A tailor’s bunion, which you may also hear referred to as a bunionette, is a painful bony prominence that forms on the outside of the foot, by the base of your little toe. Although it is not as common as a bunion near the big toe, tailor’s bunions can be equally uncomfortable and problematic for anyone who suffers from them. The name comes from historical tailors who used to sit cross-legged for long periods of time. This placed pressure on the outside edges of their feet, which often led to this condition.
For those seeking relief from foot pain, podiatry treatment can be very helpful in managing both the pain and structural issues associated with a tailor’s bunion. Today, we’re going to share with you our complete guide to the causes of tailor’s bunions and discover your treatment options if you do suffer from this condition.
Symptoms of a Tailor’s Bunion
In order for you to receive a proper diagnosis of a tailor’s bunion, you’ll want to understand the common symptoms and causes of a tailor’s bunion. These symptoms will vary in intensity but will usually include a visible bony bump on the outer side of the foot at the base of your fifth toe. You may notice redness, swelling, or inflammation around the affected area and a feeling of pain or soreness. This can sometimes be confused with a gout or bunion on the big toe, so a proper diagnosis is crucial. This pain may be worsened when wearing tight or narrow shoes, and you may find that you have difficulty walking or standing for long periods due to discomfort.
Some patients who visit a podiatry clinic near me also have hard skin or callus formation over the bump. If you notice any of these symptoms, make sure you find a professional offering podiatry and chiropody for support. Pain is often aggravated by friction and pressure from shoes, especially those with a narrow toe box, so make sure you are wearing comfortable shoes as much as possible. Over time, the condition may worsen if not addressed, leading to more severe pain.
What Causes a Tailor’s Bunion?
Understanding the most common causes of a tailor’s bunion involves understanding the factors that contribute to this condition. The condition often arises due to an abnormal alignment of the fifth metatarsal bone, which is the long bone on the outer side of the foot. When this begins to shift outward, the little toe sometimes moves inward. Some of the most common causes of a tailor’s bunion include:
- Footwear: Regularly wearing tight, pointed, or high-heeled shoes can force the toes into unnatural positions, increasing pressure on the outside of the foot.
- Genetics: Some individuals inherit a foot structure that makes them more likely to experience bunion formation. Flat feet, overpronation, or abnormal gait can put excessive stress on the fifth metatarsal, increasing the chances of a tailor’s bunion.
- Inflammatory conditions: Arthritis or other inflammatory joint diseases can result in foot deformity and irritation.
- Foot injuries: Previous trauma or repetitive stress to the area can lead to changes in your bone alignment.
Diagnosis of a Tailor’s Bunion
A professional offering podiatry in the UK will be able to support you with a proper diagnosis for any pain you are feeling in your foot. The diagnosis of a tailor’s bunion typically begins with a physical examination by a podiatrist or chiropodist. The clinician will look at your bump, ask about any symptoms you are experiencing, and review your medical and family history. To confirm the diagnosis and its severity, X-rays are often taken. These images help to determine the extent of bone misalignment and assess whether arthritis or other underlying issues are present. In more advanced cases, the images help decide if surgery is a solution that is worth considering.
Treatment Options
Treatment depends on the severity of your condition and the level of discomfort you are experiencing on a daily basis. Non-surgical methods are typically the first line of management to try to resolve the issue without resorting to surgery. Treatment suggestions may include making footwear modifications, such as choosing shoes with a wider toe box, those made from soft materials, and low heels to reduce friction and pressure.
If you are struggling with constant pain, anti-inflammatory medication, such as non-steroidal anti-inflammatory drugs, may reduce pain and swelling. Applying ice packs to the inflamed area can also provide temporary relief. When conservative methods are not successful, surgery may be necessary. Surgery involves realigning the fifth metatarsal bone and removing the bony prominence.
A tailor’s bunion may seem like a minor issue at first, but it can significantly impact your comfort and mobility if left untreated. Understanding the symptoms and causes of a tailor’s bunion is essential for early intervention. Contact our team today for more information about the services we offer and how we can support you with this condition.
Read the next blog: What is a Tailor’s Bunion

