Looser ligaments make women more prone to bunions and arthritis can also make it worse.A bunion starts with an increase in the fluid in the bursa, a sac that cushions the bigtoe joint against weight bearing impact.It gradually becomes more inflamed, swollen and painful, deforming and potentially damaging the joint. Eventually, a bony swelling forms at the base of the big toe and the toe angles inwards, towards the second and third toes.High heels are especially bad because all your body weight is concentrated on this very small toe joint, while narrow, pointy shoes may add to the pressure by squeezing toes together.What can you do?The only cure is surgery but there are potential complications and foot specialists (podiatrists) only advise opting for it if you’rein pain.See your GP as soon as you notice the first signs of a bunion. He or she can refer you to a foot specialistor surgeon.A podiatrist can advise on ways to ease symptoms and slow the progression.

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