Hallux Valgus disease is more common in women and is increasingly seen after the 30s and 40s. This protrusion on the big toe is a disease that manifests itself with pain in the foot and difficulty in wearing shoes.
In this disease, the first metacarpal bone of the big toe opens to the second toe. There is stretching and elongation of the soft tissues in the first comb bone and finger joint.
The development of bony protrusion in the thumb and deformity of the joint reduces the load-bearing function of the thumb.
What causes this disease?
Do high heels play a role in the development of the disease?
Hallux Valgus has a family history, and most of our patients have this disease in their grandparents. While narrow and high-heeled shoes play a role in the development of this deformity in some patients, the disease can be seen in a group of patients despite wearing comfortable shoes such as sneakers. Flat feet with severe inward pressure on the foot can also cause Hallux Valgus and other finger deformities. We also see Hallux Valgus disease when there is looseness in the joints.
Is physical examination sufficient in the diagnosis of the disease?
Should additional examinations such as radiography, MRI, ultrasonography be performed?
Although Physical Examination is extremely important, radiologic examination is also performed by taking foot radiographs of our patients and the degree of the disease is determined and the type of operation to be applied to the patient is decided. Determining the type of operation is very important to prevent recurrence of the deformity.
Is the treatment of Hallux Valgus Disease surgical?
Is treatment without surgery possible?
Treatment options are available depending on the severity of the disease.
Surgery is not the first treatment option.
Non-surgical treatment options are;
-Wear comfortable and soft shoes with a wide front,
-Using an inter-finger reel,
-Hallux valgus night splint use,
-Orthopedic insoles are recommended for patients with low arch arch.
When should surgery be performed?
Surgical treatment is used in patients whose pain persists despite all non-surgical treatment methods and foot pain affects daily life conditions or for aesthetic purposes.
What kind of surgical treatment is applied?
Surgical treatment varies according to the degree of the disease and the area where the bone deformity is seen. The most common operations are those performed on the area of the metacarpal bone close to the big toe. In some patients, operations are performed at the beginning of the metacarpal bone.
Is there a lot of pain after surgery?
Thanks to ankle block anesthesia just before surgery, our patients spend the first 1-2 days after surgery, which is normally the most painful period, painlessly and comfortably.
How long do I stay in hospital?
If you do not have an additional disease, you can stay in the hospital for a maximum of 1 day or some of our patients can go home on the same day.
How long can I not walk?
Since there is no plaster cast after surgery, you can walk by stepping on it using special shoes or boots.
Does Hallux Valgus Disease recur?
Recurrence of hallux valgus deformity is very rare thanks to appropriate operation selection and advanced surgical techniques.