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Concern

Bunions (Hallux Valgus) — Podiatry in Canary Wharf, London

A bunion is a bony deformity of the big-toe joint that our HCPC-registered podiatrists manage conservatively with footwear advice, padding, offloading, and orthoses to ease pain — though conservative care cannot reverse the deformity itself.

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Bunions (Hallux Valgus)

The concern

A bunion (hallux valgus) is a bony prominence at the base of the big toe, where the joint gradually drifts out of alignment and the toe angles towards the others. Bunions are generally a progressive deformity, and the NHS is clear that you cannot get rid of a bunion yourself and that surgery is the only way to correct it; podiatry's role is to control symptoms and protect the joint, not to straighten the toe. At Canary Wharf Podiatry our HCPC-registered podiatrists assess your gait, footwear, and foot mechanics, then use roomier footwear, bunion padding, offloading, and custom or off-the-shelf orthoses to redistribute pressure and reduce pain. Where a painful deformity is limiting you despite good conservative care, corrective bunion surgery is a surgical procedure carried out by a foot and ankle surgeon — we do not perform it, but we can advise on when an orthopaedic referral is appropriate. Self-referral is welcome at our Canary Wharf and City Dock (Wapping) clinics.

What drives it

  • A genetic predisposition to the foot shape and joint laxity that allow the big toe to drift — bunions frequently run in families
  • Foot mechanics such as excessive pronation (rolling in) or flat feet, which increase load on the big-toe joint
  • Footwear that is narrow, pointed, or high-heeled, which crowds the toes and can aggravate an existing tendency
  • Hypermobility or generalised joint laxity, allowing the first metatarsal to splay over time
  • Inflammatory arthritis (for example rheumatoid arthritis) affecting the big-toe joint
  • Increasing age, as a bunion is generally progressive and cumulative joint changes can make it more pronounced

Common
questions

Can a podiatrist fix or reverse my bunion without surgery?

No. Conservative podiatry cannot straighten a bunion or reverse the deformity — only corrective surgery realigns the joint. What we can do is reduce pain and pressure with footwear advice, padding, offloading, and orthoses, and help protect the joint. The NHS is clear that non-surgical care manages symptoms rather than curing the bunion.

Does Canary Wharf Podiatry perform bunion surgery?

No. Bunion correction is a surgical procedure carried out by a foot and ankle surgeon, not by podiatrists at our clinic. Our role is conservative management — easing your symptoms and protecting the joint. If your bunion is painful and limiting despite good conservative care, we will advise you on seeking an orthopaedic referral for a surgical opinion.

Will wearing different shoes or a bunion splint cure the deformity?

Roomier, wider, lower-heeled shoes and bunion pads can genuinely reduce friction and pain, and night splints may feel comfortable. However, the evidence does not show that splints, spacers, or shoe changes straighten a bunion or stop it progressing; the NHS frames these as relieving symptoms, not correcting the deformity. We will help you choose footwear and devices that protect the joint.

When should I seek urgent or same-day medical help for a bunion?

Seek same-day care if the joint becomes hot, red, swollen, and increasingly painful, especially with fever, as this may signal infection, or if you have sudden severe pain. People with diabetes, peripheral arterial disease, or neuropathy should see a podiatrist promptly for any skin breakdown, ulcer, or non-healing sore over a bunion, as these need urgent assessment.

Do I need a GP referral to be seen for a bunion?

No GP referral is needed. You can self-refer and book directly through our online booking system, and one of our HCPC-registered podiatrists will assess the joint, your footwear, and your gait. We will explain what conservative care can realistically achieve and, where a surgical opinion is warranted, advise you on an orthopaedic referral.

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Canary Wharf Podiatry • 1 Westferry Circus, Canary Wharf, London E14 4HD

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Appointments typically available within 1–2 weeks