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Bunions — big toe joint deformity

A bony bump at the base of the big toe rarely appears overnight — it grows slowly, and shoes start to fit differently before it truly hurts.

What it is

A bunion is a bony bump that forms at the base of the big toe as the joint shifts and the toe angles inward toward the others. Heredity and years in narrow or ill-fitting shoes are the most common contributors.

Left alone, the bump tends to enlarge gradually, and the toe's position can keep shifting over time.

Common symptoms

  • A visible bump at the base of the big toe
  • Swelling, redness, or tenderness over the joint
  • Pain or restricted movement, especially in narrow shoes

How Dr. Feldman treats it

Most bunions start with non-surgical care: wider, properly fitted shoes, padding, and activity adjustments to reduce pressure on the joint.

When a bunion keeps progressing or conservative measures no longer bring relief, Dr. Feldman offers surgical correction — including minimally invasive techniques with smaller incisions — to realign the toe and relieve pain.

Ready to get back on your feet?

Request an appointment online, or call the office — we see patients in Bethesda and Germantown.