Alexis, can you tell me more about bunions...where do they come from ?


Bunions are arthritic deformations that are originally caused by improper foot position, although genetic factors and footwear problems cannot be ruled out.


In my opinion, bad footwear is 70% of the cause.


The basic styles defined for women’s shoes have no respect for the morphology of the female foot. Pumps, notably, are very narrow.


Can bunions hurt even when we are barefoot ?


Bunions are osteoarthritic thrusts. They therefore cause inflammatory rhythms of pain that are indicators of growth spurts, but the major source of pain comes from footwear friction. Let’s not forget that bunions are double distortions: the metatarsal deviates outward and the big toe goes inward. It is the deviation of the metatarsal that significantly increases the width of the foot.


In traditional footwear, a shoe style like a pump in size 7.5, for example, will have a width of 3.1 in (7.8 cm), and a style like a loafer will have a width of 3.3 in (8.4 cm). Even a man’s shoe in size 7.5 will have only one width of 3.4 in (8.7 cm).


A woman with bunions will need at least 3.5 in (9 cm).


In case of friction, bursa that ignite and cause pain are being produced. If the friction stress is removed, there will be much less pain, although a bit of pain associated with osteoarthritis may remain. 


Can the development be slowed down ?


Of course! First we have to modify the factors we can control, such as poor support of the foot and footwear friction. If you have good support and remove friction, you will considerably slow down the process, but the development will always be there. It will be slower, but still present.


What shoes will hurt for sure ?


  • On the one hand, it is shoes whose heels are too high and that precipitate the body weight to the front. 2 in (5 cm) is the maximum heel height not to exceed, the ideal being to wear shoes with a 1.2-inch to 1.6-inch heel (3-4 cm) where the body weight is evenly distributed between the front and rear. To give you an example, with a 2.8-inch heel (7 cm), 5/6th of the body weight is concentrated on the forefoot.
  • On the other hand, it is shoes that are too tight in the front. As I said earlier, pumps with a 3.1-inch width (7.8 cm) for a size 7.5 can only cause pain since they induce an inevitable friction.


Would you say that Caroline Macaron shoes are different from all the shoes you have seen so far ?


Naturally, the greatest strength of this footwear is the unique 3.7-inch width (9.4 cm) for a pump or loafer of size 7.5. And the offered heel heights between 0.6 in (1.5 cm) and 2 in (5 cm) are perfect for urban living and prolonged walking.


This footwear will minimize the pain as it will provide good support; it will allow a foot with bunions to spread out comfortably and it will eliminate friction.


Aesthetically, how would you qualify them ?

I'm not in the best position to comment on that, but I find you very elegant in your pumps, and I could see my wife in this pair of pretty orange loafers.


May I ask you one last question since you are a man: how old are you, Alexis ?


35 years old.


I want to thank Alexis warmly for taking the time to meet with me and answer my questions. I hope you've learnt more about bunions and that you've grasped a few tips to slow down their progression.


Have a lovely day !



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