What's the Difference Between Bunions and Bunionettes?

Bunions and bunionettes might seem like minor foot flaws, but they can pack a big punch when it comes to discomfort. What initially appears to be a minor distinction between the two can have a major impact on treatment outcomes and prevention methods – it pays to take a closer look.

Dr. Eric Gilbertson, DPM, FACFAS, a double-board-certified podiatrist at Renew Foot & Ankle, LLC, in Grand Rapids and Bigfork, Minnesota, offers conservative and surgical treatment options for bunions.

What is a bunion?

A bunion is a bump that forms at the bottom of your big toe. Bunions form when the bones in the front part of your foot relocate, causing the tip of the big toe to curve toward the smaller toes. Over time, this misalignment leads to the characteristic bump on the side of your foot.

Pain, swelling, and redness are the unwelcome visitors that come knocking when you've got a bunion. But what really takes a hit is daily life, where finding the perfect fit can be a frustrating obstacle course. Factors such as genetics, foot structure, and wearing tight or high-heeled shoes can increase the likelihood of developing bunions.

What is a bunionette?

A bunionette, also known as a tailor's bunion, is similar to a bunion but occurs on the outside of the foot at the base of the little toe. Like bunions, bunionettes develop when the bones in the foot become misaligned, causing a bony protrusion on the side of the foot.

Shoes that pinch can spark pain, redness, and swelling in the bunionette area, making it hard to walk or stand. They are often associated with foot structure and shoe choices but can also result from repetitive stress or pressure on the outside of the foot.

How do bunions and bunionettes differ?

The primary difference between bunions and bunionettes is their location on the foot. Bunions develop at the base of the big toe, while bunionettes form at the base of the little toe. Although they're poles apart in terms of location, these two conditions are linked by similar causes and symptoms.

Another key difference is the frequency with which each condition occurs. Bunions are more common than bunionettes, likely due to the greater pressure and stress placed on the big toe joint. Bunionettes, on the other hand, are less frequent but can still cause significant discomfort and complications if left untreated.

Treatment options for bunions and bunionettes

Treatment for both bunions and bunionettes often begins with conservative measures, such as wearing wider shoes, using padding or orthotics to reduce pressure, and taking anti-inflammatory medications to manage pain. Correcting foot alignment can bring welcome relief from discomfort - and stretching exercises and physical therapy can be just what the doctor ordered.

If conservative treatments are ineffective, surgical options may be considered. During bunion surgery, doctors essentially redefine the architecture of your foot, reshaping the deformed area to fix the problem. Fixing bunions and bunionettes requires a similar approach, with a few tweaks depending on the specific problem and how bad it is.

Prevention tips

Preventing bunions and bunionettes involves taking proactive steps to reduce stress and pressure on your feet. Choosing well-fitting, supportive shoes with a wide toe box is crucial. Avoiding high heels and tight footwear can also help prevent the development or worsening of these conditions. 

Stepping up your foot care game and watching your weight can make all the difference in avoiding those pesky bunions and bunionettes. Your feet will thank you for these simple yet powerful habits.

Keep your feet happy and healthy by staying one step ahead of problems with regular care and swift treatment when needed. If your bunions or bunionettes cause achy feet, schedule an appointment online or call the office for an evaluation.