A bunion is a genetic deformity in the front of the foot whee the first metatarsal bone drifts away from the second metatarsal, resulting in a boney protuberance which can be painful in closed-toe shoes. Pointed dress shoes and flat feet can also contribute to the formation of a bunion. Wider shoes, bunion pads, anti-inflamatories and orthotics are a few examples of conservative treatment options for painful bunions. If conservative measures fail to relieve pain surgical connection may be necessary.