What is Hallux Valgus Bunion?

The big toe is called hallux, and if it begins to drift outward toward the smallest toe, it is called hallux valgus.
Hallux valgus is a deformity characterized by an increase in the angle between the first and second metatarsals, the accentuation of volume in the medial region of the foot by the presence of the bunion, and the lateral deviation of the first phalanx, which alters the walking, generates friction pain and overload, makes it difficult to wear footwear and generates secondary deformities in minor toes.
As the big toe deviates, a bump begins to develop on the inside of this toe over the metatarsal bone. This bony prominence widens the foot, makes the big toe rotate in the direction of the other toes, reddens the skin, and causes pain in the joint. Once a bunion is present, the hallux valgus deformity slowly worsens over time, with no improvement.

Women are the main ones affected by bunions, bumps that are formed by a genetic condition or by the use of inappropriate footwear.
Discomfort and pain, which can even lead to disability and sedentary habits, make this big toe deformity very uncomfortable for patients with it.


How is it diagnosed?

The diagnosis is not complex for bunion specialists, just by looking they can identify this condition, however, an x-ray is necessary to determine the abnormal angle between the big toe and the foot because sometimes it is due to the presence of osteoarthritis.





The initial treatment consists of the use of suitable footwear, as well as treating the associated conditions -if there are any- such as valgus flat feet or metatarsal overloads, which is done with the use of insoles or other orthoses.
The use of separators or correctors for the symptomatic management of hallux valgus do not have good results and it has been shown that it does not correct or slow down the progression of this deformity. If it is already causing discomfort and does not respond to the use of wide and flat footwear, surgery is the alternative, since we know that once the deformity is established, it is progressive. That is, it will only increase with time, as well as the discomfort.

The treatment of a bunion depends on how uncomfortable it is for the patient. The perception of pain or discomfort experienced is varied. There are some people who have small bunions that are very uncomfortable, thus limiting their ability to walk and wear the shoes comfortably. On the other hand, some may have very important deformities that are bothersome but do not limit their activities of daily living.


You can read more here: What are the treatment options for hallux valgus bunion?


At Harley Street Hospital, we have some of the best specialists to diagnose and treat hallux valgus bunion. Book an appointment to get a checkup.

Doctors Specialising in Foot and Ankle Surgery
Mr Elliot Sorene is a Consultant Orthopaedic and Hand Surgeon ...

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