Bunionette: The Lesser-Known Cousin of the Bunion

If you’ve noticed a painful bump on the outside of your foot — plot twist, it might not be what you think. 

While most people are familiar with bunions crashing the big toe party, fewer have met its sneaky cousin: the bunionette (aka the tailor’s bunion). This charming little troublemaker sets up camp right by your pinky toe just to keep things interesting. The downside?

A bunionette can cause pain, swelling, and irritation, especially when you wear tight shoes or walk a lot. Up next, we’ll break down what a bunionette is, how it’s different from a regular bunion, and how you can treat it to feel better.

Understanding Bunionettes: Causes and Symptoms

What Is a Bunionette?

A bunionette, also known as a tailor’s bunion, is a bony bump that forms on the outer edge of the foot, specifically near the base of the little toe. This bump occurs when the fifth metatarsal bone (the bone behind your smallest toe) shifts outward, causing friction and discomfort, especially when wearing tight or narrow shoes.

A bunionette is often confused with a regular bunion, but the two are different. Both conditions involve a bony protrusion, but their locations, and often their causes are different.

What Causes a Bunionette?

Several factors can lead to the development of a bunionette. Most are related to foot structure, footwear, or repetitive pressure on the outside of the foot. Let’s review them below.

• Foot structure: Some people are naturally predisposed to bunionettes due to genetic factors, like having a curved or prominent fifth metatarsal bone.
• Wearing tight or narrow shoes: High heels and pointed-toe shoes squeeze the toes together, forcing the little toe inward and pushing the bone outward.
• Repetitive pressure: Activities that place constant stress on the outside of the foot, like running, standing for long periods, or walking on hard surfaces, can contribute to bunionette formation.
• Existing foot problems: Conditions like flat feet, hammertoes, or misaligned bones can change how weight is distributed across your foot, putting additional strain on the outer edge.

How Do You Treat a Bunionette?

Treating a bunionette starts with relieving the pressure and reducing inflammation. While some severe cases may eventually require surgery, many people find significant relief through non-surgical methods.

Non-Surgical Treatment Options

• Wear wider shoes: Switching to footwear with a wide toe box can prevent rubbing and reduce irritation. Narrow or pointed shoes, especially high heels, often make the condition worse by forcing the toes inward and pressing on the bunionette. 
• Use bunionette pads or cushions: These soft pads or gel cushions create a barrier between the bunionette and your shoe, helping to minimize friction and ease discomfort during walking or exercise.
• Try custom orthotics: Custom or over-the-counter orthotic inserts can help redistribute weight across your foot, reducing pressure on the outside of the foot and supporting better alignment.
• Apply ice and take anti-inflammatory medication: Applying ice packs to the bunionette can reduce swelling, while over-the-counter anti-inflammatories like ibuprofen can help manage pain and inflammation.

Starting with these simple, non-invasive treatments will often reduce discomfort and prevent the bunionette from worsening.

How Do You Get Rid of a Bunionette? (When Surgery May Be Necessary)

Surgery for a bunionette is usually a last resort if non-surgical treatments don’t relieve the pain or if the bump interferes with daily activities. In severe cases, a podiatrist may recommend removing or realigning the bone to correct the issue. Most patients can avoid surgery with early treatment, but if symptoms persist, a podiatrist can help you explore surgical options.

Preventing a Bunionette from Getting Worse

Preventing a bunionette from progressing often comes down to making simple, consistent changes to your daily routine. The right choices can reduce pressure on your foot and slow the development of the bony bump.

• Choose the right footwear: Shoes with a wide toe box give your toes space and help prevent friction against the bunionette. Avoid narrow or pointed shoes that squeeze the toes together.
• Use foot exercises to strengthen toe muscles: Stretching and strengthening exercises improve alignment and reduce strain on the outer edge of your foot.
• Avoid high heels and tight shoes: High heels shift your weight forward and increase pressure on the outside of your foot, which can make the bunionette worse.
• Monitor symptoms: Pay attention to any signs of increased swelling or pain. If symptoms worsen or affect your daily activities, seek medical advice.

Say Goodbye to Foot Pain – When to See a Podiatrist

If your bunionette is messing with your life, hurting when you walk, ruining your shoe game, or just being an annoying little bump, it’s time to call in a foot pro. A podiatrist can tell you if you just need some TLC or if it’s time to bring out the big guns (yep, surgery).

Ignore it too long, and that bump might throw an even bigger tantrum later. 

Don’t wait for your foot pain to get worse. Our team of specialists can evaluate your bunionette and recommend the best treatment for lasting relief.

Book an appointment today.