Hello Dr Blake,
I finally broke down and saw a pedorthist last night and we're starting with a simple adhesive foam insert located down from the tailor's bunion and under the 5th metatarsal. I went running this morning and within a 1/2 mile I was fairly used to the lump in my shoe. I went about 3 miles with hardly any pain. What we discovered as well was I was buying corrective running shoes for my pronation. I switched back to an older less structural shoe and let my pronation go for the run and felt better as well. While I'm trying to relieve the bunionette he recommended I stay way away from shoes that force me to put pressure back towards my 5th metatarsal. Once the pain pain is lessened then I can start back with the corrective shoes.
Dr Blake's comment: I think this is a great observation. Too many times in correcting pronation the orthotic and shoe combination put too much weight laterally on the 5th metatarsal. One possible outcome would be the development or worsening of a tailor's bunion or bunionette,