Bunions

Elite Foot & Ankle Associates

Trevor J. Haynes, DPM, FACFAOM, AACFAS

Podiatrist located in Portland, OR & Sandy, OR

Bunions can be far more than an aesthetic concern when they become swollen and tender, making mobility in most shoes difficult. At Elite Foot & Ankle Associates, Dr. Trevor Haynes has extensive experience helping his patients in Portland and Sandy, Oregon, overcome painful and limiting bunions. To explore your options for bunions, call one of the offices or use the online scheduling tool to book an appointment.

Bunions Q & A

What are bunions?

The medical name for a bunion is hallux valgus, but whatever you call them, bunions can be very problematic. Bunions develop when your big toe begins to turn toward your second toe and a bony protrusion forms on the inside of your foot at the base of your toe. While not necessarily dangerous, bunions can create fairly large problems, especially when they’re irritated, which makes wearing any type of shoe almost impossible.

Even when they’re not irritated, bunions that force your big toe over or under your second toe, create secondary problems in these healthy toes, often leading to painful calluses and corns.

The bottom line is that while many people find bunions unsightly, they can also place surprisingly large limitations on your footwear and your mobility.

What causes bunions?

Most bunions occur in people whose feet are mechanically inclined toward them. This means that the propensity for bunions is something you’re born with, even though they may not develop for many years.

When it comes to footwear, wearing tight, pointy shoes can make bunions form more quickly and worsen an already existing problem, but they don’t cause bunions to form in the first place.

By the same token, conditions like rheumatoid arthritis and obesity can also contribute to bunions, but they’re factors that put you at risk, not underlying causes.

How are bunions treated?

When it comes to treating bunions, Dr. Haynes prefers to start out conservatively. Since bunions are progressive, there’s a lot you can do when they first start to develop to slow the progression, starting with making some adjustments to your footwear and wearing orthotics.

If your bunion problems persist and affect your quality of life, Dr. Haynes turns to a surgical solution. Depending upon the severity of your bunion, he goes in and:

  • Removes the bony protrusion
  • Rebalances your soft tissue (tendons and ligaments)
  • Realigns your first metatarsal and places screws, plates, or pins to hold it in place


If your bunion is severe, Dr. Haynes may go a step further and release the tendon holding the joint and prepare it for fusion in order to prevent your bunion from redeveloping.

Dr. Haynes performs these procedures on an outpatient basis with a quick recovery time, and many patients are able to walk on their foot on the same day with a surgical shoe.

To learn more about bunion treatments, call Elite Foot & Ankle Associates, or use the online scheduler. Same day appointments are available.