Hallux valgus - therapy and prevention

What can one do against a hallux valgus?

Basically, there are conservative or surgical treatment options for hallux valgus. A conservative treatment is indicated for a mild hallux valgus that is only cosmetically disturbing or causes little pain; surgery may be considered in cases of severe deformity, recurrent bursitis, or persistent pain.

Toe gymnastics and insoles

In addition to avoiding inappropriate footwear, foot and toe gymnastics with spread exercises, wearing insoles that support the forefoot, and mitigating the splayfoot position, conservative options include creating a special night splint that forces the big toe into its anatomically correct position. With these measures, a progression of the malposition can be stopped, but a cure is not possible.

OP methods for hallux valgus

In a hallux valgus operation, an attempt is made to restore the anatomically correct position of the big toe. There are about 150 different surgical methods, many of which have very similar success rates. Basically, the malposition of the big toe is always compensated, in many methods, a piece of the metatarsal bone is removed and tightened the inflamed joint with his baggy joint capsule and the bursa. The bulky bale is thus reduced in size - sometimes bone material is also removed from the inner side of the foot.

If the cartilaginous articular surfaces of the metatarsophalangeal joint have not yet been affected too much by the incorrect loading, an improved, pain-free mobility is to be expected after the operation. The muscle tendons are also fixed in their anatomically correct position so that they can fulfill their actual task again.

There is also the possibility of joint stiffening (this method is more likely to be used in elderly patients) and a joint prosthesis can be used - but still lacking experience in the long-term effect.

Healing process takes weeks

In all surgical procedures, you must remember that the immobilization and healing process can last for several weeks, and you may be unable to work during that time. Many patients are permanently painless after hallux valgus surgery - but in patients with congenital connective tissue weakness, hallux valgus may recur in the long term, even if all precautionary measures have been taken.

Inflammation of the bursa over the joint can be treated with anti-inflammatory, analgesic drugs or cooling compresses at short notice - if you have recurrent inflammation, you should discuss with your doctor how far surgery can help in the long term.

How to prevent a hallux valgus?

In critical consideration of the toe and toe position, many people in Germany will notice a beginning turn of the big toe to the other toes. At least now you should respond:

  • Avoid wearing pointed shoes, high-heeled shoes and wearing tight stockings (even at night!).
  • During your next shoe purchase, put extra emphasis on soft-toe shoes that can over-feed the bale to prevent bursitis.
  • Run barefoot as often as possible to support the natural foot position.
  • Have a physiotherapist or doctor trust you to do simple toe spreading exercises that you perform regularly.
  • Discuss with your doctor if he can recommend shoe pads that relieve the forefoot or a hallux valgus night splint that fixes the big toe in its original position.
  • Explain to your children - possibly based on their own altered foot position - which fashionable shoes meet the criteria of well-fitting footwear.
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