Tailor’s Bunion

A prominent bony bump at the outside of the foot near the base of the 5th (baby) toe is called a Tailor’s bunion. It is similar in the presentation and treatment to that of a bunion. This condition often becomes painful due to irritation in shoes, and is usually made worse with shoes that have a narrow toe box. If you visit our office with this problem, we will take an x-ray and discuss the treatment options.

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Schematic drawing of a Tailor’s bunion,

Causes:

Tailor’s bunions are largely a product of genetics, though they can be made worse by wearing tight or narrow shoes

Treatments:

As with most conditions, Tailor’s bunions can be treated conservatively or surgically. The conservative treatment involves wearing wider shoes, or using pads that protect the prominent bone. In most cases, this treatment will reduce symptoms, but unfortunately does nothing to eliminate the problem. Surgery is often considered to reduce and realign the prominent bone. Surgery can be simple, with shaving or reducing the bone prominence. In some cases, cutting or “breaking” the bone and realigning the bone into an improved position is a better approach. In either case after surgery, walking in a special protective boot or shoe is usually permitted.

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X-ray before surgery of a Tailor’s bunion. Picture before surgery of a Tailor’s bunion.
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X-ray after surgery of a Tailor’s bunion. Picture after surgery of a Tailor’s bunion.