Kendall Park Office
3228 Route 27, Suite 1B
Kendall Park, NJ 08824
Ph: (732) 297-3002
Fax: (732) 297-3004
 
 
Holmdel Office
719 N. Beers St, Suite 2A
Holmdel, NJ 07733
Ph: (732) 739-3230
 
West Orange Office
1500 Pleasant Valley Way, Suite 204
West Orange, NJ 07052
Ph: (973) 731-1266

  

Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact our office to answer any questions or concerns.

A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Varus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Treatment for Bunions

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain caused by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

  • Protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
  • Removal of corns and calluses on the foot.
  • Changing to carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.
  • Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
  • Exercises to maintain joint mobility and prevent stiffness or arthritis.
  • Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Surgical Treatment

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.


Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.

Kendall Park Office

3228 Route 27
Kendall Park, NJ 08824
Ph: (732) 297-3002
Fax: (732) 297-3004

Holmdel Office

719 N. Beers St, Suite 2A
Holmdel, NJ 07733
Ph: (732) 739-3230

West Orange

1500 Pleasant Valley Way Suite 204
West Orange, NJ 07052
Ph: (973) 731-1266

Podiatrist Douglas N. DeLorenzo, DPM, -  South Brunswick Office 3228 Route 27 Suite 1B, Kendall Park NJ, 08824 (732) 297-3002

Podiatrist - Holmdel Office 719 N Beers St, Suite 2A, Holmdel NJ 07733 (732) 739-3230

Podiatrist - West Orange Office 1500 Pleasant Valley Way, Suite 204, West Orange, NJ 07052 (973) 731-1266