Bunions remain one of the UK’s most common foot complaints, affecting 1 in 5 adults. Even high-profile figures like Victoria Beckham and Meghan Markle have been seen sporting bunions in open-toe heels. As the colder months approach and we swap sandals for boots, enclosed footwear can often worsen symptoms for those dealing with bunions.

With bunions attracting 7,000 Google searches a month, many are looking for ways to manage or alleviate their symptoms. Charles Clinkard, a family-run footwear business celebrating its centenary this year, shares insights on recognising early signs and choosing appropriate footwear to help ease the discomfort caused by bunions.

Recognising early signs of bunions

A bunion typically appears as a hard, bony bump at the base of the big toe, where it meets the foot. But early signs can present without the bump. Pain around the big toe joint, tenderness, or throbbing that comes and goes may be indicators. Other signs include thickened or reddened skin at the base of the big toe and discomfort when wearing regular shoes. Additionally, some may develop a bunionette, or “tailor’s bunion”, on the small toe joint, which mirrors the symptoms of a regular bunion.

What causes bunions

Bunions can arise from a mix of preventable and non-preventable causes. A common culprit is wearing footwear that is too narrow, particularly around the toes. Activities that place undue pressure on the big toe joint – such as prolonged standing or walking – can also contribute. In some cases, bunions develop in teenagers due to growing feet or following a foot injury.

Inflammatory conditions like lupus or arthritis may also increase the likelihood of developing bunions. It’s important to note that big toe arthritis (hallux limitus) can sometimes be mistaken for a bunion, but a key difference is that hallux limitus limits flexibility in the joint, while bunions typically do not. When both conditions occur in the same toe, the problem becomes more complex and should be assessed by a podiatrist.

Managing bunion pain at home

While surgery is an option, it is generally reserved for the most severe cases. For most, bunion pain can be managed at home with simple lifestyle changes. Choosing well-fitting footwear is often the most effective solution, but there are several other methods to try:

• Cold therapy can help reduce inflammation
• Protective accessories, such as gel bunion pads, splints, or toe separators, offer relief
• Regular foot exercises help maintain flexibility and relieve pressure on the joints
• Orthotic arch support inserts can improve alignment and reduce discomfort
• Over-the-counter pain relief, such as ibuprofen, can alleviate soreness

Choosing the right footwear

When it comes to easing bunion discomfort, investing in suitable footwear is key. The fit of your shoes is crucial – narrow-fitting styles can exacerbate the problem, so shoes with a roomy toe box are recommended. Wide-fitting or extra-wide shoes are often a good option, especially if you already have wide feet.

Footwear that features adjustable elements such as laces, straps, or velcro can further customise the fit, ensuring the shoe accommodates the bunion without additional pressure. The material of the shoe is also important: softer, more flexible materials like canvas or mesh help to minimise pressure on sensitive joints.

Structure matters too. Shoes with ample arch support can help distribute pressure away from the toe joints, while built-in padding or the ability to add orthotic insoles offers additional support. Unfortunately for high-heel lovers, flat shoes are the best choice for reducing strain on the toe joints. High heels, especially those higher than two inches, are notorious for aggravating bunions. However, if you can’t give up heels entirely, opt for a lower, wider heel to help maintain a natural foot posture.

Rachel Clinkard, ecommerce director at Charles Clinkard, explains: “While bunions don’t hurt everyone, they can be painful and uncomfortable for many. The right footwear can make a world of difference in managing the pain. A well-fitting pair of shoes reduces pressure on the toe joints and gives your toes space to move freely. If you’re unsure about the best fit for you, visiting a shoe shop for accurate measurements can be a helpful first step.

“Thankfully, there are plenty of stylish options for bunion-prone feet. Many brands now offer fashionable wide-fitting shoes in various styles that don’t compromise on comfort. Some retailers even provide extra-wide options, perfect for those who need a bit more room.”