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Podiatrist, Foot Doctor James Kutchback, DPM, ABLES, CWS-P located in The Woodlands, TX 77384 and Woodville, TX 75979 area

James Kutchback, DPM, CWS-P

Taylor Saucier, DPM, AACFAS

The Woodlands
Woodville
(936) 273-3311

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Understanding Bunions and When Surgery May Be Needed

Tuesday, 07 October 2025 00:00

A bunion is a bony bump that forms on the joint at the base of the big toe, as the top of the toe leans inward. It may appear red, swollen, and feel painful or stiff, especially when walking or wearing tight shoes. Common causes include inherited foot structure, arthritis, or wearing narrow footwear. Symptoms range from mild discomfort to persistent pain, limited movement, and visible deformity. A podiatrist can diagnose a bunion through a physical exam and X-rays. Non-surgical treatments include custom orthotics, padding, anti-inflammatory medication, or shoe modifications to relieve pressure. If conservative methods fail and pain interferes with daily life, surgery may be considered. Surgical benefits include pain relief and improved foot alignment, but risks may include infection, nerve damage, or a lengthy recovery. Every case is unique, and a podiatrist can help determine the best course of action. It is suggested that you make an appointment with a podiatrist for proper evaluation and care.

If you are suffering from bunion pain, contact one of our podiatrists of James Kutchback, DPM, CWS-P. 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 our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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