January 2025

A bunion is a bony bump that forms at the base of the big toe, causing the toe to angle toward the second toe. This misalignment leads to pain, swelling, and difficulty in finding comfortable shoes. Bunions are often caused by a combination of factors, including genetics, abnormal foot mechanics, and wearing tight, ill-fitting shoes that put excessive pressure on the toes. Over time, the pressure can force the joint to shift, resulting in the formation of the bony protrusion. The severity of bunions can vary, with mild cases causing minimal discomfort, while severe cases may lead to significant pain and difficulty walking. In more advanced stages, the affected toe may become rigid and inflamed. Relief options range from conservative measures such as wearing supportive shoes and using padding, to surgical intervention in extreme cases where pain and deformity are unmanageable. If you have a bunion, it is suggested that you are under the care of a podiatrist who can monitor its growth, and offer appropriate treatment solutions.

If you are suffering from bunions, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The human foot is a complex structure made up of 26 bones, 33 joints, and more than 100 muscles, tendons, and ligaments. These components work together to provide stability, flexibility, and mobility. The foot is divided into three main sections, which are the forefoot, midfoot, and hindfoot. The toes, or phalanges, and the metatarsals form the forefoot, while the midfoot contains the arches and bones that absorb shock. The hindfoot consists of the heel, or calcaneus, and ankle bones, providing support and balance. Muscles and tendons in the foot enable movement, from walking to running, while ligaments help to stabilize the joints. The arches of the foot, formed by the bones and supported by muscles and tendons, play a key role in shock absorption and weight distribution. Proper foot function is essential for overall mobility and posture. A podiatrist can help identify and treat conditions affecting the foot's bones, muscles, or joints. If you have a foot condition or foot pain, it is suggested that you schedule an appointment with a podiatrist.

If you have any concerns about your feet, contact one of our doctors from New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pinky toe pain can be caused by a variety of factors, often resulting from injury, pressure, or underlying medical conditions. One common cause is wearing tight or ill-fitting shoes, which put pressure on the pinky toe and lead to pain, blisters, or even bunions. Another potential cause is a stubbed toe or trauma to the foot, resulting in bruising or swelling. Conditions like hammertoe or gout can also lead to discomfort in the pinky toe, causing it to become stiff, inflamed, or deformed. Symptoms of pinky-toe pain include aching, swelling, redness, and difficulty moving the toe. In more severe cases, the toe may appear bruised, crooked, or misaligned. If the pain persists or worsens, it is suggested that you consult a podiatrist to determine the underlying cause and receive appropriate treatment to manage the symptoms and prevent further issues.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.