Straight talking - Let's chat about bunions!

October 15, 2020

It’s that time of the year when the summer wardrobe gets switched for the warmer winter clothes and boots.

Your old faithful ugg boots have made an appearance but your favourite boots and shoes no longer seem to fit you. If you’ve noticed your foot becoming wider across the toe area, and previously well-fitting shoes are now tight and uncomfortable, you may be developing a bunion. Or maybe you’ve always had footwear restrictions because of a bunion but it’s become more noticeable and painful when it wasn’t before.

Bunions are caused by a complex combination of factors, namely our genes. We inherit genes that give us our foot type and function, and these factors determine whether or not we are likely to develop bunions. Both men and women can develop bunions and there is even a juvenile form of bunions that can occur in children.

Many people have bunions and not all require surgical treatment. Unfortunately, many people are told not to seek treatment unless their bunions are killing them, and as a result we often see bunions in the elderly which have been untreated. The more advanced the bunion deformity, the more likely it is that there are other associated problems, like crooked toes (called hammer toes) which can rub on shoes and become painful. And the more chance there is cartilage damage inside the bunion joint. Bunions develop because of an instability within the big toe joint, and they are progressive which means they usually get worse over time. Research has shown that in older people, bunions have been linked to falling over. Let’s face it, we don’t need to add to the list of obstacles that can cause falls. And we want to stay on our feet for as long as we can. 

August 5, 2026
The Mystery of the Painful Spot on Jack's Foot Eight-year-old Jack loved nothing more than playing soccer at school. Every lunchtime he was the first one on the oval and the last one to leave. One afternoon he came home limping. "Mum," he said, "it feels like I've got a stone stuck in my shoe." His mum checked his shoe... nothing. She looked at his foot and found a small rough bump on the sole. It didn't look like much, but every step hurt. It wasn't a stone. Maybe it was a splinter? No, it was a plantar wart, also called a verruca. And, pretty soon it started to spread. So, what is a plantar wart? Plantar warts are caused by a common virus that infects the outer layer of the skin. They are especially common in school-aged children, although adults can get them too. The virus often enters through tiny breaks in the skin, especially in places like swimming pools, change rooms, public showers, and around sporting facilities. They're very common—and they're nothing to be embarrassed about. Unlike warts on the hands, plantar warts grow on the bottom of the foot, where your body weight presses down on them every time you walk. Instead of growing outwards, they are pushed inwards, making them feel like you're constantly standing on a pebble. For active children like Jack, that can make running, playing sport and even walking uncomfortable. Do all warts need treatment? The simple answer is no. Many plantar warts disappear on their own as the body's immune system eventually clears the virus. This can happen over months or even a couple of years. We usually recommend treatment if the wart is painful, growing larger, spreading to other areas, causing your child to avoid sport or normal activities, or becoming a nuisance that just won't go away. What treatments are available? The good news is that there are lots of treatment options, and we'll help choose the one that's right for you or your child. Depending on the wart, treatment may include carefully removing hard skin over the wart and applying special wart treatments (often prescription-strength medications). When surgery is the best option? Occasionally, a wart simply refuses to leave despite repeated treatment. In these stubborn cases, we can offer surgical removal. Surgery may also be a good option for children who are very anxious about repeated appointments and would prefer to have the wart dealt with in one procedure rather than returning multiple times for treatment. All of our podiatrists can treat warts, but if it’s surgery you’re after, book in with one of our surgical podiatrists who will discuss whether surgery is appropriate and explain exactly what is involved. If you or your child has a painful wart, we'd be happy to help get you comfortably back on your feet. Call us on 9250 1676 to make an appointment or book online .
July 1, 2026
What's the Fuss About Rafael Nadal's Foot? Understanding Müller-Weiss Syndrome When tennis legend Rafael Nadal announced his retirement from the sport, many people were surprised to learn that one of the biggest challenges throughout his career wasn't an opponent—it was his left foot. Nadal has lived with a condition called Müller-Weiss Syndrome, a rare disorder affecting a small bone in the middle of the foot called the navicular bone. While most of us won't be playing Grand Slam tennis anytime soon, this condition is not limited to elite athletes and can affect everyday Australians too. What is Müller-Weiss Syndrome? Müller-Weiss Syndrome is a condition where the navicular bone gradually changes shape and can become damaged over time. This often leads to collapse of the arch, arthritis developing in nearby joints, and ongoing foot pain. Most people with the condition experience pain through the middle or inside of the foot, discomfort when walking or standing for long periods, a flattening of the arch, swelling around the middle part of the foot, and difficulty staying active due to foot pain. It’s a condition that is most commonly diagnosed in middle-aged adults and often develops gradually over many years. It's Not Just an Athlete's Problem Although Nadal's story has brought attention to Müller-Weiss Syndrome, you certainly don't need to be a professional athlete to experience it. In fact, many people first notice symptoms while doing everyday activities such as walking the dog, shopping, gardening, exercising, or spending long hours on their feet at work. And, because the symptoms can mimic arthritis, tendon problems, or general "wear and tear," the condition is sometimes overlooked without a proper assessment. Don’t ignore foot pain - it should never simply be accepted as part of getting older. The good news is that many people can successfully manage their symptoms without surgery. If you've been experiencing ongoing foot pain, changes in your arch shape, or discomfort that is limiting your activities, book an assessment with one of our podiatrists . Click here to book online , or phone us on 9250 1676. Your feet carry you through life—it's worth making sure they're looked after properly.