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Advising on footwear may be all that is needed in terms of treatment, writes Dr Louise Newson.
A bunion is a hallux valgus deformity of the big toe. A deviation of 15-20 degs is considered abnormal. There is abduction from the midline, usually accompanied by rotation of the toenail to face the midline (valgus rotation).
This results in a prominent metatarsal head which is adducted towards the midline. Bunions are usually bilateral.
1. Aetiology and symptoms
Risk factors for developing bunions include female sex, wearing shoes that are too narrow, wearing high-heeled shoes, being overweight in men (obesity is actually protective in women),1 and in children, wearing footwear that is too tight. A longer …