Bunionette is the prominence result of disruption of the joint array formed by the pinky toe and the 5th metatarsal head. It is a similar deformity seen in the big toe except that the bunionette occurs on the outside of the foot. Bunionette is mostly caused by the frequently use of narrow heels, perhaps caused by a previous trauma or genetic causes. It is mostly seen with flatfoot. In some people it appears in the age of 7-8 years, while in others appear after the age of 30 related with the shoe choice. Bunionette can also occur as a result of polio and arthritis. The Bunionette, which is seen in women nine times more than men, is possible to treat.
The beginning treatment of Bunionette includes changing footwear, using protective silicone paddings and personalized insoles. In patients who are not responding to this treatment and who have difficulty in wearing shoes, the order between the 5th metatarsal and the pinky toe is reconstructed by surgical methods. After the Bunionette treatment, the patient will have difficulty wearing shoes for approximately 3 months. After the surgery, it is tried to provide that patients can wear normal shoes.
Bunionette surgery techniques are similar to the methods used in big toe.
Genetic or Narrow High-Heeled Shoes?
Doctors have different ideas about the cause of this disorder.
For Bunionette, some say that the long-term use of high-heeled narrow shoes is the cause; others are suggesting that this problem can be caused by genetic factors that worsen with the choice of shoes.
However, in the surveys conducted with people investigating the cultures that do not wear shoes, no findings were found about the cause of bunionette deformity caused by high-heeled and narrow end shoes, that makes this factor more realistic.
What are the Symptoms of a Bunionette ?
Symptoms of a Bunionette are, irritation appears on the skin around the big toe; pain in the big joint while walking; swelling with redness seen in the big toe joint; the shift of the big toe towards the other fingers.
Choosing the Shoe Is Not Easy When You Have Bunionette
People with bunionette have difficulty in while making choice to find correct shoes that can fit properly in their feet. Because of the swelling of the big toe with the bunionette, they have to buy a larger number of shoes than their actual numbers to accommodate the swelling. In cases where the bunion deformity is high, the impacts generated by the mechanical function of the foot may be harmful even the shoe is not narrow.
Is It Possible To Eliminate Bunions?
The bunion becomes more and more painful as the disease progresses. But some bunions don’t progress. Some don’t have pain. Treatment of non-painful bunions is not mandatory. Surgical operation is not required. It can be treated by with insoles or shoes developed orthopedic specialists under the scope of protective surgery.
How to Choose Right Shoes?
- Shoes must be tried before buy. The shoe size may vary for each model. Please note that if you have a bunionette, every model shoe may not be suitable for you.
- Choose a shoe that is suitable for the size of your foot as much as possible.
- Remember that your shoe size may increase as your age increases.
- Your feet are at the widest level later in the day. Therefore, you should choose the evening hours when buying shoes.
- One of your feet is bigger than the other. When choosing shoes, make your shoe selection according to this bigger feet.
- When buying your shoes; walk for a while after wearing the shoes and check if there is any pain.
- While you are choosing your shoes, try them while standing.
- Make sure your metatarsal bone are lying comfortably in the shoe.
Treatments for Bunionette
There are many surgical methods for treatment of bunionette. After the operation, you can start to walk in a week. The operation takes about 2 hours. Before the operation, your doctor will ask you for some examinations. As long as you follow the advices of your Orthopedist at home, you may have recovered within a few weeks. Do not dream of wearing narrow end and high-heeled shoes after the bunionette surgery. Because you should not wear those shoes anymore. This type of shoes may cause your bunionette to repeat.