Conservative Management of Hallux Valgus
Original Editor - User Name
Top Contributors - Wanda van Niekerk and Jess Bell
Introduction[edit | edit source]
Hallux valgus is a common foot disorder. It is a painful deformity at the first metatarsophalangeal joint and characterised by progressive lateral deviation of the hallux (great toe) and medial deviation of the first metatarsal bone.[1] Its causes are multifactorial and it can disrupt the function of the foot during gait and balance.[1] It negatively influences quality of life in persons with this disorder.[1] This page will focus specifically on the conservative management of Hallux Valgus.
Read more: Clinically Relevant Anatomy; Clinical Presentation of Hallux Valgus
Some causes of Hallux valgus include:
- biomechanics
- age
- time
- shoes
Read more detail on the Epidemiology and Aetiology of Hallux Valgus here.
Predisposing Factors[edit | edit source]
Look at the bigger picture and evaluate the whole kinetic chain!
- Midfoot instability
- Hindfoot instability
- Tight calf muscles
- Ankle injury
- Loss of talocrural joint range of motion (ROM)
- Out-toeing
- Genetics
- Medical conditions
- Type II Diabetes
- Reactive arthritic conditions (eg. gout)
- Generalised low tone/ hypermobility
- Peripheral neuropathy
- Medications
- Shoes
Why is Hallux Valgus so Painful
First metatarsophalangeal joint is a synovial joint, which
Aims of Conservative Management[edit | edit source]
This is a progressive condition and it is not a condition that can be fixed with conservative management. The aims of conservative management are:
- pain management
- management of the deformity
- stop or slow down the progression of the deformity
- delay surgical intervention
- manage cases for which surgery is not an option
Causes of Hallux Valgus
Link to anatomy
Predisposing factorslist them
discuss the big toe as stabiliser in foot during gait
reasons for medial arch drop
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Resources[edit | edit source]
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