While blisters are usually temporary, bunions can remain for a while and worsen in their condition. Usually what causes bunions are, like blisters, ill-fitting shoes in the first place. In addition, just the shape of the shoe can cause or aggravate bunions, namely too-narrow toe boxes that push the toes together, such as in cowboy boots or pointy high heels. A bunion is a bony bump at the base of your big toe and it causes the toe to lean toward the other toes. Orthotics – these are custom made stabilizers for the foot that keep the rear foot from turning and causing further pressure/rubbing against bones in the forefoot. A bunion is simply an overgrowth of the bones making the big toe joint. Excessive bony tissue gets deposited on the joint due to excessive movements of the bones of the big joint, resulting in a bony deformity and swelling of soft tissue. The normal orientation of the big toe facing straight forward gets disturbed. The big toe is forced to incline towards the adjacent toes, which squeezes all the toes of the foot. Continuous friction against the toes causes irritation and a callous is formed on the toes. The median prominence of the first metatarsal head image is inspected and any squaring as well as erosion should be noted. You can treat hammer, claw, and mallet toes at home by wearing footwear with lots of room for your toes, using pads and supports in the shoe, and doing toe exercises. Doing these things will give the toe room to straighten, cushion the toe and hold it straight, and make the toe muscles stronger and more flexible. You can use over-the-counter medicine to treat pain. If your pain is too great or you cannot easily do daily activities, then surgery is possible. But there is not much research on surgeries for these toe problems. Talk to your doctor about the types of surgeries and how much they may help you. Even though bunions can be hereditary, most often bunions are related to wearing shoes that are too tight, too narrow and too high causing pressure on the natural anatomy of the forefoot. The joint at the base of the toe flexes with every step and continued pressure on this area causes the joint to continue to enlarge causing increasing pressure, pain, swelling and redness. Warm Epsom salt soaks, bunion pads, bunion night shields, bunion bandages, and even orthotics can provide temporary relief of pain but it is making the decision to wear properly fitting shoes which is the best treatment decision of all. According to Dr. McClanahan, your feet should be their widest at the ends of your toes, not at the ball of your foot - something not commonly seen in shoe-wearing Westerners. In people who have gone barefoot or who have worn minimal footwear most of their lives - which is common in many parts of the world including Africa, Asia and South and Central America - their feet are widest at the ends of their toes, with their toes evenly spaced and splayed widely, a foot structure similar to that of newborns, who haven't yet had their feet molded and sculpted by shoes featuring tapered toe boxes. Drs. Paul Krestik and Daniel Albertson of Bluegrass Regional Foot & Ankle Associates are leading podiatrists in London and Nicholasville Offering years of experience and extensive treatment for various foot ailments and conditions, including toenail fungus, ankle pain, ingrown toenails and heel pain , these podiatrists in London and Nicholasville are qualified to handle any podiatric need. The more self-imposed problems often come from poor ergonomics when using the computer or doing some other activity repetitively over a long period of time that disturbs the balance of the body’s structural components. Even worse is doing an activity incorrectly and repetitively.