Causes of bunions

A bunion is the result of a deformity inthe joint of your big toe. The exact cause isn't clear.

However, possible causes may include:

• Genetics (family history)
• arthritis
• other conditions and syndromes such as cerebral palsy and Marfan syndrome
• poorly fitting shoes

These are discussed below.

Genetics

If other members of your family have bunions, your risk of developing them is increased. However, this doesn't meanyou'll definitely develop bunions.

Arthritis

The types of arthritis thought to cause bunions are:

• rheumatoid arthritis inflammation and pain in the joints because of the immune system attacking the joint lining
• gout a type of arthritis that commonly affects the big toe
• psoriatic arthritis a type of arthritis associated with the skin condition psoriasis

Arthritis in the toe may also develop as a result of a bunion.

These include neuromuscular conditions, such as cerebral palsy, and connective tissue disorders, such as Marfan syndrome.

Poorly fitting shoes

Poorly fitting shoes can contribute to the development of bunions. Bunions are rare in populations that don't wear shoes.

Wearing shoes that are too tight and don't fit properly is likely to make an existing bunion worse.

Shoes that are too tight may rub against your big toe joint. High-heeled shoes that are too tight will squeeze your feet, causing your big toe to remain in a bent position. This can stretch the toe, put pressure on the nerves around it and lead to pain.

High heels also push most of your body weight forwards onto the front of your foot, which places considerable strain on your toe joints.