Dakota Foot & Ankle Clinic Blog

Posts for tag: Bunion

Diagnosis and Treatment of Bunions


A person can usually tell they have a bunion by looking at their feet.  There will usually be a bump on the side of the big toe.  However, it is best to have x-rays taken to determine what has all changed in the structure of your foot.  Bunions do not go away and usually get worse over time.  After you see a podiatrist a treatment plan can be put in place that is best suited to your needs.


Sometimes it is best to just have your bunion evaluated periodically along with x-rays to find out if your deformity is worsening.  It is best to have periodic evaluations so that no irreversible damage is caused to the joint.  There are a few options to help ease the pain, even though they won’t reverse the bunion.

-Change up the shoes.  Choose a shoe with a wide toe box and try to avoid anything with a pointed toe or high heels.  These may aggravate the bunion.

-Bunion pads. They are placed over the bunion and sometimes help minimize the pain.

-Modify activities. Standing for a long period of time and other activities may irritate the bunion and cause pain.  These types of activities should be avoided in uncomfortable shoes.

-Medications. Over the counter medication may help relieve the pain.

-Icing. Placing an ice pack on the bunion a few times a day may help reduce the inflammation and pain.

-Injection therapy.   This is rarely used, but sometimes a corticosteroid injection may be used to treat an inflamed bursa.  A bursa is a fluid-filled sac that is located in the toe joint.

-Orthotic devices. A custom orthotic may be provided by a podiatrist to treat the functional foot problems.

There are some cases of bunions that will need surgery.  If the pain from a bunion is interfering with your daily activities this may be a case that needs surgery, but should be talked over with your podiatrist.

If you are having pain from a bunion it is best to make an appointment with Dr. Brian Gale, DPM, FACFAS to see what treatment options are best for you.  Call Our Bismarck Office today at 701-255-3338 or go online to request an appointment

Do you have a bump on the side of your big toe joint?


This is more than likely a bunion.  But, a bunion is more than just a bump.  Even though you can’t see it a bunion is actually showing that the bones in the front part of the foot are changing.  Instead of pointing straight ahead, the big toe leans toward the second toe.  This causes the bones to move out of alignment and produces the bump that you see.

Bunions are a disorder that progressively worsens.  The big toe slowly starts leaning toward the second toe and as it leans the angle of the bones gradually changes.  As this continues the bump slowly forms and becomes more noticeable.  Bunions are genetic; however, they usually become painful due to shoe pressure.

Some of the patients Dr. Brian Gale, DPM, FACFAS sees with bunions have been putting up with the pain for too long.  You don’t need to be one of these people.  If you are experiencing any pain please give us a call at Our Bismarck Office or go online to schedule an appointment today.