What’s a Tailor’s Bunion?

At Texas Foot Specialists we find that most of our patients know what a traditional bunion, is but many are unfamiliar with a tailor’s bunion—also known as a bunionette. This toe deformity is similar to the bunion that forms at the base of the big toe only this one develops on the outside of your little or pinky toe. Fun fact: tailor’s bunion gets its name because centuries ago tailors used to do their work while sitting cross-legged and this caused the outside of the feet to rub on the ground, causing a painful bump on the side of the little toe.

Behind the Bunionette

Tailor’s bunions are not as common as the bunions that form on the big toe. They can have a similar source, however. Usually, a tailor’s bunion is caused by a genetic defect in the mechanical structure of the foot which leads to changes in the bony framework. The fifth metatarsal bone starts to push outward, and the little toe moves inward which causes a bump to form on the outside of the toe. In some cases, a tailor’s bunion is actually a bone spur that grows on the side of the metatarsal head. Like a traditional bunion, the bony protrusion on the toe becomes red, swollen, and painful—especially when shoes rub against the enlargement.

Treatment Options

The soft tissues under the skin become irritated and inflamed, which can lead to debilitating pain and great difficulty wearing shoes. If you believe you have a tailor’s bunion, make an appointment at our Sugar Land (281-242-4448), Pasadena (281-991-0600) or Houston (713-664-6677) office. Our podiatrists, Dr. Bruce Miller and Dr. Gregory Mangum will examine your toe and feet. X-rays may be ordered to determine the full extent and severity of the deformity. There are a number of conservative treatment options available including modifying footwear, padding the bunionette, and using a custom orthotic. Pain can be managed with nonsteroidal anti-inflammatory medications, icing, and corticosteroid injections. If none of these bring relief, the foot doctor may recommend surgery.

To learn more about a tailor’s bunion, contact us today.