There is no single cause of a bunion It may develop from arthritic joint destruction, overpronation of the foot, heredity, or from ill-fitting tight shoes. It results in ugly misshapen feet with big toe angling in and either tucking under or over your second toe. It is usually painless but can be quite painful if allowed to progress. A bunion has the tendency to increase in size due to excessive weight load and from foot pressure. It causes widening of the forefoot and may in turn cause your gait to become off balance. A bunion on your small toe, though not as common is called a tailor's bunion This attitude makes many bunion sufferers to endure in their shoes which only serve to make the condition worse off in the long run. Well, the good news is that there are very fashionable shoes available and these come in a number of styles giving you options to choose from. There are myriad home remedies that can be a good source of pain relief for bunions. You can for instance make use of spacers. You realize that the presence of bunions causes enlargement of the big toe joint pushing the big toe outwards. When someone has a bunion, the big toe joint may be enlarged, red and sore. This occurs because the abnormal bony growth affects the tissues in the big toe joint, which can cause inflammation and swelling. Medications, such as nonsteroidal anti-inflammatory drugs can relieve swelling. In addition, a patient can apply ice to the affected bunion when he notices swelling. Finally, elevating the bunion above the level of the heart during sleep can allow gravity to pull fluid out of the big toe joint, which will reduce swelling. A patient should see his doctor when swelling is persistent. Calluses Functional orthotic therapy can be implemented to control foot biomechanics. This approach can relieve symptomatic bunions, though the foot and first metatarsophalangeal joint must maintain some degree of flexibility. Flexibility is necessary, as it allows the orthotic to manipulate the joints and foot and reduce the deformity, providing stability and thus relief. A rigid deformity can only be corrected surgically, as it can no longer be manipulated. The toe lining of the night splint are smooth and soft which cushions the toes and helps them to relax. They can help permanently eliminate the bunions but you need to have the patience of using them everyday to see the difference. Bunions are commonly associated with a deviated position of the big toe toward the second toe, and the deviation in the angle between the first and second metatarsal bones of the foot. The small sesamoid bones found beneath the first metatarsal (which help the flexor tendon bend the big toe downwards) may also become deviated over time as the first metatarsal bone drifts away from its normal position. Arthritis of the big toe joint, diminished and/or altered range of motion, and discomfort with pressure applied to the bump or with motion of the joint, may all accompany bunion development. Treatment edit. Even though their joint looks perfectly aligned and functions quite well, some people are disappointed with their bunion surgery. This is usually due to unrealistic expectations. You will still not be able to wear extremely high heeled shoes after surgery and it is unrealistic to think that your joint will be "perfect" or function like it never had a problem. With realistic expectation, most patients are happy with their bunion surgery. You may be able to relieve pain and prevent bunions from progressing with conservative measures. Bunions don't tend to require surgery unless there's an underlying deformity that can't otherwise be corrected or the pain becomes debilitating despite conservative treatment.