When modifying footwear for a client with bunions, what is a recommended approach?

Increasing the toe box width is a recommended approach when modifying footwear for a client with bunions because it helps to alleviate pressure on the affected area. Bunions, which are deformities of the big toe joint, can cause discomfort and pain when the shoes are too tight or narrow. A wider toe box allows the toes to splay naturally without friction or compression, reducing the risk of irritation and further worsening the bunion.

This approach prioritizes comfort and function, compared to other methods which may not address the underlying issue as effectively. For instance, while cushioning can enhance comfort, it does not address space for the bunion. Rigid materials could actually exacerbate discomfort by creating pressure points. Reducing heel height can be beneficial for overall foot health but may not specifically target the bunion's immediate needs regarding space and pressure relief. Hence, widening the toe box directly addresses the issue, making it the most appropriate modification for someone dealing with bunions.