Suggested ORF Modifications

Frame Modifications:
- Forefoot -
5th Ray Cut Out

Offloading Pads & Cushions:
- Forefoot -
Metatarsal Balance

Offloading pads & Cushions:
- Forefoot -
Metatarsal Punch

Tailor’s Bunion

ICD 10 - M21.629

A tailor’s bunion is not unlike a normal bunion found at the base of the big toe. The tailor’s bunion is also called a bunionette. Tailor’s bunions are not as common as normal bunions. A tailor’s bunion is usually caused by the faulty biomechanics of the foot. Faulty mechanics cause the metatarsal of the little toe to go outward, while the little toe goes inward toward the foot. This shifting creates a bump in the foot that is easily irritated by shoes during physical activity.


  • Redness, swelling and/or pain near the outer edge of the base of the little toe
  • Irritation and wearing of the skin from contact with the edge of the shoe
  • Inward shifting of the little toe and outward shifting of the 5th metatarsal


To confirm a diagnosis is quite simple with this condition. A clinician will observe the patient and perform a physical examination and look for the key features of a tailor’s bunion. X-rays and other imaging studies may be ordered to determine the severity and cause of the condition.


Conservative treatment is a viable option for treating a tailor’s bunion. A normal treatment plan will include: shoe modifications, padding, icing, NSAIDs, orthotics and corticosteroid shots, if needed. If pain continues despite conservative treatment, surgical options are available depending on the current condition of the patient.