The bothersome bunion is a bony bump that pushes the big toe inward to the second toe. And added pressure on the joint of the big toe can cause the bump to get bigger, which then leads to swelling and pain. When you consult your Mercy Clinic primary care physician, you also have access to a team of experts who can find a treatment that’s right for you. Sometimes, conservative measures are all that are needed. Surgery may be required. In any case, we’re here to help you step better, every step of the way.