Tailor’s Bunion

What is Tailor’s Bunion?

Bunionette


Tailor’s bunion, also called a bunionette, is a prominence of the fifth metatarsal bone at the base of the little toe. Tailor’s bunions are not as common as bunions, which occur on the inside of the foot, but they are similar in symptoms and causes.

Causes

Often a tailor’s bunion is caused by an inherited faulty mechanical structure of the foot. In some cases, a tailor’s bunion is actually a bony spur (an outgrowth of bone) on the side of the fifth metatarsal head.

Symptoms

The symptoms of tailor’s bunions include redness, swelling, and pain at the site of the enlargement. These symptoms occur when wearing shoes that rub against the enlargement, irritating the soft tissues underneath the skin and producing inflammation.

Diagnosis

Tailor’s bunion is easily diagnosed because the protrusion is visually apparent. X-rays may be ordered to help the foot and ankle surgeon determine the cause and extent of the deformity.

Non-surgical Treatment

Treatment for tailor’s bunion typically begins with non-surgical therapies. Your foot and ankle surgeon may select one or more of the following:


  • Shoe modifications.
  • Padding.
  • Oral medications.
  • Icing. Wrap the pack in a thin towel rather than placing ice directly on your skin.
  • Injection therapy.
  • Orthotic devices. 

When is Surgery Needed?

Tailor’s bunion is easily diagnosed because the protrusion is visually apparent. X-rays may be ordered to help the foot and ankle surgeon determine the cause and extent of the deformity.

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