Introduction
A bunionette is a bump that forms near the base of the little toe on the foot. While they are less common than bunions, which occur at the base of the big toe, individuals with bunionettes often have bunions as well.
Bunionettes are sometimes referred to as tailor bunions, a name derived from the historical practice of tailors sitting cross-legged for extended periods, putting pressure on the side of their feet. In modern times, ill-fitting shoes are a primary cause of bunionettes, along with inherited bone structure issues. Several non-surgical treatments are available for bunionettes, but if these methods do not provide relief, surgery may be necessary.
Anatomy
The base of the bone in your little toe (proximal phalanx) connects with the head of the metatarsal bone in your foot to create the metatarsophalangeal joint. Ligaments hold these two bones together, while tendons attach muscles to the bones, facilitating movement. The metatarsophalangeal joint bends whenever you walk or move your toes.
Causes
The primary cause of bunionettes is poorly fitting shoes that exert pressure on the foot. Shoes with tight, narrow toes are particularly problematic and make bunionettes more common in women than in men. Additionally, some individuals may have inherited foot structures with elongated bones that tend to bow, leading to the development of bunionettes.
A bunionette occurs when the bones at the base of the little toe shift out of alignment. Over time, this irritation results in an enlargement that appears as a bump on the little toe
Symptoms
A bunionette manifests as a bump at the base of your little toe on the side of your foot. This bump can be red, swollen, and painful, with skin irritation potentially leading to open sores or bleeding. Infections pose a risk, especially for individuals with diabetes. Symptoms may worsen with walking, bending the toe, or wearing shoes.
Diagnosis
A bunionette can be diagnosed by your doctor through a review of your medical history and a physical examination of your foot. X-rays may be utilized to assess the alignment and condition of your bones. Be sure to discuss your symptoms and concerns with your doctor.
Treatment
There are several non-surgical options for treating bunionettes. Changing footwear can significantly help; opt for shoes with a wide toe box and low heels while avoiding high heels and pointed-toe designs. Using pads can also alleviate pressure and pain.
Your doctor may suggest over-the-counter anti-inflammatory medications, such as ibuprofen, and may inject corticosteroids to reduce inflammation around the joint. You may also receive guidance on applying ice packs to the affected area.
Surgery
movement and function. Bunionette surgery aims to realign the bones and joints. During the procedure, the toe is positioned correctly, and the bump is removed. Surgical hardware will be used to hold the bones in place as they heal. Bunionette surgery is typically performed on an outpatient basis.
Recovery
Following surgery, it's important to keep your foot elevated for the first few days and apply ice packs as instructed. You will likely need to use crutches, a walker, or a cane temporarily as you gradually increase weight on your foot. Recovery from bunionette surgery can take several weeks, and your doctor will provide guidance on what to expect during this time.
Prevention
To prevent bunionettes, it's essential to wear well-fitting shoes. Choose footwear with a wide toe box and low heels to minimize the risk of developing this condition.
