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
Conservative Management[edit | edit source]
Aims of 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:
- patient education
- 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
Patient Education[edit | edit source]
- Establish what the patient's understanding is of hallux valgus and explain the condition to the patient
- Do they understand the underlying mechanisms?
- Do they understand the condition?
Patient education is an important part of any healthcare setting. It is a way for rehabilitation professionals to communicate key information, it improves patient self-efficacy and self-management skills. It is also been shown to improve clinical outcomes such as pain and function.[2]
Pain Management[edit | edit source]
Sub Heading 3[edit | edit source]
Resources[edit | edit source]
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References[edit | edit source]
- ↑ 1.0 1.1 1.2 Menz HB, Marshall M, Thomas MJ, Rathod‐Mistry T, Peat GM, Roddy E. Incidence and progression of hallux valgus: a prospective cohort study. Arthritis Care & Research. 2023 Jan;75(1):166-73.
- ↑ Forbes R, Mandrusiak A, Smith M, Russell T. A comparison of patient education practices and perceptions of novice and experienced physiotherapists in Australian physiotherapy settings. Musculoskeletal Science and Practice. 2017 Apr 1;28:46-53.
