Hallux valgus is a deformity of the big toe. In Latin, hallux means big toe. Valgus means outward orientation. In hallux valgus deformity, the big toe is displaced towards the next toe. A protrusion called a ‘bunion’ forms on the inside of the finger. Increasing deformity over time causes hammer toe formation by compressing the second finger. Two main complaints in hallux valgus disease are pain and cosmetic disorders. It becomes difficult to wear shoes due to pain and deformity.
What causes Hallux Valgus?
It is not known exactly why hallux valgus occurs. Although it is more common in women, it can also occur in men. The fact that most of the patients are seen in their families suggests that there is a genetic predisposition. Long-term use of pointed-toed and high-heeled shoes can also cause hallux valgus deformity in the feet. The shortness of the Achilles tendon, the constant introversion of the foot, flat feet, being overweight, and rheumatic disorders involving the foot joint can also be counted as the reasons that facilitate the formation of hallux valgus.
What can I do to prevent hallux valgus from progressing?
The deformity of the thumb usually tends to increase over time. The deformity, which initially causes only cosmetic problems, gradually begins to cause pain. It is often not possible to understand whether the deformity will progress or not. Patients with a family history have a higher chance of progression. The use of protective rollers and night splints can slow the pace of progress. Pointed-toed and high-heeled shoes should be avoided. It will be beneficial to use high-heeled shoes that are wide, soft and do not exceed 2-3 cm.
How is Hallux Valgus treated?
It is very important to inform the patients in the initial period. Shoe modification is an effective method in reducing complaints. Orthoses such as bunion pads, night splints, insoles, interdigital rollers can be useful in reducing complaints even if they cannot correct the deformity. Surgical treatment is required in patients with progressive deformity and pain complaints.
How is Halluk Valgus surgery performed?
The surgery to be performed in hallux valgus is determined individually. The first thing to do is to determine exactly where the pain complaint and deformity originate from. Some patients may have problems with rotation in more than one bone. Surgery to remove the bunion will be sufficient only in patients with complaints of pain and swelling due to bunion. However, for a permanent solution, it is necessary to choose an intervention in which the bone is corrected to a large extent. Although bone surgeries are more difficult than soft tissue surgeries, they are more reliable surgeries in terms of the risk of recurrence of the deformity.
What happens after Halluk Valgus surgery?
In the first three weeks after bone surgery, special shoes are used to prevent stepping on the big toe. Thus, our patients can stand up and walk without burdening the operation area. After the first three-week period, it is possible for our patients to return to their daily work with normal shoes.