Do Bunions Always Get Worse?

Bunions often start as a small, barely noticeable bump at the base of the big toe. At first, they might seem like nothing more than a cosmetic concern. However, as time goes on, pain and discomfort can set in.

Many patients put off finding bunion solutions in hopes that their bunion will get better. Unfortunately, a bunion is a joint deformity that develops over an extended period of time, and it doesn’t get better on its own. Conservative methods can improve pain symptoms, but surgery is the only way to correct the deformity.

At Alpine Foot and Ankle, serving Idaho Falls, Idaho, and Alpine, Wyoming, board-certified podiatrist Andrew McCall, DPM, FACFAS, provides comprehensive foot and ankle care, including bunion treatment. 

What causes bunions to worsen?

Bunions develop when the bones in the front of the foot shift out of alignment, causing the big toe to lean inward while the joint at its base pushes outward. Genetics, lifestyle factors, and foot mechanics play a role in developing a bunion.

Poor footwear choices

Shoes that are too tight, too narrow, or have a high heel force the toes into unnatural positions, placing extra pressure on a bunion. This constant stress can aggravate the joint and can worsen a bunion. Switching to shoes with a wider toe box and better arch support can slow bunion progression.

Increased activity levels

High-impact activities like running, jumping, or prolonged standing can put excessive strain on the forefoot, worsening bunion symptoms. While staying active is essential for overall health, choosing low-impact exercises and supportive footwear can protect your feet from further damage.

Underlying medical conditions

Certain conditions, such as arthritis, can weaken the joints and ligaments in the foot, making it easier for bunions to progress and worsen. Inflammatory types of arthritis, like rheumatoid arthritis, are especially known for contributing to bunions developing and worsening.

Can you stop bunions from getting worse?

While bunions don’t improve on their own, getting treatment early can slow or even halt their progression. Conservative treatments focus on reducing pressure on the affected joint and improving foot alignment.

Footwear modifications

Switching to shoes with a wide toe box and cushioned soles can reduce pressure on the bunion and prevent further irritation. Look for styles that prioritize comfort and support rather than narrow fashion trends.

Orthotics and padding

Custom orthotics or over-the-counter shoe inserts can redistribute weight across the foot, which helps ease strain on a bunion. Additionally, bunion pads can prevent friction and irritation. This makes it easier to stay on your feet without discomfort.

Stretching and strengthening exercises

Targeted foot exercises can improve flexibility and strengthen the muscles around the toes. Performing these exercises offers better support for the joint. Simple movements, like toe stretches and foot rolls, can make a noticeable difference when you practice them regularly.

When should you consider bunion surgery?

When conservative treatments no longer provide relief, or when a bunion significantly interferes with your daily activities, it’s time to consider discussing bunion surgery with Dr. McCall. If you notice persistent pain, difficulty finding comfortable footwear, or the bunion is rapidly progressing, schedule a consultation.

Modern bunion surgery, known as a bunionectomy, has advanced significantly. Dr. McCall specializes in minimally invasive techniques that often lead to faster recovery times and long-term relief. He thoroughly evaluates each case to determine if surgery is the best course of action for your needs.

Get expert bunion treatment

Bunions don’t improve without medical intervention. If you’re noticing changes in your foot health or experiencing bunion-related pain, Alpine Foot and Ankle Center can help you find an effective solution. Contact us today to schedule a consultation and find the right path toward healthier, happier feet.