Bunionette - Tailor's Bunion

Similar Terms: Taylor's Bunion, 5th toe Bunion, Bunion on little toe

Bunionnete (or hallux valgus) refers to the bony lump usually at the base of the little toe (fifth metatarsal joint). Also called Tailor’s Bunion, it is smaller than a bunion (which usually develops at the base of the big toe), but can be equally uncomfortable.

Bunionette is technically an enlargement of the external area of the little toe’s joint. It develops when the fifth toe is pushed inward towards the fourth toe. The pressure moves the toe outward causing it to press and rub against the shoe. The friction causes a bunionette.

Bunionette Signs and Symptoms

During its first stage, the bunionettes or tailors bunion is a visible lump. Over time, it turns into a foot callous that can become painful and make basic foot movements such as standing or walking hard. In some cases, foot corns and other abnormalities also develop. While bunion on 5th toe is generally non-debilitating, it can be extremely uncomfortable.

Bunionette Causes and Risk Factors

The taylor’s bunion is developed over time, when the little toes are subjected to atypical pressure and rubbing.

Bunion on little toe is far more common in women than in men, and it’s easy to see why. The number one cause of this disorder is wearing tight footwear (such as high heels) that squeeze the toes together. Those whose occupations require them to wear tight shoes (such as ballet dancers) are more prone to bunionettes. People with foot arthritis that causes them to move their foot in an abnormal way are also prone.

Bunionettes can also be caused by intrinsic causes, such as congenital problems that force the long bones of the forefoot to bow. It may also be ‘hereditary’ – when a person inherits the flat-footedness of a parent who was prone to bunionettes, for example, he too may be at risk.

Tests and Diagnosis

Most doctors are able to readily identify a bunionette during physical examination, but there are cases that require x-rays to help determine if the foot has already splayed and if surgery is necessary. The patient’s range of motion is also evaluated.

Bunionette Relief - Treatment Options for Tailor's Bunion

Bunionettes can be treated non-surgically or surgically, depending on its severity. See a doctor if you suspect that you have bunionettes so you can make an informed decision.

NONSURGICAL TREATMENTS

People with bunionettes are advised to wear properly-fitted shoes that can comfortably fit the forefoot. Some people prefer to put over the area of the bunionette to ease the pressure and lessen pain. Bunionette pads (or other similar materials) are sold in many groceries or drug stores.

SURGICAL TREATMENTS

For severe bunionettes that are almost incapacitating, surgery may be necessary. Surgery removes bone under the bunion to relieve pressure, thereby removing the deformity. The surgeon typically makes a small incision right on the skin covering the bump, then removes the bump with a small chisel. The edges of the bone are also smoothed.

Surgery is also necessary when the foot has already splayed, because it can realign the fifth metatarsal.

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