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
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