There are a number of treatments that may be used to ease the discomfort of a bunionette or eliminate the deformity. Normally, doctors begin treatment with conservative, non-invasive methods first. 

Some nonsurgical treatments include:

  • Wearing pads to protect the bump on the outside of the foot
  • Toe aligners and orthotics to move the fifth toe back into place
  • Switching to shoes with low heels and a wide toe box
  • Non-steroidal anti-inflammatory medications like ibuprofen and aspirin
  • Cold packs and compresses for reducing swelling
  • Ultrasound therapy

Surgery is typical reserved for for cases where the bunionette does not respond to nonsurgical interventions.

Surgical treatments include:

  • Surgical removal of the bunionette, which involves removing bone and soft tissue
  • Distal Osteotomy, where the fifth toe is repositioned and held in place with pins