Pleading the Fifth

It’s probably a good thing most people don’t type or play an instrument with their toes. Do you remember piano lessons growing up? Straining your hand to complete that chord with your pinky finger? The small “pinky” toe of the foot can experience its own unique set of complications from a variety of causes. One specific condition afflicting the fifth toe is called a Tailor’s bunion. Unfortunately, you don’t need to fix clothes to experience one.
The most common type of bunion affects the ball of the foot, and usually shows up as a bony, joint problem on the inside of the foot. It usually results in the big toe pointing outwards. A near mirror image of this condition is called a “Tailor’s bunion” which is very similar though less common. As one might expect, the key problem area with this condition is in the joint area just behind where the fifth toe starts, and it often results in the fifth toe pointing inwards. Usually, the bone and other structures in the area will become enlarged or inflamed, and the toe may be rotated inwards.
A whole host of varying biomechanical factors can lead to the development of a Tailor’s bunion. While some may claim that pronation, or an outwardly-rotated heel is the root cause, that alone is usually only part of the problem. Other issues may be involved in the forefoot or even the calf muscles. Either way, what often ends up happening is that the fifth toe loses its stability and becomes excessively mobile. This, in conjunction with first toe issues, can be associated with a “splayfoot” deformity in which all of the toes become unnecessarily spaced.
Over time, the underlying process of a Tailor’s bunion will become more evident as the stress of walking and forces from the ground begin to take their effects. Bony changes may occur on the top, bottom, or outside of that area behind the fifth toe, along with accompanying skin changes. Arthritis and inflammation in the area are also a likely.
You should definitely check with your podiatrist if you have any of these symptoms. Because the causes behind this condition are variable, it’s good to devise a treatment plan that will work for you. Orthoses are effective for treating some Tailor’s bunions, but not others. Like many conditions, the treatment comes down to the individual.


Advanced Foot Care
Robert E. Kuvent, DPM
3225 S Alma School Rd
Chandler, AZ 85248
480.917.2300
http://www.yourfeetfixer.com