Bunions are usually one of the symptoms of a bunion. The bunion forms a bump on the metatarsal joint of the medial side of the foot, which squeezes the bump when shoes are worn, causing inflammation and pain in the joint capsule. Bunions can also cause other problems. Such as metatarsalgia, painful calluses on the bottom of the foot, deformity and stiffness of the lateral toes, and the formation of corns and calluses. Wearing pointy shoes and high heels are causes of bunion deformities, congenital genetic factors and but it can cause pain, bunions, corns and calluses in the deformity. A medical evaluation is required before treatment for painful bunions can begin. Osteoarthritis, rheumatoid arthritis, infections and gout can all cause bunion pain. Circulatory problems can cause pain and even serious complications during surgical treatment. Diabetes increases the possibility of non-healing and a tendency to infection. Treatment is divided between surgical and conservative treatment. The goal of conservative treatment is to relieve local pressure and prevent pressure pain and foot ulcers. Treatment consists of wearing adaptive orthopedic shoes – casual shoes with shaped soft cushions inside or extra deep shoes. The purpose of surgery is different. It attempts to rearrange and balance the bunion to restore normal function. A pinky toe can be restored by straightening and shortening the toe. Bunions can be treated with joint replacement or joint fusion.