Toe Conditions: Tailor's Bunion / Bunionette

Updated 3/17/2021
Dr. Baravarian explains tailor's bunions: their causes, symptoms, and state-of-the-art treatment options available at UFAI.

What's a Tailor’s Bunion?

A tailor’s bunion, also known as a bunionette, differs from a traditional bunion because it develops at the base of the baby toe instead of the side of the big toe.

 

Named because tailors used to sit cross-legged with the outside edge of their feet rubbing against the floor, producing an area of inflammation at the bottom of the baby toe.

 

UFAI, The Right Choice For Tailor's Bunion Treatment

We're a nationally recognized leader in the research and treatment of bunions Our team of specialists helped develop many of today's cutting-edge bunion treatments and techniques.

What Causes a Tailor's Bunion?

Tailor's bunions are largely a product of genetics (a faulty mechanical structure of the foot). However, they can be made worse by wearing tight high heels or narrow shoes.

Also, our feet grow wider as we age, causing the foot to spread out adding extra pressure to the area where a Tailor’s bunion would develop. Patients who fail to notice and continue to wear ill-fitting shoes run the risk of developing a bunionette.

 

Tailor's Bunion Symptoms

There are several ways you can tell if you have a bunion. Sometimes you will feel (and usually see) a painful raised callus on the side of your foot, which was formed because the soft tissue over bone rubbed against the shoe.

 

Tailor’s bunion symptoms include varying degrees of pain, an unsightly bump on the outside of the small toe, and difficulty buying comfortable shoes.

 

 

How are Tailor's Bunions Diagnosed?

Bunions, as well as bunionettes, are plainly visible to the doctor upon foot examination. If the anatomy of the foot is irregular, x-rays will probably be taken to understand the extent of the deformity.

 

Conservative Treatments for Tailor's Bunion

There are a number of non-invasive treatment techniques that often bring relief to our patients through please remember that they never permanently correct the bunionette condition.  These include:

 

Wear comfortable shoes to reduce Bunion symptoms

Wearing more comfortable shoes almost always helps relieve bunion pain. Wearing wider shoes and avoiding pointed or high-heeled shoes can help relieve symptoms.

 

Cushion the Bunion

Applying soft pads on the area to protect the prominent bone can help ease the pain of a tender bunion.

 

Icing the Bunion area

Icing the affected area can help reduce the swelling around the Tailor’s bunion.

 

Non-steroidal anti-inflammatory medications for Bunion discomfort

Over-the-counter oral non-steroidal anti-inflammatory medications such as Ibuprofen (Advil) can help reduce the pain and inflammation of the bunion.

 

Targeted Injections

Injected corticosteroid injections may be used over a short period of time if your doctor feels it may be an appropriate course of action.

 

Surgical Treatments for Tailor’s Bunion

Tailors Bunion, University Foot and Ankle Institute

If your podiatrist believes it is necessary to remove the deformity or if conservative treatment options have not provided adequate symptom relief, surgery may be recommended.  Surgery can be straightforward, such as shaving or reducing the bone prominence in order to lessen pressure on your bunion from footwear.

 

In some cases, cutting or separating the 5th metatarsal (small toe) so it can be properly realigned is the best way to improve your overall foot mechanics.

 

What to Expect After Tailor's Bunion Surgery

Immediately following surgery, patients are fitted with a stiff-soled shoe to protect the toes and keep the foot from bending. Crutches may be needed briefly after surgery, with a physical therapist often consulted to help you adapt.

 

You will probably wear a bandage or dressing for about a week following the procedure and any removable stitches are taken out in 10 to 14 days. If you had pins inserted during surgery they are typically removed in three or four weeks.

 

Your doctor will likely take x-rays during one of your follow-up visits to evaluate the healing process.

 

University Foot and Ankle Institute, The Right Choice For Your Tailor's Bunion Treatment

University Foot and Ankle Institute is nationally recognized as a leader in the research of and treatments for a bunion. Our foot and ankle specialists work directly with manufacturers in the development of cutting-edge treatment and techniques to reduce recovery time and increase success rates.

  • Foot and Ankle Surgeon and Director of University Foot and Ankle Institute
    Dr Bob Baravarian, University Foot and Ankle Institute

    Dr. Bob Baravaria DPM, FACFAS is a Board-Certified Podiatric Foot and Ankle Specialist. He is currently a member of UCLA Medical Group, Chief of Podiatric Surgery at Santa Monica/UCLA medical center and Orthopedic Hospital, and an assistant clinical professor at the UCLA School of Medicine. He also serves as Director of University Foot and Ankle Institute.

     

    Dr. Baravarian has been involved in athletics his entire life and played competitive tennis in high school and college. He has an interest in sports medicine, arthritis therapy, and trauma/reconstructive surgery of the foot and ankle. He is also fluent in five languages (English, French, Spanish, Farsi, and Hebrew),

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