Hallux Valgus

Summary

  1. A bunion (Hallux Valgus) is a common foot condition associated with a prominent bump on the inside of the forefoot as a result of deformity of the big toe.
  2. Can become inflamed if rubs on shoes.Can be genetic in nature.
  3. Osteoarthritis and rheumatoid arthritis can be risk factors.
  4. More common in women who wear tighter, narrower shoes with increased heel height.

Diagnostic tips

  1. Establish if it is the joint is painful, or if the footwear is painful.
  2. There may be pain under the 2nd metatarsal head.
  3. Redness, swelling, and stiffness around the joint.
  4. Difficulty walking and standing.
  5. Severe bunion deformities may have minimal symptoms while mild bunion deformities may have significant symptoms.
  6. Symptoms exacerbated by uncomfortable, restrictive shoe wear.
  7. Family history of bunion, flatfoot deformity, significant clawing of toes is risk factor.

Tests and Imaging

  1. Blood test to exclude gout.
  2. Clinical examination.
  3. X-ray evaluates the extent of the deformity and the degree of arthritis within the joint.

Immediate Treatment

  1. Analgesia.
  2. Advise appropriate and properly fitted shoes.

Possible Referral

  1. Podiatry for advice on padding, strapping, night splints, interdigital wedge, orthotics, footwear modification.
  2. Orthopaedic foot surgeon.

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