A bunionette, also called a tailor’s bunion, is a painful bump that forms on the outside of the foot at the base of the fifth toe. It gets its name from tailors who once sat cross-legged for long periods, placing pressure on the outer edge of the foot. Over time the fifth metatarsal bone begins to shift outward, creating a noticeable bump that may rub against shoes. Patients often notice redness, swelling, and tenderness along the outside of the foot. The area may feel irritated when walking or wearing narrow footwear. Causes include foot structure, inherited bone shape, or long-term pressure from tight shoes. A podiatrist can diagnose a bunionette through examination and imaging to determine the alignment of the bone. Treatment focuses on reducing pressure and correcting the underlying problem. Care may include wider footwear, protective padding, custom orthotics, and targeted exercises to support the foot. In more severe cases, surgery may be recommended to realign the bone. If you think you have a bunionette, it is suggested that you make an appointment with a podiatrist.

If you are suffering from bunions, contact David Mansky, DPM of Mansky Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact our office located in Hastings, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Minimally invasive foot and ankle surgery uses small incisions and specialized instruments to treat certain conditions while reducing disruption to surrounding tissue. Instead of a large surgical opening, the surgeon works through tiny entry points using precise tools and imaging guidance. This approach may lead to less swelling, smaller scars, and a faster return to normal activity for some patients. Minimally invasive techniques are sometimes used to correct bunions by reshaping the bone through small openings in the skin. They may also be used to treat certain hammertoe deformities or remove bone spurs that cause joint irritation. Because the incisions are smaller, surrounding muscles and soft tissues may experience less trauma during the procedure. However, not every condition is appropriate for this type of surgery, and proper evaluation is important before treatment is considered. When ongoing foot or ankle pain affects mobility, it is suggested that you see a podiatrist to discuss diagnosis and available treatment options.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact David Mansky, DPM of Mansky Podiatry. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Hastings, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever’s disease is a common cause of heel pain in active children and teens. It occurs when the growth plate at the back of the heel becomes irritated, often during periods of rapid growth. Running, jumping, and sports that involve repeated impact can place added stress on the heel. Children may complain of pain during activity that improves with rest. Conservative treatment focuses on reducing strain and easing inflammation. Rest from high-impact sports allows the heel to recover. Supportive shoes with cushioned heels provide shock absorption. Heel cups or custom orthotics may reduce pressure on the growth plate. Gentle stretching of the calf muscles can improve flexibility and lower tension on the tendon attached to the heel. Most children improve with these non-surgical measures. If your child has ongoing heel pain, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see David Mansky, DPM from Mansky Podiatry. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Hastings, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Idiopathic toe walking is a condition in which a child continues to walk on the toes without a known medical cause after the age when a typical heel to toe gait pattern should develop. This walking pattern can place excessive strain on the muscles and tendons of the foot and ankle, leading to tight calf muscles, limited ankle motion, and imbalance. Signs may include persistent toe walking, difficulty standing flat footed, and frequent tripping. Risk factors can include family history and developmental factors, and it most commonly affects young children. A podiatrist can evaluate gait, recommend stretching, bracing, or other supportive treatments. If your child is toe walking, it is suggested that you are under the care of a podiatrist who can monitor your child's foot health.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact David Mansky, DPM of Mansky Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions, please feel free to contact our office located in Hastings, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.