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Bunion Specialist

Felicia A. Armstrong, DPM -  - Podiatry

Maryland Podiatry Services

Felicia A. Armstrong, DPM

Podiatry located in Baltimore, MD

Walking with a bunion can be excruciating, limiting your ability to participate in the activities you love. At Maryland Podiatry Services in Baltimore, Maryland, Felicia Armstrong, DPM, offers a conservative approach to bunion treatment. Dr. Armstrong understands that most patients hope to avoid surgery. That’s why she treats bunions with orthotics and other conservative options before turning to surgery. If you’re struggling with pain from bunions, call or book an appointment online now.

Bunion Q & A

What is a bunion?

A bunion is a bony bump that grows on the joint at the base of your big toe, where your foot meets your toes. These painful bumps form when the bones toward the front part of your foot start shifting out of place. This can make all of your toes squish together, causing the joint at the base of your big toe to jut outward. 

Bunions typically develop gradually and become more painful as the bump grows.

What causes bunions?

Several risk factors can increase your chances of developing bunions, such as:


Overpronation means your foot moves slightly inward when you walk or run. It often happens when the weight bearing on your foot is uneven. Many people with overpronation have low arches.

Tight shoes

Women are more likely than men to have bunions because they tend to wear tight, uncomfortable shoes. One of the most common culprits behind bunions is high-heel shoes. Heels and narrow flats squish your toes together, which can lead to painful bunions.


Certain types of arthritis, particularly rheumatoid arthritis, can cause pain and dysfunction in the joints of your toes.

Foot injuries

An untreated foot injury can cause structural problems with your feet and put pressure on the joint at the base of your big toe.

How do I know if I have a bunion?

While a fully grown bunion may look bulbous, you may not realize you have one early on. Early intervention is key when treating a bunion, so it’s important to watch out for the telltale warning signs, such as:

  • Chronic foot pain
  • Pain on your big toe
  • Decreased range of motion in your big toe
  • Visible bump

If you don’t yet notice a visible bump on the base of your big toe, try on a few pairs of shoes. You may have a bunion if you can no longer find shoes in your size that fit properly.

How do podiatrists treat bunions?

Dr. Armstrong takes a conservative approach to bunion treatment. To alleviate your pain, she offers custom-fit orthotics. These orthotic shoe inserts conform to the exact mold of your foot to provide cushion and comfort. 

Dr. Armstrong also offers over-the-counter shoe inserts, which are comparable to drug store inserts in price but outperform them in comfort and function.

If orthotics aren’t enough to reduce your bunion pain, Dr. Armstrong recommends surgery. There are many different types of bunion surgery, including procedures that remove inflamed tissue around the joint. 

Other common surgeries remove a portion of the bone to straighten the big toe or even fuse the bones around the joint permanently. 

Dr. Armstrong delivers comprehensive, conservative care for bunions. 

To schedule an appointment, call Maryland Podiatry Services or schedule a visit online now.