Unfortunately, genetics is probably to blame if you have a bony bulge at the base of your big toe.
Poorly-fitting shoes will aggravate bunions, but they are rarely the cause of them.
Toe spacers and inserts won’t fix a bunion, but they may relieve the pain and foot cramps.
A good neuromuscular massage will go a long way to relieving the pain and cramps.
Surgery should be a last resort.