Footwear cannot permanently reverse an established adult bunion, but it can substantially alter symptoms. Pressure over the medial prominence, crowding of the lesser toes and forefoot loading are strongly influenced by shoe shape.
Fit shoes later in the day when the foot is more likely to be swollen. Check width as well as length, and assess the shoe while standing. A shoe that is technically the correct size may still be unsuitable if the toe box tapers sharply.
Allow space for the big toe and lesser toes without side pressure.
Use adjustable laces, straps or fastening to stabilise the foot.
Choose a cushioned but stable sole appropriate to the activity.
Avoid seams or rigid overlays directly across a sensitive prominence or scar.
Rotate footwear rather than wearing one pressure pattern every day.
Must narrow shoes be avoided forever after bunion surgery?
Not necessarily, but prolonged use of narrow or high-heeled footwear can recreate pressure and symptoms. Fit should be judged by comfort, swelling, joint condition and the corrected forefoot shape.