Pay attention to the choice of shoes!

40% of women struggle with this disease.

Orthopedics and Traumatology Specialist Op. Dr. Ahmet Özyazgan said that 40 percent of women have hallux valgus. Orthopedics and Traumatology Specialist Op. Dr. Ahmet Özyazgan drew attention to the importance of shoe selection. Özyazgan;

This protrusion and swelling negatively affect the aesthetic appearance, and if left untreated, it can cause serious pain and foot problems that lead the person to surgery.


Stating that hallux valgus is a disease that affects the joint between the first toe and the first comb bone, Op. Dr. Ahmet Özyazgan said that this disease is predominantly seen in women. Referring to the negative effects of the disease on social life, Özyazgan warned that pointy toe and high-heeled shoes should not be preferred and said, “This disease is not encountered in cultures that do not wear shoes.

While it is seen in 40 percent of women; There is a genetic predisposition as high as 70%. It is frequently seen in women who wear heels and pointed-toed shoes for many years. Wide shoes that provide plenty of room for the toes reduce the chance of developing this deformity; If the bunion (this swelling and protrusion that occurs in the joint) has developed, it also helps in reducing the discomfort associated with it.


“Severe hallux valgus deformity also causes cosmetic problems. Especially female patients have difficulty in finding suitable shoes for their feet. As the deformity increases, the second toe rises up and is exposed to pressure and friction in the shoes, causing pain in the patients. Noting that with the progression of this deformity in the foot, there may be secondary changes that increase the foot problem, Op. Dr. Özyazgan;

First, redness and swelling develop in that area. As time passes, the tissue here thickens and a larger protrusion forms, causing the shoe to rub. Many foot problems are caused by abnormal pressure and friction. As time passes, complaints arise because the skin and soft tissue are trapped between the hard bone inside and the hard shoe outside. Any protrusion in the bone will make the situation worse. The skin responds to constant pressure and friction by creating ‘callous tissue’. The underlying soft tissue responds by thickening. These structures cause pain in the patient. To reduce this pain, it is necessary to reduce the pressure. This is possible by reducing the pressure created by the shoes from the outside or by surgically removing the bone protrusion inside.


Stating that an orthopedic specialist should be consulted during the diagnosis and treatment of the disease, Op. Dr. Özyazgan continued his words as follows;

The diagnosis is made after a careful, detailed history and clinical examination. Information about the patient’s shoe choices is obtained. Foot x-rays are taken. The angles between the bones are measured by your doctor, which helps in determining the method of treatment with X-rays. Hallux valgus treatment; It starts with the selection and wearing of shoes suitable for the foot. In the early stages of the disease, replacing pointed shoes with wide-fronted shoes can reduce the patient’s complaints. Wide shoes are helpful in reducing pain by reducing the pressure on the bunion. In addition, it can be aimed to reduce pressure and pain with bunion pad and interdigital rollers.


Saying that in cases where non-surgical methods do not relieve the patient’s pain or if the disease is diagnosed at an advanced stage, surgical treatment options can be evaluated. Dr. Ahmet Ozyazgan;

“More than 100 methods have been described in hallux valgus surgery. The main ones are the removal of the bunion, namely bunionectomy. Generally, bunionectomy alone is not sufficient to correct the deformity in hallux valgus surgery. In this case, correction of the comb bone with incisions, that is, metatarsal osteotomy, may be needed. You definitely need to see a specialist,” he said.

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