Hallux Valgus
Hallux valgus is the displacement and rotation of the big toe curling towards the 2nd toe and occasionally crisscrossing the second toe. This is often percieved by patients as unsightly and crooked. This is a condition that progresses gradually.
Cause of Hallux Valgus
Hallux valgus starts as a gradual condition, which often happens due to imbalance of the muscles and soft tissues controlling the big toe. In few patients it can be from childhood, but majority develop this condition in their 20s or 30s. Partly this could develop due to wearing tight footwear that cause crowding of the toes. High heels increase the pressure on the forefoot and can add on to the risk of developing the hallux valgus. Women are lot more prone to this condition than men.
Symptoms of Hallux Valgus
Hallux valgus is a common condition, however majority of the patients will not face any symptoms or difficulty due to the hallus valgus. In some the bunion on the inner side of the big toe becomes prominent and painful. Some people will start experiencing aches and pains on walking and standing. A few end up having pressure sores between the first and second toe and even infection as well.
Natural History (Progression of disease in the absence of treatment)
The Hallux valgus is a slow progressing condition that does not cause any major problems for most patients throughout their lives. In some it can progress over a period of few years and cause pain and difficulty with walking.
When to seek medical help?
If there are persistent pain or clumsiness with walking, that is one of the main reasons to seek help. Pressure sores or infection between and around the toes is another reason for seeking medical help. Occasionally one may decide to seek advice for cosmetic reasons as well.
The diagnosis is based on the symptoms and clinal examination. X-ray may sometimes be asked for, however the x-ray helps to understand the angles of deformity of the concerned bones.
What happens Hallux valgus is not treated?
In majority of patients, hallux valgus does not progress. In some, it slowly progresses over a period of years. However majority of patients do not need any treatment for this condition at all.
What happens when I visit the Consultant?
You will be asked about your symptoms so far. Consultant will examine you. He / She may ask for standing Xrays to assess the extent of deformities in the bone. Following this the treatment modalitiess will be discussed.
What are the treatment modalities?
The treatment modalities vary from conservative management in the form of toe separators and footwear modifications to Hallux valgus correction surgery.
