What Is a Bunion and Why Does It Form?
A bunion — medically known as hallux valgus — is a progressive deformity of the first metatarsophalangeal joint. The metatarsal bone drifts outward while the big toe angles toward the second toe, creating the characteristic bony prominence on the inner side of the foot. While ill-fitting footwear can accelerate development, the underlying cause is most often genetic.
Conservative Management Options
For mild to moderate bunions, a structured conservative approach can meaningfully slow progression and control symptoms. Options include wide toe-box footwear, custom orthotics to correct the biomechanical forces driving the deformity, bunion splints worn during sleep, anti-inflammatory medications, and padding to reduce friction. Dr. Katz always begins with the most conservative appropriate treatment.
When Surgery Becomes Appropriate
For patients with Grade III or IV deformities, the Lapiplasty 3D Bunion Correction procedure corrects the deformity in three anatomical planes simultaneously — addressing the rotational component that traditional 2D cuts leave uncorrected. This approach stabilizes the unstable joint segment, resulting in lower recurrence rates and permitting earlier weight bearing.
Whether your bunion is mild or has been progressing for years, schedule a comprehensive bunion assessment with Dr. Katz. Explore all available treatment options.