Does Gout Cause Bunions? – Causes, Diagnosis & Treatment!

Gout is one of the top misconceptions that are associated with Bunions. Often one ailment is a self diagnosed in place of the other. It is understandable as to why that happens, though!

Upon physical inspection, many symptoms of bunions match with the Gout. Along with that, while diagnosing Gout is not your first thought as it is not so common. Other conditions like Bursitis and osteoarthritis take place at the front of your mind.

It would not be wrong to say that Gout causes Bunions, but the probability of that happening is very low. Mostly Gout and Bunions are two separate things with similarities that get tangled. Gout is not specifically a foot deformity, but its effect on the joints causes inflammation that matches the Bunions.

Similarities Between Bunion Vs. Gout

As mentioned earlier, most symptoms are similar and result in similar physical deformation.


Bump the displacement of metatarsophalangeal joint cases displacement.
Overlapping: the big toe is rolled inward and overlaps the second or even third toe.
Motion: due to decreased mobility, the movement is restrained along with the Bunion.
Skin problem: the constant rubbing of the toe causes the formation of Calluses and corn. The area around the Bunion gets hard yet tender.



Joint problem: although it is the same cause in the metatarsophalangeal joint but is only limited to the area and not the surroundings.
Discomfort: due to joint inflammation, Gout causes more pain than Bunion unless disturbed otherwise.
Motion: the motion of the joint becomes resistant and painful.
Skin problem: the area becomes tender and inflamed with red skin and warmth.


Causes of Bunion Vs. Gout

Gout’s causes are dissimilar, but you can see them when the similarities start to set in, which may confuse!


Bunions are common, and they are caused due to misalignment of the metatarsophalangeal joint at the base of the big toe. Many factors cause bunions, but the most common ones are hereditary, underlying foot deformities, Arthritis, and environmental factors.

Hereditary factors are more resilient to treatment. Environmental factors include narrow shoes, lack of orthotic support, constant running, friction, and uneven pressure on feet.


If your body, especially the kidney, is not breaking down the uric acid, then urate accumulation can cause toxicity. One of the significant adverse effects is Gout.

Needle-like sharp crystals start to form that deposit themselves in the curve of joints. They interfere with the conditions of synovial fluid and cause rigidity in the movement. Along with that, the motion is disturbed, and the area becomes inflamed.

Gout is another form of advanced Arthritis that is progressive and gets worse as you age.

Diagnosis of Bunion Vs. Gout

The diagnostic process is both simple and easy if you are aware of the symptoms, but external aid and foot specialists’ recommendations should be considered.


A foot specialist can quickly tell upon first glance with the naked eye. X rays also show a clear view of the intertarsal angle and what treatment to recommend.


Gout is also done the same way with an X-ray of the inflamed joint. Along with that, a blood test and urea test is recommended to check the levels of urea or recommendation of suitable medical treatment.

Treatment of Bunion Vs. Gout


Bunions can be treated through surgical and nonsurgical methods.

Non Surgical Methods

Nonsurgical procedures are also called natural processes, which are more comfortable to practice and relatively painless. Foot practices are the most effective and best-recommended physical therapy that includes:

  • Toe Spreads

Place your feet on the ground and relax them. Now lift the toes while keeping the heels on the floor. Flex your toes wider and contract them. Repeat this exercise fifteen to twenty times.

  • Toe circles

Place your feet on the ground. Bend over and touch your toes. Keep the feet level with the ground. Hold your big toe and rotate it clockwise twenty times. Repeat the exercise two to three times while giving the toe a break for one minute. The rotation regulates blood flow and eases the stiffness in the joint.

  • Towel grip

Place a towel or any thick washcloth on the ground. Grip it with your toes. Roll the toes inward while holding the towel. Keep doing it for seven minutes.

  • Other Non Surgical Methods

Apart from foot exercises, you can choose natural methods to bring back the natural anatomy of feet before the Bunions had formed.

    • Wider shoes to decrease pressure.
    • Use of anti-inflammatory and antibacterial drugs.
    • Topical and parenteral corticosteroids are common.
    • Moleskin or glue filled pads for the bunion area.
    • Toe separates to help joints regain their shape.
    • Night splints for straightening the anatomy of bunions.
    • Icing method.
    • Foot exercises for energizing ligaments and tendons around bunions.
    • Orthotic shoes are worn with supportive shoe inserts.

Surgical methods

Surgical methods are a long shot and mostly pursued in advanced Bunion runners. It is also commonly recommended to patients who have severe effects of bunions that have spread to their 2nd and 3rd toes. Sometimes there is overlapping on the other toes that can lead to permanent deformities.

Bunionectomy is advised by the foot specialist as a last resort. If the other methods are no longer useful, then surgery will help!

The type of surgical procedure mainly depends on the intensity of the deformity.


Gout is mainly treated with medicine as the uric level is brought to normal the symptoms are automatically controlled. Lifestyle changes, weight loss, and icing can catalyze the healing process that is accompanied by the intake of medicine. However, there are variations in treatment that should be considered and taken with precaution.
The top recommendations are:

      • Coxib therapy, such as celecoxib (Celebrex)
      • colchicine (Colcrys, Mitigare)
      • corticosteroids, such as prednisone
      • xanthine oxidase inhibitors (XOIs), such as febuxostat (Uloric) and allopurinol (Aloprim, Lopurin, Zyloprim)
      • uricosurics, such as lesinurad (Zurampic) and probenecid (Probalan)

Basic Differences between Bunion Vs. Gout

Although we have talked in detail about the differences regarding causes and treatments there is more. Differentiating between Gout and Bunion can still be a problem.

Not everyone has medical tools at hand that can help them tell apart. We recommend visiting your podiatrist before officially declaring the reason for your pain. Self diagnosis is not always accurate and can often be misleading.

To help you take the first step we have gathered some facts that are understandable for all our readers. Here are the basic differences that if pondered will let you know everything. Good news is that you will notice you already know the answers to all as you have read above.


  • Pain generated gradually over a long period of time.
  • Limited to the big metatarsal joint.
  • Already present symptoms have less to do with bunions.
  • Genetic predisposition.
  • Has less effect on other symptoms of the body.
  • Touch sensitivity has increased.
  • Redness.
  • Foot pain in general.


  • Sharp, sudden and quick pain.
  • Associated with all big joints and other areas of the body.
  • Already present symptoms contribute highly to gout formation.
  • Less genetic predisposition.
  • Can worsen other symptoms like heart failure.
  • Around the big toe joint, there is swelling and redness.
  • The pain was sharp and stabbing.
  • There’s a chance you’ll get joint discomfort somewhere else in your body.

Frequently Asked Questions (FAQs)

Can a Gout cause Bunion?
Gout is different from bunion even though it looks the same. there is less likely that your gout is causing a bunion because their reasons for the formation are quite different. Bunions are formed due to physical pressure if not genetic. It is more of an external thing than a gout in which internal body uric crystals are accumulated that cause inflammation.

Why have I suddenly got a bunion?
Bunions can be caused or made worse by wearing tight, narrow shoes. Bunions can also arise as a result of your foot’s shape, a deformity, or a medical condition like arthritis. On the joint of your little toe, smaller bunions (bunionettes) can form.

Does Gout favor bunion?
Yes, it is possible to have a bunion joint and then the gout comes to attack it. it is more common than you think. gout targets the big joint and bunion happens to be just what the uric crystals need to accumulate and double the pain. However, they are not the same.


Easy methods can control the progression of Bunion and Gout. However, if the pain continues to increase and your meddling is making it worse, please recommend your doctors before taking any more action!

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