HALLUX VALGUS

HALLUX VALGUS - A hallux valgus deformity, commonly called a bunion, is when there is medial deviation of the first metatarsal and lateral deviation of the great toe (hallux). The condition can lead to painful motion of the joint and shoe wear difficulty. It is important for a treating physician to understand the pathogenesis and surgical treatment options to correct hallux valgus deformities to provide the utmost care for patients with this painful forefoot deformity. Hallux valgus is a common, painful orthopaedic foot and ankle deformity. Most hallux valgus deformities can be treated conservatively with appropriate shoewear modifications, orthotics, and bunion splints. Surgery is indicated for pain relief and appropriate counseling of patients and their expectations are essential for a successful outcome. It is important to understand the pathogenesis of a hallux valgus deformity because surgical treatment options are based on the clinical examination findings. Appropriate surgical management results in improvement in the patient’s pain and overall function.​ The toe tilts over towards the smaller toes and a bony lump appears on the inside of the foot. Sometimes a soft fluid swelling develops over the bony lump. The bony lump is the end of the "knuckle-bone" of the big toe which becomes exposed as the toe tilts out of place.

 Many people do not experience symptoms in the early stages of bunion formation. Symptoms are often most noticeable when the bunion gets worse and with certain types of footwear. These include shoes that crowd the toes and/or high-heeled shoes. When symptoms do occur, they may include:

• • Physical discomfort or pain
  • A burning feeling
  • Redness and swelling
  • Possible numbness
  • Difficulty walking