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Do you have a bump protruding from the base of your big toe? While it can be worrisome, painful, and embarrassing, it's a very common condition that millions of people suffer from. Dr. Max T. Hyatt, DPM of the Triad Foot & Ankle Center explains more... TRANSCRIPTION: A knot at the base of the big toe, commonly known as a bunion deformity is generally a genetic trait. If not treated can develop into osteoarthritis. Osteoarthritis will then become painful and sore and limit the range of motion of the big toe. Oftentimes the way you know that you have a bunion deformity. Not only is the knot well, but You should also probably look for medical assistance with this when this becomes painful. Once this bunion becomes painful you should seek professional guidance with that. Most commonly is something as simple as changing shoe gear, possibly anti-inflammatories possible injection therapy, but later down the trail or later in life. This very well could become painful and necessitate or require surgical intervention. Depending on how long the bump has been at the base of the toe, it could be just a simple inflammatory. event. Something is simple as a gout attack. Gout is a Uric acid elevation in the bloodstream that settles out into the joint and becomes extremely painful over a few days. Over a lifetime, this can become very arthritic and require surgical intervention. If you feel like you have a bunion or if you have a knot at the base of your big toe and conservative therapies that you've tried at home is not helping. Then it's time to make an appointment with a physician. We will be able to diagnose it and treat it and hopefully get you back on your way.