A bunion is a boney prominence at the inner portion of the great toe joint. The most common form is seen with an inherited foot type that tends to excessively “pronate” or flatten to a degree that allows a muscle imbalance and secondary bunion to form. Shoe pressure on the bunion produces pain and sometimes inflammation. Treatment after medical evaluation may consist of one or more of the following: shoe pressure avoidance, “pronation” or flatfoot control with custom orthotics to decrease the bunion progression, anti-inflammatory medication use and surgery.