A bunion or hallux valgus is defined as a deviation away from the midline of the great toe. More commonly described as a bump on the big toe joint, a bunion is caused by a pronated (flat) foot and an excessively flexible great toe joint. When these two conditions exist, the big toe will be called upon to absorb a tremendous amount of weight as the foot pushes away from the ground during walking. Eventually, this forces the toe to deviate or bend towards the baby toe.


  1. An orthotic (custom made insert) can eliminate the over pronation of the foot and thus, prevent further deviation of the big toe joint.
  2. Proper footwear will be an integral part of your treatment. Speak with your Chiropodist/ Podiatrist for details.
  3. Physiotherapy treatment may be required to reduce the inflammation and pain within the joint, and strengthen the small muscles of the foot. Your Chiropodist/Podiatrist may introduce laser and/or an exercise program.
  4. If pain and dysfunction persist, surgery may be required. This involves aligning the great toe, and correcting the deformity.