Tailor Bunions
Painful Bump Along the Fifth Toe JOINT
A Closer Look
What Are Tailor Bunions?
A tailor bunion—also known as a bunionette—is a prominence that develops along the outer edge of the foot, just behind the fifth toe. Instead of the joint staying straight, the bone gradually angles outward, creating a noticeable bump that can become tender or irritated, especially when wearing certain types of footwear.
Tailor bunions often result from inherited foot structure, narrow footwear, or repetitive force along the outside of the foot. As alignment shifts, the surrounding tissue may become inflamed, making walking, standing, and wearing tighter shoes increasingly uncomfortable.
A Closer Look
What Are Tailor Bunions?
A tailor bunion—also known as a bunionette—is a prominence that develops along the outer edge of the foot, just behind the fifth toe. Instead of the joint staying straight, the bone gradually angles outward, creating a noticeable bump that can become tender or irritated, especially when wearing certain types of footwear.
Tailor bunions often result from inherited foot structure, narrow footwear, or repetitive force along the outside of the foot. As alignment shifts, the surrounding tissue may become inflamed, making walking, standing, and wearing tighter shoes increasingly uncomfortable.
A Closer Look
What Are Tailor Bunions?
A tailor bunion—also known as a bunionette—is a prominence that develops along the outer edge of the foot, just behind the fifth toe. Instead of the joint staying straight, the bone gradually angles outward, creating a noticeable bump that can become tender or irritated, especially when wearing certain types of footwear.
Tailor bunions often result from inherited foot structure, narrow footwear, or repetitive force along the outside of the foot. As alignment shifts, the surrounding tissue may become inflamed, making walking, standing, and wearing tighter shoes increasingly uncomfortable.
Key Risk Factors
Inherited Foot Shape
A naturally wider forefoot or angled fifth metatarsal can increase pressure along the outside of the foot.
Footwear That Adds STRAIN
Shoes that narrow near the toes or press on the outer foot can irritate the little-toe joint.
Active or On-Your-Feet Lifestyles
Extended walking, standing, or high-impact activity can place added stress on the outer forefoot.
Biomechanical Issues
Flat feet, overpronation, or imbalanced weight distribution may push more pressure toward the fifth toe.
Key Risk Factors
Inherited Foot Shape
A naturally wider forefoot or angled fifth metatarsal can increase pressure along the outside of the foot.
Inherited Foot Shape
A naturally wider forefoot or angled fifth metatarsal can increase pressure along the outside of the foot.
Footwear That Adds STRAIN
Shoes that narrow near the toes or press on the outer foot can irritate the little-toe joint.
Footwear That Adds STRAIN
Shoes that narrow near the toes or press on the outer foot can irritate the little-toe joint.
Active or On-Your-Feet Lifestyles
Extended walking, standing, or high-impact activity can place added stress on the outer forefoot.
Active or On-Your-Feet Lifestyles
Extended walking, standing, or high-impact activity can place added stress on the outer forefoot.
Biomechanical Issues
Flat feet, overpronation, or imbalanced weight distribution may push more pressure toward the fifth toe.
Biomechanical Issues
Flat feet, overpronation, or imbalanced weight distribution may push more pressure toward the fifth toe.
How Tailor Bunions Develop
Tailor bunions form when the outer side of the foot is placed under repeated pressure, gradually shifting the fifth metatarsal outward. As the joint becomes more exposed, it is more likely to rub inside shoes, leading to irritation, swelling, and increasing discomfort. Recognizing these changes early can help prevent the bump from becoming larger or more painful.
Outer Foot Pressure
Excess pressure along the outside of the foot encourages the joint to shift outward.
Joint Misalignment
The fifth metatarsal gradually angles away from the foot, creating a noticeable bump.
Irritation & Swelling
Rubbing inside shoes can cause inflammation, soreness, and redness.
When to Seek Care
Any persistent pain, growing bump, or difficulty wearing shoes is a sign to schedule an evaluation.
Outer Foot Pressure
Excess pressure along the outside of the foot encourages the joint to shift outward.
Joint Misalignment
The fifth metatarsal gradually angles away from the foot, creating a noticeable bump.
Irritation & Swelling
Rubbing inside shoes can cause inflammation, soreness, and redness.
When to Seek Care
Any persistent pain, growing bump, or difficulty wearing shoes is a sign to schedule an evaluation.
A Better Way Forward
Our Approach to Care
At Ankle & Foot Surgery PA, we take a step-by-step approach to treating tailor bunions, beginning with methods designed to reduce irritation and address the source of discomfort. Our goal is to ease symptoms while maintaining proper foot function and avoiding unnecessary pain.
When conservative care no longer provides sufficient relief or the bunion begins to interfere with daily activities, corrective options may be considered. With decades of experience in both non-surgical and surgical management, we tailor each treatment plan to the individual, ensuring care is appropriate, effective, and aligned with long-term goals.
Treatment Options May Include:
Conservative Care:
- Padding or protective coverings to reduce friction
- Footwear adjustments to ease pressure on the outer foot
- Custom orthotics to improve mechanics and redistribute weight
- Anti-inflammatory strategies to relieve soreness and swelling
- Activity modifications to offload stress from repetitive strain
Surgical Solutions:
- Small-incision procedures to address the bony prominence
- Realignment of the fifth metatarsal for improved alignment
- Shaping or reduction of the bump for a more comfortable shoe fit
A Better Way Forward
Our Approach to Care
At Ankle & Foot Surgery PA, we take a step-by-step approach to treating tailor bunions, beginning with methods designed to reduce irritation and address the source of discomfort. Our goal is to ease symptoms while maintaining proper foot function and avoiding unnecessary pain.
When conservative care no longer provides sufficient relief or the bunion begins to interfere with daily activities, corrective options may be considered. With decades of experience in both non-surgical and surgical management, we tailor each treatment plan to the individual, ensuring care is appropriate, effective, and aligned with long-term goals.
Treatment Options May Include:
Conservative Care:
- Padding or protective coverings to reduce friction
- Footwear adjustments to ease pressure on the outer foot
- Custom orthotics to improve mechanics and redistribute weight
- Anti-inflammatory strategies to relieve soreness and swelling
- Activity modifications to offload stress from repetitive strain
Surgical Solutions:
- Small-incision procedures to address the bony prominence
- Realignment of the fifth metatarsal for improved alignment
- Shaping or reduction of the bump for a more comfortable shoe fit
A Better Way Forward
Our Approach to Care
At Ankle & Foot Surgery PA, we take a step-by-step approach to treating tailor bunions, beginning with methods designed to reduce irritation and address the source of discomfort. Our goal is to ease symptoms while maintaining proper foot function and avoiding unnecessary pain.
When conservative care no longer provides sufficient relief or the bunion begins to interfere with daily activities, corrective options may be considered. With decades of experience in both non-surgical and surgical management, we tailor each treatment plan to the individual, ensuring care is appropriate, effective, and aligned with long-term goals.
Treatment Options May Include:
Conservative Care:
- Padding or protective coverings to reduce friction
- Footwear adjustments to ease pressure on the outer foot
- Custom orthotics to improve mechanics and redistribute weight
- Anti-inflammatory strategies to relieve soreness and swelling
- Activity modifications to offload stress from repetitive strain
Surgical Solutions:
- Small-incision procedures to address the bony prominence
- Realignment of the fifth metatarsal for improved alignment
- Shaping or reduction of the bump for a more comfortable shoe fit

