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https://seattlefeet.com/bunion-treatm... A bunion is an enlargement of the base joint of the big toe where it connects to the foot, often formed from a bony growth or an abnormal angulation of the first metatarsal bone. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion. Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain and prevent bunion progression. For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. It may be necessary even after surgery to wear orthotics and more comfortable shoes that avoid placing pressure on the toe to prevent bunion recurrence.