As you can see in the picture, there is a big bony bump on the side of the big toe. This is called a Bunion. Bunion is a deformity of the big toe joint where the big toe moves towards the little toe and the long bone (1st metatarsal) moves away from the little toe. This forms an abnormal angle in the joint causing stress and pain to the joint and soft-tissue around the joint, frequently with periods of joint inflammation. Bunions are more common in women and increase with age. They are exacerbated by poor fitting shoes particularly if they are narrow and tight as this puts pressure on the big toe joint. Therefore shoe choice is essentially when trying to manage bunion pain. A bunionectomy or a foot surgery can fix the bunion.
Now let’s draw our attention to the other toes which look deformed. Hammertoes usually start out as mild deformities and get progressively worse over time. In the earlier stages, hammertoes are flexible and the symptoms can often be managed with noninvasive measures. But if left untreated, hammertoes can become more rigid, claw like deformity and will not respond to non-surgical treatment. Hammertoe surgery by a Podiatrist or foot doctor will be required to fix the problem.

![aniston-resized-600[1]](http://surgery08.files.wordpress.com/2011/09/aniston-resized-60012.png?w=144&h=300)
![aniston%20berlin-resized-600[1]](http://surgery08.files.wordpress.com/2011/09/aniston20berlin-resized-60012.png?w=200&h=300)
![posh%20flats-resized-600[1] Posh in her flats at LAX](http://surgery08.files.wordpress.com/2011/09/posh20flats-resized-60012.png?w=172&h=300)