Bunions—medically known as hallux valgus—are a common foot condition that can cause swelling, redness, and persistent discomfort around the base of the big toe. While bunions themselves develop gradually over time, there are certain triggers that can make symptoms suddenly worse. Understanding what causes bunions to flare up can help you manage the pain and prevent further progression.
At Adelaide Bunion Clinic, we see patients who experience these flare-ups from a variety of everyday factors, many of which are avoidable with the right advice and care.

Tight or Ill-Fitting Footwear
Shoes that crowd the toes, especially those with narrow toe boxes or high heels, are one of the most common causes of bunion pain worsening. They increase pressure on the joint, forcing the big toe further out of alignment and irritating the surrounding tissue.
Increased Activity or High-Impact Exercise
Sudden changes in activity level—such as long walks, running, or sports—can aggravate bunions. Repetitive stress on the forefoot increases inflammation around the joint, leading to redness, swelling, and pain.
Inflammatory Conditions
Certain medical conditions, such as arthritis or gout, can cause flare-ups. These conditions inflame the joint lining, making an existing bunion more sensitive and painful.
Injury or Irritation
Even a minor bump to the toe or prolonged rubbing from a seam inside your shoe can trigger a flare-up. This is because the skin and soft tissues around a bunion are already under strain and more prone to irritation.
Changes in Weather or Temperature
Some people notice their bunions become more painful during colder months or when the weather shifts quickly. This is often due to changes in circulation and joint stiffness.
Weight Gain or Fluid Retention
Additional weight increases pressure on the forefoot. Even temporary changes, such as swelling caused by heat, travel, or hormonal shifts, can make bunions more uncomfortable.
Prevention Tips to Reduce Flare-Ups
While bunions won’t go away on their own, you can reduce flare-ups by:
- Choosing shoes with a wide toe box and good cushioning
- Wearing orthotics to redistribute pressure on the foot
- Using protective pads to reduce friction over the bunion
- Avoiding sudden spikes in physical activity
- Maintaining a healthy weight
When to Seek Professional Care
If bunion pain is stopping you from enjoying your daily activities, it’s best to seek help before the condition worsens. At Adelaide Bunion Clinic, we offer thorough assessments and personalised treatment options, from custom orthotics to advanced bunion management plans tailored to your lifestyle.