The diagnosis of a tailor's bunion is based on physical exam and imaging. X-ray imaging is performed to evaluate the increase angle between the fourth and fifth metatarsals. This diagnostic tool is also used to determine how much of the bump is composed of bone and how much is do to the swelling from the above mentioned bursa sac. Non-surgical treatment is used to decrease the pain and inflammation from a tailor's bunion. This includes anti-inflammatory medicines, steroid injections. Pads and shoe modification such as a wider toe box or softer materials are used to decrease pressure on the area. THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informationalpurposes only and does not address individual circumstances. It is not asubstitute for professional medical advice, diagnosis or treatment and shouldnot be relied on to make decisions about your health. Never ignore professionalmedical advice in seeking treatment because of something you have read on theWebMD Site. If you think you may have a medical emergency, immediately callyour doctor or dial 911. Dr. Scholl's ® Custom Fit ® Orthotic Inserts use a sophisticated Footmapping ® technology to give you customized comfort and support. Dr. Scholl's ® Custom Fit ® Orthotic Insertsbunion callus If the problem is found to be an enlarged metatarsal head then this area can simply be shaved down. If there is an increased angle between the fourth and fifth metatarsal bones this angular relationship may need to be changed. Therefore, this condition may need further modification by making a cut across the metatarsal and shifting the end of the bone. After shifting the cut section of the metatarsal, a screw may be used to maintain the position. If there are significant angular abnormalities between the fourth and the fifth metatarsals, then a surgical procedure at the base of the bone with screw fixation may be required. The problems caused by them are not only related to our feet but also include back and posture problems. It will be necessary to remind you that no matter how beautiful and attractive your heels are, if you have hump in you back, all eyes will focus on the hunched posture instead of focusing on your shoes. So be smart and healthy, do not wear these shoes excessively. If you wear them constantly, over the years Achilles tendon becomes shorter. This condition is particularly very painful, especially if you try to go back to flat shoes.bunion callus orthotics made by her chiropractor. Unfortunately, as we see all too often, the orthotics did not come close to conforming to the arch of her foot. Thus, they had no ability to transfer pressure off of the ball of her foot. This is one more reason why, if you are going to get custom orthotics, get them only from a practitioner who specializes in the foot and in orthotic therapy. So often heel pain is dismissed by non-sufferers as just a pain in the foot. If only they knew of the searing pain that can be experienced if you are unfortunate enough to become a victim