Bunion (Hallux abducto-valgus) is a large bony bump at the base of the big toe due to deviation of the big toe joint.

Bunions, especially severe deformities, can often be painful to walk on. They can also cause skin irritation like callous, corns, and blisters. Larger bunions can also make finding suitable footwear challenging.


  • Genetic
  • People with underlying conditions such as flat feet, hypermobility, rheumatoid arthritis may contribute to bunion formation
  • Poorly fitting shoes i.e shoes with high heels and / or narrow toe box.

Bunion formation can alter the foot’s biomechanics, putting increased pressure on other parts of the body and lower limb such as the knees, hips and back.

Sometimes, bunion formation can lead to osteoarthritis in the big toe, which can restrict the movement at the joint, causing pain.

Treatment options

  1. Footwear – we recommend appropriate footwear with enough width and depth to accommodate the bunion. Orthotic therapy – custom or off-the-shelf foot orthosis can help improve the foot alignment and works to redistribute pressure under the feet. This will help reduce some of the excessive pressure at the bunion.
  2. Orthotics – can provide along term solution to managing painful symptoms. They can effectively redistribute pressure to offload the painful joint.
    Strapping – this provides immediate support and pain relief to the big toe joint.
  3. Low level laser therapy – helps to reduce localised joint inflammation and pain.
  4. Myofascial release therapy – helps by reducing tightness in the muscles of the foot which support the big toe joint.
  5. Surgery – depending on the severity of the bunion, surgery may be recommended.

We’ll find a solution that suits you

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We are committed to solving the problem rather than offering a quick fix. In addition to treatment we’ll provide advice on how you can make small adjustments to reduce your pain, minimise the risk of injury and improve your quality of life.