A bunionette or tailor's bunion is a deformity caused by a faulty mechanical structure of the foot, either inherited or developed due lifestyle choices.
The fifth metatarsal bone that is to be found at the base of the little toe moves outwards, while the bones of the little toe move inwards, leading to a visible and painful protrusion at the exterior of the foot.
The difference between a bunionette and a bunion is that the first one is to be found at the base of the little toe while the second one forms at the base of the big toe, by the outward movement of the first metatarsal bone.
Throughout the past centuries the protrusion was known to appear in tailors, as they used to sit cross-legged all day.
Their feet would constantly rub on the ground, leading to the formation of a bump at the base of the little toe on both sides of the feet.
It is why they are commonly known as tailor's bunions, although they are often common with ballerinas and anyone who places excess pressure on the joints of the small toes.
Doctors diagnose a bunionette by simply looking at it and performing a physical analysis.
The protrusion is often so apparent that any other examination is unnecessary for diagnosis.
A doctor may order an X-ray to see the gravity of the deformity and maybe find an indication of the cause that led to the formation of a bunion.
Bunionettes or tailors bunions as they are often called, are very painful and can cause discomfort when walking.
Although surgery is not recommended in most cases, it remains the last viable remedy for bunions and bunionettes when non invasive treatment methods fail.
However, before considering bunionette surgery, try other simple and efficient remedies first, such as:

• Switching to comfortable shoes and giving up the high heels.
  You may also want to avoid wearing pointed-toes shoes as these will aggravate a bunionette
• Socks can help you reduce the pain.
  The right pair of socks helps to reduce friction and acts as a cushion for the bump.
  
• If comfortable shoes and adequate socks don't work, try padding.
  There are special bunionette pads that are placed over the painful area and help reduce pain by carefully cushioning the affected zone.
  
• The bunion is often inflamed, and inflammation can be considerably reduced by applying ice on the swollen area.
  Anti-inflammatory drugs are also helpful.
  
• Try a bunion splint of toe straighteners to encourage the toes back into a natural position

If you feel you have exhausted all remedies and think about getting a bunionectomy to relieve you of all the pain, don't forget the following:

• Stop taking anti-inflammatory medication 5-7 days before surgery
• Do not plan any long trips after the surgery
• You will not be allowed to drive for a couple of days after bunionette surgery
• First week after surgery you will need to keep your foot elevated as much as possible