abnormal foot mechanics. The pain associated with bunions is typically due to pressure on the enlarged joint and surrounding tissues, which may worsen over time if left untreated.

In contrast, arthritis of the big toe—commonly referred to as hallux rigidus—is a degenerative joint condition that results in stiffness, swelling, and reduced motion in the toe, often without the visible bump seen in bunions. While both conditions affect the big toe joint, arthritis is caused by wear and tear or inflammation within the joint itself, not a misalignment. It’s essential to have a podiatrist evaluate your symptoms to determine the root cause of your foot pain and recommend the most effective treatment—whether it’s orthotics, physical therapy, or in some cases, surgery.

Find Your Nearest Podiatry Clinic in Michigan

• Bloomfield Hills
• Brighton
• Howell
• Oakland
• Royal Oak
• Huntington Woods
• Clawson
• Ferndale
• BIrmingham
• Madison Heights
• Lathrup VIlllage

DISCLAIMER:

Dr. Tom Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery. Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition. BOOK WITH DR. BIERNACKI

How To Tell If You Have a Bunion (FAQ)

What are the first signs of a bunion? The most common early signs include a visible bump on the side of your big toe, pain or soreness, redness, and swelling near the joint. How do I know if it’s a bunion or just a callus or bump?

A bunion involves joint misalignment, whereas a callus or bump usually forms from pressure or friction without bone displacement.

Can I get bunions from wearing the wrong shoes? Yes, tight, narrow, or high-heeled shoes can contribute to bunion formation over time, especially if you have a genetic predisposition. Does a bunion always hurt?

Not always—some bunions may be painless at first but can become painful over time as the joint becomes more irritated.

Can bunions go away on their own?

• No, bunions are structural deformities and typically worsen without treatment. However, symptoms can be managed conservatively.

What’s the difference between a bunion and arthritis in the toe?

Arthritis affects the joint space and can cause pain, but it doesn’t always cause the same visible bump or toe misalignment.

When should I see a podiatrist about my bunion?

If you’re experiencing pain, swelling, or difficulty wearing shoes, it’s a good time to seek professional evaluation.

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Dr. Tom’s Top 3 — The Premium Foot Pain Stack (2026)

If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one — over 10,000 patients have used this exact combination.