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What is a Bunion? A bunion is often described as a bump on the side of the big toe. However, a bunion is more than that. The visible bump actually reflects changes in the bony framework of the front part of the foot. The big toe leans toward the second toe, rather than pointing straightBunion xrayahead. This throws the bones out of alignment – producing the bunion’s “bump.” Causes Bunions are a progressive disorder. They begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which becomes increasingly prominent. Symptoms usually appear at later stages, although some people may never have symptoms. Bunions are a common foot deformity that can be inherited or occur as a result of repeated stress to the joint. It is not the bunion itself that is inherited, but certain foot types that make a person prone to developing a bunion. Not wearing proper sized footwear that crowd one’s toes will not cause bunions, however it can contribute to the progression of the deformity. As a result, symptoms may appear sooner with improper footwear.