Garden State Foot & Ankle Center



A bunion is a hallux, or big toe, deformity characterized by the toe moving laterally (towards the little toes) and sometimes overlaps the smaller toes. People think of it as an enlargement of the bone and / or soft tissue around the big toe joint first metatarsophalangeal joint (big toe / ball of the foot joint). Without proper treatment, this abnormal angulation will progressively worsen and symptoms often develop. Swelling, inflammation, limitation of motion and pain with motion of the joint oftentimes result. 

People with bunions (hallux valgus) should not live with the pain, discomfort and irritation caused by the rubbing and friction from shoe gear. As the condition worsens with every step, the redness and pain continues to worsen. Bunions are a result of improper footwear, genetics, trauma and in some rare cases neuromuscular disorders. 

Bunion Treatment

Because these are bone deformities, bunions need medical attention by a specialized foot and ankle physician. At Garden State Foot & Ankle Center, we start with conservative care for most bunion management. Oftentimes pain is alleviated with shoe modification, rest, ice and anti-inflammatory medication. In most cases, these treatments combined with custom molded orthotics will resolve the average pain associated with bunions. These treatments help to alleviate the symptoms of the deformity, but do not correct the structural bone deformity.

Bunionectomy / Bunion Surgery

All bunions are not created equal. Each bunion is caused by different reasons that are specific to your lifestyle, age, activity level and foot type. At Garden State Foot & Ankle Center, Dr. Shrem evaluates the cause of your bunion deformity to determine which procedure is best for the patient. With this, and all surgeries, we utilize cutting edge surgical techniques to minimize scarring. 

With most bunion surgeries, the procedure is typically done in a hospital or outpatient surgery center. Once the small incision heals, the patient can then transition into a sneaker after two (2) weeks. Depending on the patient, you can typically return to full activity within 6-8 weeks.

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