From the Research
The best treatment approach for a 10-year-old with a bunion is typically conservative and non-surgical, focusing on managing symptoms and preventing progression until skeletal maturity is reached. According to the most recent and highest quality study 1, initial management should focus on properly fitted, wide-toed shoes with adequate arch support to reduce pressure on the bunion. Custom orthotic inserts may help correct foot alignment and distribute pressure more evenly. Night splints can be used to improve toe alignment while sleeping. Physical therapy exercises to strengthen foot muscles and improve flexibility are beneficial, including toe stretches and picking up marbles with toes.
Key Considerations
- Pain management can include over-the-counter medications like children's ibuprofen (10mg/kg every 6-8 hours as needed) or acetaminophen (15mg/kg every 4-6 hours as needed) for temporary relief.
- Surgery is rarely recommended for children this age because the foot is still growing, and the bunion may recur.
- The child should avoid tight shoes, high heels, and activities that exacerbate pain.
- Regular monitoring by a pediatric podiatrist is important to track progression, as bunions in children often have a genetic component and may be associated with underlying foot structure issues like flat feet.
Additional Recommendations
- Conservative treatment aims to prevent progression and manage symptoms until skeletal maturity is reached, at which point surgical options may be reconsidered if necessary 1.
- A holistic approach to bunion care, considering etiology, presentation, diagnosis, and management, is essential for providing the best care to patients 2.