Tailor’s Bunion

A Tailor’s bunion is a deformity of the 5th toe joint where there is a prominence at the 5th metatarsal bone at the base of the little toe.

Symptoms
Redness, swelling, and pain may be present at the site. Rubbing of the area inside shoe gear can cause callus formation to occur. This rubbing may also cause formation of a fluid filled sac, called a bursa, to form over the area. This bursa can then become inflamed (“bursitis”).

Causes
This deformity is due to faulty mechanics of the foot, and in many cases is hereditary. The 5th metatarsal bone starts to drift outward while the bones in the 5th toe drift inward. This causes the prominence to form on the outside of the foot. Once this occurs, irritation from shoe gear tends to contribute to the symptoms of the deformity.

Treatment
There are many options for non-surgical treatment of Tailor’s bunions. These include shoe gear changes with a wider toe box, oral anti-inflammatory medications, padding, and corticosteroid injection to calm down inflammation. Periodic shaving of the callus by the doctors will also help alleviate some discomfort. When these treatments fail, there are surgical options available. Depending on the severity of the deformity, the extra bone may just need to be resected. In more severe cases, a bone cut can be made to reposition the bone. Contact us at Alaska Legacy Podiatric Foot & Ankle Specialist to discuss further options with Dr. Lear-Rayborn.