Posts for category: Bunions

By Affiliated Foot & Ankle Care
March 27, 2019
Category: Bunions

At Affiliated Foot & Ankle Care we want to dispel the notion that there’s nothing that can be done for a bunion short of surgery. Yes, it’s true that a surgical procedure is necessary to correct or eliminate a bunion, but our podiatrists, Dr. Varun Gujral, and Dr. Nrupa Shah have many treatment methods that can decrease pain and slow the progression of your bunion, enabling you to continue to enjoy an active lifestyle. These include:

Protective Padding—one of the major sources of pain for bunion patients is friction from where the bunion rubs against the inside of the shoes. Padding made of felt, gel or other material can provide a protective cushion and reduce skin inflammation.

Corn and Callus Removal—over time, constant friction and pressure caused by the bunion can result in secondary problems like calluses and corns forming on the toe. These, in turn, increase pain and discomfort. Removing them can bring some relief.

Shoe Modifications—your shoes can be one of the biggest causes of bunion growth. Choose styles that have a wide toe box and low heels. Narrow, pointy shoes encourage the big toe to move out of place. The podiatrist may also prescribe a custom orthotic device to wear inside your shoes to help stabilize the joint and keep your foot stay in the correct position.

Night Splints—the foot doctor may recommend splints to wear while you sleep that will help your toes and joints align properly. These are particularly effective for adolescents whose bones are still developing.

Exercises—there are a number of exercises that are designed to maintain range of motion and joint flexibility which can be helpful in preventing stiffness in the toe or arthritis setting in.

Don’t wait until your bunion is so painful that you can no longer walk properly. Make an appointment at our Edison, Monroe or Monmouth Junction office as soon as possible by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
August 29, 2018
Category: Bunions

That’s a question that we at Affiliated Foot & Ankle Care hear frequently during when summer comes to an end. The reason is that many women spend the warmer months in sandals and flip-flops. These open shoes don’t put pressure on a bunion. Once fall arrives and foot fashions switch to closed shoes the pain seems worse than ever. And, it may well be more painful. Bunions, the bony protrusion at the base of the big toe, are deformities that occur because the toe begins to drift toward the second toe. It’s a progressive condition and one that will only get more pronounced and painful as time goes on.

Non-Surgical Options

As soon as you suspect that you may have a bunion forming, it’s important that you make an appointment at our Edison, Monroe or Monmouth Junction office in New Jersey. Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah will conduct a complete examination of your feet. We will most likely take x-rays or do other imaging studies to determine the extent of the bunion. Our foot doctors will use those images to monitor the progression of your bunion. In the early stages, bunions can be treated with conservative measures including:

  • Protective padding to reduce friction and pain
  • Footwear that will accommodate the bunion and not accelerate its growth
  • Orthotic inserts for your shoes to correctly position your foot and stabilize the toe joint
  • Exercises to promote joint mobility and range of motion
  • Night splints to help properly align the joint

Bunion Surgery

Although non-invasive measures may slow the progression of a bunion and help increase your comfort, they will not eliminate it. The only way to correct a bunion deformity is through surgery. There are several types of bunionectomies. The foot doctor will choose the one that best suits your joint deformity. Bunion surgeries have a high rate of success. Many patients choose to have this surgery in the fall when they know summer vacation is over and they have some down time before the busy holiday season arrives.

If your bunion pain is becoming unbearable, contact us for an appointment today by calling: 732-662-3050.

By Varun Gujarl
February 25, 2015
Category: Bunions

Usually when you hear the word ‘bunion’ you think of painful feet that don’t look normal. Well this time it is a whole different story. This time, the story is about [Deshawne] Bunion. Bunion, of Rahway High School in New Jersey, won the Group-II 400 meter final at the Bennett Center in Toms River on Friday to reclaim his state title. Not only did he win the race but he ran a personal best 49.58! That’s not to say Mr. Bunion doesn’t have a bunion but if he did, how much of a coincidence would that be? I’m intrigued to see how fast a person could run a 400 with a bunion—it probably wouldn’t be as easy as one would think.

Bunions can be pretty painful, especially if one is trying to train for any kind of running event. Actually, over-training can be cause of a bunion due to overuse and breakdown of the tendons and ligaments. Why this is a rare cause of bunion formation it can surely happen. Bunions are usually caused by poor foot mechanics, wearing narrow-toed shoes, and being female. So if you put the aforementioned risk factors together, you see bunions mostly in females who wear high heels or narrow shoes. Men, however, do get them but it is not as common. Treatment varies depending on the physician and the severity of your pain/deformity. Conservatively, we will start by padding the enlarged area to prevent rubbing on the shoes, advising a change in shoe gear (to a shoe with a wider toe-box), splints to wear at nighttime to assure proper alignment, and custom orthotics. If conservative treatment fails (usually after about 6 months) surgery is the next step. There are a number of procedures that can be done and it all depends on, again, the severity of the bunion and your activity level and when you want to be back on your feet. That is something your local podiatrists at Affiliate Foot and Ankle Care located in Monroe and Edison, NJ would discuss with you when the time comes. So if you are noticing a “bump” at the big toe joint, please do not hesitate to give our office a call and schedule an appointment so we can get your feet in tip-top shape before the warm weather gets here!

Bunion will be showcasing his talents again at the Meet of Champions next Saturday at the same venue. We would like to extend a congratulations and good luck to the New Jersey track star in hopes he can bring home the gold!

By Varun Gujral


By Varun Gujral
March 06, 2014
Category: Bunions

If you watched the Oscars this weekend you probably saw lots of high heels.  Whether it was Jennifer Lawrence falling yet again or Liza Minnelli smiling despite those painful bunions, it was quite an entertaining evening.  High heels are here to stay but you should know by now that they cause instability, hammer toes and bunions.  I’d like to give you a little advice when it comes to bunions.

A bunion is an abnormal bump that forms at your big toe joint.  Bunions are unfortunately a large problem that affects nearly 25% of people between the ages of 18-65.  Bunions are generally formed by tight shoes or biomechanical imbalances.  The big toe starts to deviate toward the other smaller toes which force the joint to protrude away from the foot.  Many women’s shoes actually put the foot right into this position because of the pointed tight toe box.  Some statistics show that 85% of women wear shoes that are too tight.  In fact, many of the fashionable shoes on the market will only fit if they are a size too small. 

That big bump is unfortunately a self-aggravating problem.  The more that bump protrudes the more muscular imbalance in the foot and the more it rubs on the shoe.  These things will just get worse and worse and more and more painful.  If you are in an early stage and your bunion is small then now is the time to act. 

First of all, stop feeding the bunion.  Wear shoes with larger toe boxes and plenty of room for your toes.  There are plenty of comfortable AND fashionable shoes out there.   Sometimes simple things like this can stop the bunion from progressing further and keep your feet in proper alignment.

If your shoes aren’t the problem and you have a biomechanical deformity that is causing your bunion, consider taking a trip to your local podiatrists.  As podiatrists we are taught to assess the biomechanics of the foot and correct problems with what we call functional orthotics.  Functional orthotics work by positioning your foot in the proper position at a precise moment in your gait cycle, allowing proper biomechanics as you walk.  By doing this we are able to treat the cause of the bunion to ensure that it doesn’t progress. 

There are also some splints on the market that pull your big toe into proper alignment and protect the bump from friction on the shoe.  This can help to rebalance the muscles in your foot and alleviate any pain you may have.  There are many splints on the market so do some research and find one that fits your needs.

The last resort is surgery.  Bunionectomies are common procedures that are usually reserved for those with severe pain or serious malformations that need correction.  One thing is for sure, if you start to see changes in your feet then come see your podiatrist as soon as possible.  Treatments are most often successful if they are treated early.  If you have foot care questions or needs then make an appointment with your local podiatrist at Affiliated Foot and Ankle Care located in Edison and Monroe NJ today.

By Varun Gujral

What exactly is a bunion? A bunion is when the bone of your big toe gets larger at the end and creates a large bump on the side of your foot. This can be from wearing shoes that are too tight or from high heels. The bump is created when these shoes force your big toe up against your next toe, this forces your big toe to move in the opposite direction; so the bump is made on the outside of the toe. This is more common in women than in men, about 1 in 3 American women will suffer from a bunion. Some of our favorite celebrities like Lady Gaga, who are known for wearing crazy high heel shoes are very prone to developing a bunion. The area where the bone is changing will become painful and swollen. The area will become red and the skin can become thicker. Overtime it may become more and more difficult to walk due to the pain.

 If you think you have a bunion you should make an appointment with your local podiatrist at Affiliated Foot and Ankle Care in Edison and Monroe, NJ. Until you can get an appointment it is best to wear roomy shoes, as wearing tight shoes will make the pain worse. In most cases surgery is required to correct bunions. The surgery will realign the bones of your first toe; it will also realign the tendons and ligaments so that your toe will go back to its correct position.

Prevention is always the best option though! I know that when women go shoe shopping they always go for style over comfort, however your feet don’t like this theory! To prevent bunions you want to look for shoes that are roomy and have NO heels. This will keep your feet, especially your big toe happy! And this will prevent bunions from forming!

By:  Varun Gujral