Hallux Abducto Valgus or HAV, is the Latin medical term for a bump on the base of the big toe, commonly known in English as a bunion. Although very common, bunions should not be taken lightly as they are a progressive disorder. A bunion begins with the formation of a bump on the outside base of the big toe, but on the inside, it is actually changing the entire bony framework of the hallux. An x-ray of a bunion shows the deviation of the big toe towards the second toe, throwing the bones out of alignment. If ignored, the foot may become severely deformed. A bunion can also form along the base of the little toe and is known as a ‘bunionette’.


It was commonly believed that bunions were formed when tight narrow shoes were worn over a long period of time. However, podiatrists are of the opinion that bunions develop due to:

  • faulty foot development
  • an inherited structural defect
  • a medical condition causing stress on the foot
  • arthritis
  • foot injuries
  • wearing high-heeled, pointed shoes which exacerbate the problem
  • standing for long periods of time


  • the development of a bump on the base of the big toe
  • irritated skin on the bump
  • corns caused by overlap of toes
  • pain or soreness when walking
  • inflammation and redness in the joint
  • a burning sensation around the site of the bunion
  • possible numbness
  • difficulty while wearing shoes
  • if left untreated, the foot can hurt in different places

Treatment for Mild to Severe Bunions

Home Remedy Tips:

  • application of a non-medicated pad around the bony prominence
  • application of ice packs to reduce swelling if inflamed and painful
  • wearing shoes with a wide toe box
  • avoiding high-heeled shoes over two inches high

When pain persists, podiatrists recommend:

  • ultrasound therapy, a popular technique to provide relief from the pain
  • acute pain be treated with anti-inflammatory drugs and cortisone injections
  • padding the bunion and taping the foot to help reduce stress and pain
  • shoe inserts which help reduce symptoms and prevent worsening of the deformity
  • a surgical procedure called a simple bunionectomy, in which the bony prominence is removed
  • the cutting of the bone and realignment of the joint

Dr. Scott McKinney, Dr. Jorge Cuza, Dr. Mark Moss, Dr. Francisco Cuza, Dr. Edna Reyes- Guerrero and Dr. Hina Hissan will take into consideration the extent of the deformity by studying the x-ray results, the lifestyle, health and age of the patient. To help you with your painful bunions make an appointment with our board certified podiatrists at McKinney Podiatric Associates, P.A. We have 8 convenient locations with 3 in Houston, 2 in Pasadena, Baytown, Pearland and Alvin Texas. Contact us today and don’t let bunions slow you down.