The first steps most doctors recommend is to ice and elevate the toe at home, and to purchase shoes with wider toe boxes. Additionally, callus covers or mole skin can be bought at a grocery store to help decrease irritation on the skin. Night splints can also be purchased to try to change the angle of the foot. If these at-home interventions do not work, then more aggressive treatment can be rendered in a doctor's office. Some cases will need to be repaired with surgery, while others can just be monitored for changes. Different conditions or injuries may cause foot pain and the most common are acute or repeated trauma, disease, or a combination of both. Poor biomechanical alignment resulting from trauma may lead to pain in foot. Wearing high-heeled shoes can cause pain around the ball of the foot including the bones in that area. Meanwhile, too tight shoes may also cause pain and bruises on the top of the foot. Some acute typical injuries such as ligament sprains, muscle sprains, bruises or fractures, may be the result of a single or variety of stresses on the foot. Evaluation of a bunion deformity begins with obtaining a complete history and physical as well as obtaining X-rays of both feet. Typically, as a bunion deformity progresses, calluses form under the ball of the foot, a reddened area appears over the prominent first metatarsal head, lesser toe deformities appear, shoes no longer fit properly, degenerative arthritic joint changes occur and the cosmetic appearance of the foot deteriorates. If you develop a bunion, you may want to make an appointment with Dr. Boggs or Dr. Morris ; our doctors are Everett bunion specialists. If your condition worsens over time, this may warrant a trip to the doctor’s office. Sometimes patient may complain of pain as well as deformity of the big toe (first digit) when they try to fit into their shoe. On inspection, the patient has an impaired gait with a wide forefoot and displacement of the big toe above may be above or below the second toe and lateral deviation of the other digits. The bunion may appear inflamed or ulcerated on the medial sides of the foot. The first metatarsal is eminence. Callus which is painful develop on the second toe. Skin keratoses present under the metatarsal head and the increase in the angle of the valgus at the first metatarsophalangeal joint. Even if you are careful about the type of shoes you wear, pain may still be a problem if you have a bunion. Using over-the-counter pain medication such as ibuprofen or naproxen sodium can help relieve pain and inflammation. Acetaminophen also relieves pain but does not reduce inflammation. If pain is severe, your doctor may recommend injecting cortisone into your toe. Orthotics The best treatment appears to be prevention. Wearing shoes that fit and do not alter the natural arches is key. If the arches are too high or too low, a person can use an orthotic to help support the arch and allow proper foot movement. It all started two years ago. My friends and my self encountered a book called “The Game”. It’s basically a memoir of a journalist who became a student of the greatest Pick-Up artists in the world and became one himself. When we got the book, our secret circle, mostly made up of guys, would frequent the bars trying out what we have learned from the book attempting to pick up girls. This is when Francis met Allie. Podiatrist Dr. Philip Radovic explains that a bunion is a misalignment of the toe joint, imbalanced by the muscles on it. He injects Botox into the affected muscles to restore joint balance.