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Hallux valgus

The treatment of Hallux Valgus, commonly known as a bunion, by our orthopedic surgeon involves various non-surgical and surgical options, depending on the severity of the deformity and the associated symptoms. Here is an overview of the treatment approaches:

  1. Non-Surgical Treatment:
    • Change of Footwear: Wearing wide-toed, comfortable shoes with low heels can help alleviate pain and prevent further progression of the deformity.
    • Protective Padding: Placing pads or cushions over the bunion can help reduce pressure and friction, relieving discomfort.
    • Orthotic Devices: Custom-made orthotic inserts or arch supports can provide support and help redistribute pressure on the foot.
    • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to alleviate pain and reduce inflammation.
  2. Surgical Treatment:
    • When non-surgical interventions fail to provide relief or in severe cases, surgical intervention may be recommended. The type of surgery will depend on the extent of the deformity and the patient’s individual circumstances.
    • Bunionectomy: This surgical procedure involves the removal of the bony prominence and realignment of the toe. It may involve removing a portion of the bunion, correcting the alignment of the bones, and tightening or releasing the soft tissues around the joint.
    • Osteotomy: In cases where there is significant deformity, an osteotomy may be performed. This involves cutting and repositioning the bones to correct the alignment of the toe.
    • Fusion (Arthrodesis): In severe cases with extensive arthritis or joint damage, fusion of the affected joint may be necessary. This involves permanently joining the bones of the joint together to eliminate pain and stabilize the foot.
    • Joint Replacement: In rare cases, joint replacement surgery may be considered for severe arthritis of the big toe joint. This involves removing the damaged joint surfaces and replacing them with artificial implants.
  3. Postoperative Recovery and Rehabilitation:
    • Following surgery, the patient will typically undergo a period of recovery and rehabilitation. This may involve wearing a surgical shoe or cast, using crutches, and gradually resuming weight-bearing activities.
    • Physical therapy exercises may be prescribed to improve strength, flexibility, and range of motion of the foot and toe.
    • The duration of recovery and rehabilitation will vary depending on the type of surgery performed and the individual’s healing progress.
  4. Long-Term Follow-up:
    • Regular follow-up visits with the orthopedic surgeon will be scheduled to monitor the healing process, assess the foot’s condition, and address any concerns or complications that may arise.
    • The surgeon may provide recommendations for footwear, orthotic devices, and lifestyle modifications to prevent the recurrence or worsening of the bunion.

It’s important to note that the treatment approach for Hallux Valgus may vary depending on the severity of the deformity, associated symptoms, and the patient’s preferences. Our orthopedic surgeon will conduct a thorough evaluation and discuss the available treatment options to develop an individualized plan tailored to the patient’s needs and goals. Compliance with the recommended treatment plan, including postoperative care and rehabilitation, is crucial for achieving optimal outcomes.