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A tailors bunion is similar to a bunion of the big toe joint, this deformity was named a tailor’s bunion because tailor’s would sit with there legs crossed allowing the prominent bone on the outside of the foot to rub against the floor, causing irritation and inflammation. The problem lies within the bone structure of your foot. As the bones in your foot shift this causes a prominence on the outside of the foot to cause pressure and friction against your shoes. The incidence of bunions is much higher in women than in men. There are genetic factors and certain predisposing abnormalities of foot function. Bunions are commonly thought to be due to shoe fashion, as wearing narrow toed shoes and high heels may accelerate the formation of the bunion due to the extra pressure put on the bones.
Podiatric Care may include seeing you to take care of any corns or callous which may develop due to the bunion. They may advise you on different shoe wear or prescribe a custom made orthotic to try and control the foot structure especially if you have excessive pronation.
The surgical term used for this correction is a tailor's bunionectomy. Your Podiatrist will give you advise on this, as your bunion worsens over time, there is increased damage being done to joints of the foot. With a long standing deformity of the joint surface the cartilage may be worn down producing degenerative arthritis that is not reversible. There are many ways to perform a tailor’s bunionectomy depending on what stage your bunion is at. This can range from simply removing the excessive bone or the entire 5th metatarsal head on the outside of the foot to something more complicated as a surgical cut made in the bone for correction of the angles of the bones in your foot. The surgeon may place fixation in your foot as it heals which may include a screw, pin, or wires. The joint may need complete removal if it is destroyed.
It is worth an appointment with your Podiatrist, to discuss this problem if you suffer from a Taylors Bunion don’t leave it too long before seeking advice.
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Page last updated 24 May, 2006