Non-surgical (conservative) treatment
Bunion and bunionette pain is best and most practically managed by wearing whatever shoes feel less discomfort. The more comfortable shoes are usually flatter, wider, roomier, softer material, thick soled and open-toe shoes. Anti-inflammatory pain killer can help relieve pain but only temporarily.
Physiotherapy exercises may help prevent and possibly regain some of the lost function of the big toe but not correct the deformity and need be done regularly. Toe straightening appliances can hopefully help reduced big toe joint contracture and pain but not narrow the forefoot for regular shoes or correct the bunion deformity itself. Purpose-built foot orthotics for bunion condition can help support the medial longitudinal and transverse metatarsal arches to reduce metatarsal calluses, forefoot pain (metatarsalgia), foot flatness and hopefully also slow down the progression of bunion deformity.
Bunion-specific foot orthotics
There have been reportedly more than 150 different surgical techniques being described for bunion correction. Currently more than 20 different bunion surgeries are still being practiced around the world. This unusually large number of surgical procedures for treating just one single condition may reflect possible dissatisfactions with their results.
The ultimate objective of bunion surgery
The ultimate objective of all bunion surgeries is to restore not just normal appearance but even more importantly function of the big toe and thus to lessen pain of the foot in performing any desired activities and wear any desired regular shoes without recurrence.