Common Conditions

What is a bunion?

A bunion is often described as a bump on the side of the big toe or little toe. The visible bump actually reflects a structural change to the architecture of your foot. Bunions typically occur around the big toe where the first metatarsal slowly moves towards the inside of your body causing subsequent structural changes. The “bump” on the inside of the foot is in fact the head of the first metatarsal that is out of alignment.

Bunions are a common condition and they progress slowly over many years. The majority of bunions are successfully managed with simple treatment options aiming to improve discomfort and keep you comfortable.

Symptoms usually appear at later stages, although some people never have symptoms.



  • Inflammation and redness.
  • A burning sensation.
  • Soreness from rubbing on the “bump” from shoes.
  • Mechanical changes to your foot structure causing general foot pain.
  • Symptoms occur most often when wearing narrow fitted shoes and this may explain why women are more likely to have symptoms than men. In addition, spending long periods of time on your feet can aggravate symptoms.[/vc_column_text]

    What do I do if I have a bunion?

    What do I do if I have a bunion?

    At South West Podiatry our experienced podiatry team review many bunions every day. We can help you understand the cause and discuss your treatment options during a video or face to face consultation. Bunions can be classified as grade 1,2, 3 or 4. Treatment of your condition would depend on the grade of your bunion and whether it is causing pain or secondary problems such as heel pain, arch pain or general foot pain. We may request X-Rays to identify the degree of structural changes or osteoarthritis. If you have general foot pain or other secondary symptoms, your podiatrist may discuss an advanced analysis for the prescription of custom made orthotics.

    Injections of steroid can be helpful if appropriate. If you have exhausted conservative management, your podiatrist may discuss your surgical options. We may refer you back to your doctor or directly to an experienced surgeon.

    How to book:

    Private and self pay patients can schedule a face to face or video consultation online: or speak to our friendly booking team between 9am-5pm Monday-Saturday: 020 7164 6607

    Private medical insurance:

    We accept most major private medical insurance companies including BUPA, Vitality, WPA, Cigna, AVIVA and Simply Health. A full list of our consultation fee’s including self-pay are available on the website. Our Podiatry team are health care professional council registered, meaning they are required to maintain professional standards and continued professional development. As an organisation we have invested in the latest diagnostic technology in order to help our podiatry team, help you. We have onsite diagnostic ultrasound available at Maidenhead and Earlsfield clinics. Infra-red pressure analysis available at Maidenhead and Earlsfield clinics with treadmill examinations.