The bump itself is partly due to the swollen bursal sac or an osseous (bony) anomaly on the metatarsophalangeal joint. The larger part of the bump is a normal part of the head of the first metatarsal bone that has tilted sideways to stick out at its top. Definition edit Bunions may be treated conservatively with changes in shoe gear, different orthotics (accommodative padding and shielding), rest, ice and medications. These sorts of treatments address symptoms more than they correct the actual deformity. Surgery, by an orthopedic surgeon or a podiatric surgeon, may be necessary if discomfort is severe enough or when correction of the deformity is desired. Orthotics edit Fallen arches cause little pain in the foot. Also called flat feet, or pes planus, it is condition where the arch or instep of the foot collapses and becomes flush with the ground. This happens in conjunction with injury or disease.This is a condition that people are sometimes born with. The arch usually develops sometimes in childhood. Although not usually very painful, in some cases when the arch falls the feet want to roll inward and the bones may push down on the supporting membranes causing moderate amount of pain. Metatarsophalangeal joint with or without osteoarthritis, congruent or incongruent metatarsophalangeal joint, patient with high or low degree of physical activity. This will improve your flexibility and blood flow in your feet and big toes. Take a thick rubber band and loop it around your big toes. Spread your feet about four inches apart. This should make the rubber band taut. Pull the band with your toes for about three seconds and then relax. Do this 10 times, take a 30-second break and repeat the set. Towel Pick Up Don’t buy shoes under the belief they will stretch! Your heel should fit comfortably in the shoe with a slight amount of slippage. According to some chiropodist, the slow debilitating pain and deformity of the feet caused by the progression of bunions, is something that the uffer has to learn to live with, for the rest of his or her life. It is hardly ever successful. Within a few month of walking the bunion comes back and you will have suffered for nothing. The only thing that will help you is a pair of orthotics and sensible orthopaedic shoes'. Traditional open bunion surgery involves making a cut of 5cm on the outside of the foot and a smaller incision on the inside of the toe to release the tissues holding the toe. This patient has a marked hallux valgus deformity in bothfeet. As the first toe migrates more and more to valgus, it presses againstthe second toe, and may aggravate dorsal clawing of the second toe, whichis usually initiated by overload of the second metatarsal and synovitisof the metatarsophalangeal joint. Also note the relative hyperostosis ofthe second metatarsal shafts compared to the third and fourth, as well asdorsal rotation of the fibular sesamoids. Hallux valgus occurs commonly in osteoarthritis which is due to wear and tear of the joints. As a result of disease in the joint, the big toe can more easily become hallux valgus.