Have you noticed a bony bump at the outside ball of your foot beneath your 5th toe? If so, you may have a Tailor’s bunion. This is a bony abnormality to the 5th metatarsal, the most outer long bone of your foot. It is similar to a bunion which is on the inside of your foot. The bump can be there for several different reasons. Usually it is caused by the 5th metatarsal either splaying too far outwart, the neck of the metatarsal bows out or the head of the 5th metatarsal is enlarged. The bump can also be soft tissue inflammation of the bursa that is between the skin and the 5th metatarsal head. Symptoms are usually pain, swelling, redness to the bony prominence. To ensure this is your diagnosis, a thorough history is obtained, a lower extremity exam is performed and you will probably have X Rays obtained to rule out any other bony pathology. Treatment begins conservative to try to reduce pressure and pain. This usually starts with OTC products to try to offload the area and possibly custom orthotics. If these options fail than surgery can be done to help realign the 5th metatarsal bone and take away the prominence. If you suffer from this condition or any other foot and/or ankle issues, please call us at 972-542-2155 for an evaluation.