Treatment of Hallux valgus PDF Print E-mail

1. What is is Hallux Valgus?

Hallux Valgus is a common deformity, where the great toe is deviated laterally to overlap the 2nd toe, and the first metatarsal bone is deviated medially, causing a prominence to form on the medial aspect of the metatarso-phalangeal joint (MTP joint). A bursa forms over the area as a result of the constant irritation and inflammation, forming a painful bunion. There may be some degree of foot pronation (flat feet) associated with the condition. Many factors come into play to cause the problem, including foot structure which may or may not be hereditary, and use of narrow stylized shoes that crimp the toes. Most cases are mild and asymptomatic, and do not need treatment. These patients should be counseled in wearing shoes with lots of toe room and no heels.

2. Treatment:

Hallux valgus is most often the consequence of rearfoot valgus, leading to varus of the first metatarsal. The conservative approaches to treating this condition in children are orthoses and comfortable shoes, with a good heel counter to maintain the heel in subtalar neutral.

3. Orthosis:

A custom orthotic can take the weight of your body and dispense it more evenly throughout the foot.  Keeping the foot in a neutral position helps reduce or eliminate most common foot problems. By adding a metatarsal pad and other modifications to a custom orthotic we can manipulate the foot and help with common aches and pains associated with Hallux Valgus. It may also help slow down the progression of Hallux Valgus.



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