Bunions (Juvenile Hallux Valgus)
Bunions can occur in children.
Juvenile Hallux Valgus is the name for a bunion that develops during childhood.
A bunion is the development of a large bump on the inside of the foot where the big toe meets the end of the foot and the big toe has moved towards the lesser toes.
Causes of Hallux Valgus
Symptoms
Diagnosis
Treatment
Causes of Hallux Valgus
No one knows for sure exactly why Juvenile Hallux Valgus occurs.
This disorder tends to run in families. Young people with flat and/or flexible feet are more likely to have a bunion deformity.
Children with an underlying neurologic issue are more likely to develop this condition as well.
Symptoms
Juvenile Hallux Valgus causes a bump on the inside of the foot at the big toe joint with the big toe moving towards the lesser toes.
Some children are very sore at the site of the bump, often finding narrow shoes irritating and there can be pain when walking.
Diagnosis
The Podiatrist will be able to diagnose Juvenile Hallux Valgus with a physical examination.
Treatment
It is recommended that early conservative care is sought. Conservative (non-surgical) methods help the symptoms.
Footwear
Advice includes wearing shoes with a wide toe box and low heels so they don’t put too much pressure on the bump or make the condition worse.
Insoles/Orthoses may help position the foot better inside the shoe, particularly in children with flat feet. Toe strength and toe props may also be prescribed.
Surgery is considered as a last resort
Surgery for non-painful bunions, solely to change the appearance of the foot, is not recommended.
If your child has a problem which does not improve as you would expect with self-care, you should contact a healthcare professional for advice. This may be your GP, Pharmacist, NHS Podiatry Service or a Private Podiatrist.
Please make sure your podiatrist is registered with the Health and Care Professions Council and look out for the letters HCPC after their name.
