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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What you're seeing
The concern
Why it happens
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
Treatment approach
How Christine treats it
Biomechanics & MSK
Price on enquiryA biomechanical assessment identifies the gait pattern and foot function driving the joint load, and may lead to custom or off-the-shelf orthoses that redistribute pressure away from the big-toe joint to help ease pain and protect the joint.
See treatment detail →Initial Podiatry Consultation
Price on enquiryA first consultation lets our HCPC-registered podiatrists examine the joint, review your footwear and symptoms, set realistic expectations about conservative care, and advise whether an orthopaedic surgical opinion is appropriate.
See treatment detail →FAQ
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
BookAppointments typically available within 1–2 weeks

