Both bunions and tailor’s bunions are common foot deformities. Both conditions have similar symptoms, causes, and treatment. The major difference between the two is the location of the deformity.
Bunions (Hallux Valgus). Bunions occur at the base of the big toe. They are characterized by a bony protrusion on the side of the big toe joint, causing the toe to angle towards the second toe (and sometimes over or under the second toe). This can lead to a noticeable bump on the side of the foot. They are often caused by a combination of genetic factors and certain structural issues, like flat feet or an abnormal gait. Other systemic conditions such as rheumatoid arthritis can also contribute. Most common symptoms include pain, swelling, and redness around the joint of the big toe as well as difficulty with certain shoe gear. The big toe joint might also have limited range of motion.
Tailor’s bunions (Bunionette) occur at the base of the little toe. They involve a bony bump on the outside of the foot near the little toe, causing the toe to point inward slightly.
Similar to bunions, tailor’s bunions can result from genetic predisposition. They can also be exacerbated by certain foot mechanics and conditions. Symptoms are very similar to bunions, the difference is the location of the symptoms.
There are many conservative and surgical treatment options to manage bunions and tailor’s bunions. Wearing shoes with a wider toe box or those designed to accommodate bunions or bunionettes can alleviate discomfort. Custom insoles or arch supports may help correct foot alignment and reduce pressure on the area. Using protective pads or cushions can help minimize friction and pressure on the bunion or bunionette. Over-the-counter anti-inflammatory medications, steroids, or intraarticular injections can help manage pain and swelling. In severe cases where conservative treatments are not effective, surgical options may be considered to correct the deformity and relieve pain.