Is the shoe rubbing or is the joint itself painful?
A bunion is a change in the alignment of the big toe joint that creates a prominence on the inside of the foot. The skin over the bump can get sore where it rubs against a shoe. Deep joint pain or stiffness when pushing off, such as on stairs or uphill, can have other contributors including arthritis. It’s worth mentioning which feeling you notice and which shoes bring it on.
What should I look for in a shoe?
Try a shoe with a broad, rounded front and enough depth for your toes. Check that a seam or stiff overlay doesn’t sit directly over the bump. If you’re trying on work shoes or boots, wear the socks you’d normally use and walk around in both shoes. A longer size may still pinch if the shape tapers at the front.
Padding can sometimes reduce rubbing if there is room inside the shoe. In an already tight shoe, padding can take up space and add pressure.
When should I get it assessed?
If a shoe change doesn’t settle the symptoms, or pain changes the way you walk, a clinician can check the joint and discuss options. Footwear changes and padding can help manage pressure. The choice to consider surgical advice depends on pain, function and the effect on daily life. Sudden severe redness, heat or swelling around the joint needs prompt medical assessment, especially if you feel unwell.
Related clinic service Flat feet and bunions.