1. Footwear Modifications - Wide-toe box shoes: Reduce pressure on the bunion. Avoid high heels and narrow shoes: These worsen the bunion. Cushioned shoes or custom insoles: Help redistribute weight and relieve discomfort.
2. Orthotics - Custom-made shoe inserts can help correct abnormal foot mechanics. Over-the-counter arch supports may reduce pain and inflammation.
3. Padding and Taping - Bunion pads or cushions: Protect the bunion from friction. Taping or splinting: Helps realign the toes temporarily and reduces strain.
4. Physical Therapy & Exercises - Toe stretches and strengthening exercises: Maintain mobility and support foot alignment. Examples: Toe flexion and extension, Picking up small objects with toes, Stretching the calf and foot muscles.
5. Pain and Inflammation Management - Ice application: Reduces swelling after activity. NSAIDs (like ibuprofen): Help with inflammation and pain. Topical anti-inflammatory gels: For localized relief.
6. Night Splints - Bunion splints or toe spacers: Worn during sleep to gently realign the toe and reduce progression.
Non-surgical treatments are mostly palliative. If the bunion is severely painful, progressing, or affecting daily life, surgical correction may eventually be necessary.
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