An operation may be advised if a change of footwear does not ease symptoms. The aim of the operation is to straighten the joint as much as possible. There are many different types of operation which are used to treat bunions. These range from operations to 'trim' parts of the joint, to a total artificial replacement of the big toe joint (similar to a knee or a hip replacement). The operation chosen by the specialist depends on the severity of the bunion , the shape of your foot, and other factors such as if you have arthritis in the joint. Neither is it uncommon for most runners to experience the black nail syndrome at some time or other. ( I honestly don't know anyone who hasn't ) Because of the constant training and pounding the skin under the big toenail gets bruised and can bleed, in many cases the toenail falls off. Neither is it unusual for runners to lose toenails on several toes. A shoe with a roomy toe box can also help with this problem and double runner socks. When socks have two layers the one layer glides over the other and stops friction. Early medical intervention using custom molded functional foot orthotics can in many cases prevent bunion surgery or slow the progression of the deformity. The use of foot orthotics after bunion surgery is important in preventing the return of the bunion deformity. Please review the foot orthotic article for information on foot orthotics. There are other interventions that help such as using a silicon spacer to help align the joint to reduce stress to the ligaments of the joint. A great tip when buying shoes - buy them in the afternoon when feet are at their largest due to swelling. If you wear heels, no more than one inch is best. One possible reason that a child may be walking on their toes is that their Achilles tendon is too short. This condition, which is termed equinus, is common in adults, but is probably less common in children whose ligaments and tendons tend to be more flexible. Underlying conditions which could lead to equinus include cerebral palsy and other muscular or neurological disorders. Shoes with removable inserts often provide us feel more comfortable and to treat certain foot problems. Insoles can be replaced with a supportive insole for added comfort. And now, women are looking for this type of footwear, such as the choice of comfortable footwear tuning. read more You should also make sure that you have access to other postoperative pain reducing techniques such as cryotherapy. This is a very simple device that circulates temperature controlled cooling through a special pad incorporated into the dressings applied at the time of surgery. By continually icing and cooling the surgical site for first couple of days after surgery, patients have less pain, less swelling, and recover faster. For some people the bunion won't bother them and they will always live life with it. For others like my friend it can become a nuisance and very painful. I would recommend seeing a doctor right away for such pain.