Tailor’s bunion (bunionettes): Tailor’s bunions form at the base of your little (pinky) toe. They’re usually the result of wearing shoes that don’t fit correctly or doing an activity that presses your little toe in toward your other toes. Sensation to the skin of the toes is provided by five nerves. The superficial fibular nerve supplies sensation to the top of the toes, except between the hallux and second toe, which is supplied by the deep fibular nerve, and the outer surface of the fifth toe, supplied by the sural nerve. Sensation to the bottom of the toes is supplied by the medial plantar nerve, which supplies sensation to the great toe and inner three-and-a-half toes, and the lateral plantar nerve, which supplies sensation to the little toe and half of the sensation of the fourth toe. https://www.acfas.org/Media/News-Releases/Foot-and-Ankle-Conditions/Big-Relief-Is-in-Sight-for-a-Painful-Big-Toe/ Stewart S, Dalbeth N, Vandal AC, Rome K. The first metatarsophalangeal joint in gout: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2016 Feb 11. 17:69. [QxMD MEDLINE Link].

If you experience any foot care issues that do not resolve themselves naturally or through routine foot care within three weeks, you should seek the help of a healthcare professional.

Joint destructive procedures

A bunion, also known as hallux valgus, is a deformity of the joint connecting the big toe to the foot. [2] The big toe often bends towards the other toes and the joint becomes red and painful. [2] The onset of bunions is typically gradual. [2] Complications may include bursitis or arthritis. [2] Lui TH, Chan KB. Technical tip: Reconstruction of medial collateral ligament in correction of hallux valgus deformity with primary medial collateral ligamentous insufficiency. Foot Ankle Surg. 2012 Mar. 18 (1):66-73. [QxMD MEDLINE Link]. a b Brukner, Peter (2010). Clinical sports medicine (3ed.). McGraw-Hill. p.667. ISBN 9780070278998. Matsumoto T, Kadono Y, Nishino J, Nakamura K, Tanaka S, Yasui T. Midterm results of resection arthroplasty for forefoot deformities in patients with rheumatoid arthritis and the risk factors associated with patient dissatisfaction. J Foot Ankle Surg. 2014 Jan-Feb. 53 (1):41-6. [QxMD MEDLINE Link].

This type of surgery is used to treat mild to moderate damage. It involves shaving any bone spurs. A cheilectomy may also be performed in combination with another procedure called osteotomy. This cuts the bone to change the position of your big toe and relieve pressure on top of the joint. Interpositional arthroplasty Dittmar, Jenna M.; Mitchell, Piers D.; Cessford, Craig; Inskip, Sarah A.; Robb, John E. (2021-06-11). "Fancy shoes and painful feet: Hallux valgus and fracture risk in medieval Cambridge, England". International Journal of Paleopathology. 35: 90–100. doi: 10.1016/j.ijpp.2021.04.012. ISSN 1879-9817. PMC 8631459. PMID 34120868. This condition is one of the most common foot problems in the adult population, with a prevalence of around 35% in those aged >65yrs and more common in women. Flaherty AF, Chen J. Second Metatarsal Fracture During Lapidus Hallux Valgus Correction: A Case Report. JBJS Case Connect. 2023 Jan 1. 13 (1): [QxMD MEDLINE Link]. Spreading the doses of the paracetamol evenly out over a day will help you control your pain. Visit NHS Inform for more detailed information on paracetamol.

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Footwear can be limited as the bone bump that forms over the toe joint can result in irritation of the overlying skin causing pain and limiting footwear choices. The stiff big toe also limits the heel height you can wear. Treatment If other treatments don’t work, your doctor may recommend surgery. There are different types of surgery for hallux rigidus, depending on how severe your case is. Cheilectomy Pain relievers: Over-the-counter nonsteroidal anti-inflammatory medications (NSAIDs) can relieve pain and reduce swelling. Don’t take NSAIDs for more than 10 days in a row without talking to your provider.