Bunions and buninettes develop when the bones in the toe area gradually shift out of alignment. A bunion, also called hallux valgus, forms when the big toe moves toward the smaller toes as the joint at the base of the big toe becomes enlarged and prominent. A buninette, also known as a tailor’s bunion, develops on the outside of the foot near the base of the little toe. Both conditions can change foot structure and may become painful without proper care.

Symptoms of bunions and buninettes often include a visible bump, swelling, redness, and tenderness around the affected joint. People may experience discomfort while walking or wearing shoes, especially narrow footwear that places pressure on the affected area. Other symptoms can include stiffness, difficulty moving the toe, and irritation caused by friction against shoes. In advanced cases, these deformities may contribute to changes in walking patterns and increased stress on other areas of the foot.

Several risk factors can contribute to the development of bunions and buninettes. Genetics often play a role because inherited foot structure, such as flat feet or abnormal joint alignment, can increase the likelihood of developing these conditions. Wearing tight, narrow, or poorly fitting shoes may place additional pressure on the toes and worsen symptoms. Other risk factors include arthritis, muscle imbalance, and activities that place repeated stress on the feet.

The causes of bunions and buninettes are often related to gradual changes in foot mechanics and alignment. Abnormal movement while walking can place uneven pressure on the toe joints, leading to progressive changes over time. Early evaluation and proper treatment can help reduce discomfort and support better foot function. Wearing supportive footwear, activity adjustments, and custom orthotics may help manage symptoms and improve comfort. If you have developed a bunion or bunionette, it is suggested that you consult a podiatrist for effective relief and management solutions.

If you are suffering from bunion pain, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

First-step pain is a classic symptom of unilateral plantar fasciopathy. This condition affects one foot and causes sharp discomfort with the first steps in the morning or after periods of rest. The plantar fascia is a thick, fibrous band of tissue that supports the arch and connects the heel bone to the toes. When it becomes irritated or inflamed, it leads to localized heel pain that often improves slightly with movement but can return after prolonged standing or walking. This condition is common among adults who are active, on their feet for long hours, or wearing improper footwear.

Symptoms typically include stabbing pain at the bottom of the heel, tenderness along the arch, and stiffness after inactivity. The discomfort is usually more pronounced in one foot, which distinguishes unilateral plantar fasciopathy from conditions that affect both feet. Risk factors include flat feet, high arches, obesity, and tight calf muscles. Occupations that require repetitive impact or standing may contribute. Wearing unsupportive shoes or walking barefoot on hard surfaces can worsen symptoms. Sudden increases in activity level or changes in exercise routines can also contribute to the development of this condition.

Orthotics play an important role in managing first-step pain by improving foot alignment and reducing strain on the plantar fascia. Custom orthotics help distribute pressure evenly across the foot, support the arch, and cushion the heel. By stabilizing abnormal foot mechanics, orthotics can reduce inflammation and allow the fascia to heal more effectively. They also help prevent recurrence by addressing underlying biomechanical issues, such as overpronation or uneven weight distribution.

Addressing first-step pain early can prevent chronic discomfort and long-term damage. Conservative care like stretching, wearing supportive footwear, and orthotic use often leads to significant improvement. If you have first-step pain and want to know how orthotics can help, it is suggested that you consult a podiatrist for effective relief and treatment solutions, which may include custom made orthotics.

Our feet carry us through every part of life, absorbing the impact of thousands of steps each day. When they are not properly supported, the effects can extend far beyond the feet themselves. Custom orthotics provide the foundation the body needs by aligning, cushioning, and stabilizing each foot in its most natural position. They are carefully crafted to match the unique structure of each individual’s feet, allowing them to move efficiently and comfortably while reducing stress on the muscles, joints, and ligaments.

Proper foot support is essential for maintaining balance and preventing fatigue. Without it, the body compensates by shifting weight unevenly, which can lead to discomfort in the ankles, knees, hips, or lower back. Custom orthotics help restore this balance by redistributing pressure and promoting a more natural walking pattern. They not only ease existing pain but also protect against future strain or injury by supporting the arches and controlling excessive motion.

Unlike store-bought insoles, custom orthotics are created through detailed assessment and advanced technology to provide precise correction and comfort. They fit seamlessly into most shoes, making them ideal for daily wear, work, or sports.

If your feet feel tired, sore, or unsupported, it is recommended that you contact our office for more information, or to make an appointment.

If you have any questions please contact one of our offices located in Issaquah, WA . 

Swollen feet, also known as peripheral edema, occur when excess fluid builds up in the tissues of the lower extremities. This condition can affect one or both feet, and may develop gradually or suddenly. Common causes include prolonged sitting or standing, excess salt intake, and wearing shoes that are too small. Consuming too much liquid in a short period of time may also contribute to fluid retention in some individuals. While swelling is often temporary, it can signal an underlying issue when it persists.

Symptoms of swollen feet include visible puffiness, tight skin, and a feeling of heaviness in the lower legs. Individuals may notice difficulty fitting into shoes or indentations in the skin after pressure is applied. Discomfort, stiffness, and mild pain may also occur, especially after long periods of inactivity or standing. In some cases, swelling may worsen by the end of the day and improve with rest or elevation.

Risk factors for swollen feet include sedentary behavior, high sodium intake, and poor circulation. Individuals who sit or stand for extended periods of time may experience reduced blood flow, leading to fluid accumulation. Wearing restrictive footwear can limit circulation and increase pressure on the feet. Certain lifestyle habits and dietary patterns may further contribute to swelling, particularly when combined with limited physical activity.

Managing swollen feet involves simple but effective lifestyle changes. Elevating the feet, reducing salt intake, and choosing properly-fitted shoes can help improve circulation and reduce fluid buildup. Regular movement throughout the day also supports healthy blood flow. Recognizing the cause of swelling is important for proper care and prevention. If you have swollen feet or ankles, it is suggested that you consult a podiatrist who can determine what the cause is and offer effective relief and prevention tips.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pain in the big toe can affect mobility and daily comfort. The big toe plays an essential role in balance and push off during walking, so even mild discomfort can become disruptive. Several conditions may cause this pain including injury, bunions, and gout. Identifying the underlying cause is important for effective treatment and long-term relief.

Injuries are among the most frequent causes of big toe pain, with stubbing the toe being the most common. This can lead to bruising, swelling, and sharp pain. Osteoarthritis develops over time as cartilage wears down resulting in stiffness, aching, and reduced joint movement. Bunions cause a visible deformity where the toe shifts toward the second toe, leading to joint pain and inflamed skin. Gout is a form of inflammatory arthritis that causes sudden intense pain, redness, and swelling due to uric acid buildup in the joint.

Symptoms vary depending on the cause, but often include tenderness, swelling, and difficulty bearing weight. Injury-related pain is usually immediate, while osteoarthritis causes gradual discomfort. Bunions may lead to chronic irritation, and gout often presents with sudden severe pain that can wake individuals at night. Recognizing these patterns can help guide appropriate care and prevent worsening symptoms.

Risk factors include wearing poor footwear, repetitive stress, and underlying medical conditions such as arthritis or gout. Early evaluation can prevent progression and improve function. Supportive shoes and proper foot care can reduce strain on the big toe joint. If you have pain in your big toe, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.