The proper medical term is called “Hallux AbductoValgus” which is an angulation of the large toe toward the second toe. A pronated foot that rolls inward is the common cause, which is typically inherited. This angulation will increase over time, and symptoms may become painful due to tight or poor shoe fit. Many people have bunions without any pain, so conservative treatment to halt the progression, is the way to treat. This includes proper shoes, padding and orthotics to correct the abnormal foot pronation. Although many people have good relief of symptoms, with conservative care, true repositioning and straightening is only accomplished through surgery.