In New York City

Millions of people in the US grapple with bunions (1 in 3 to be exact!). Living with bunions can be quite challenging ranging from visually displeasing to being a source of significant pain and discomfort. From the struggle to find stylish and comfortable shoes to difficulties in participating in favorite fitness activities, bunions can introduce stress and limitations for those affected.

Frequently Asked Questions about Bunions

Bunions are protruding bumps that can form at the base of the big toe. The deformity involves the misalignment of the big toe joint, causing the joint to protrude outward. This shift in the joint can result in friction and pressure when walking, leading to inflammation, pain, and the development of other foot issues including arthritis.

Bunions often have a genetic component, meaning they can run in families. People with a family history of bunions may be more prone to developing them. Additionally, certain lifestyle factors and choices, such as wearing narrow-toed high heels, can contribute to the worsening of bunions over time.

Bunions tend to develop gradually over time, and individuals may not always immediately notice the early stages. It's common for people to overlook the early signs or dismiss mild discomfort, attributing it to other factors. If left untreated, bunions can indeed worsen over time, leading to increased pain and difficulty with activities like walking or wearing certain types of shoes.

Bunions can also contribute to the development of related problems, such as hammertoe, where the toe becomes bent at the middle joint. The changes in foot structure can create a domino effect, impacting adjacent toes and joints.

For individuals who are genetically predisposed to bunions or already have them, it's advisable to choose footwear that provides adequate space for the toes and offers proper support. Comfortable shoes with a wide toe box can help alleviate pressure and reduce the risk of worsening bunions. Custom-molded orthotics may also help to place your foot in neutral alignment and slow down the progression of the deformity.

During your visit with Dr. Ayoub, an extensive consultation will be performed including foot exam, in-office X-rays and discussion of conservative versus surgical options. Conservative options may include kinesiology taping, custom molded orthotics, and even injections.

In cases where conservative treatment does not help enough, Dr. Ayoub may propose surgical intervention to address the issue and prevent further progression. Dr. Ayoub is also a leading authority in minimally invasive bunion and hammertoe surgery, recognized as one of the foremost experts in MIS bunion and hammertoe surgery techniques. Her expertise enables patients to walk on the same day as the surgery, experiencing significantly reduced pain and a quicker recovery.