HALLUX VALGUS: CUT THE CROOKED!

Hallux Valgus, also known as a bunion, is a misaligned big toe that protrudes the inner edge of the foot.The researchers examined the prevalence of this condition worldwide and reported it as the most common foot deformity.

Although, it is quite a benign problem being a source of cosmetic concern, however, if it begins to impact your quality of life negatively, you can book an appointment with the Orthopedic Surgeon in Doctors Hospital Lahore.

HOW TO RECOGNIZE IT?

  • A reddened and swollen end of the first metatarsophalangeal joint.
  • Increased stiffness and decreased range of motion of the big toe.
  • The big toe inclines towards the adjacent toes.
  • Callus formation under the ball of the toe or anywhere underneath the remaining metatarsus.

IS IT ALWAYS PAINFUL?

A bunion is not always painful however, a lack of prevention and lifestyle management can eventually exacerbate the pain.

CAUSES OF BUNION

  • A bunion is most frequently an acquired deformation due to the persistent use of high heels.
  • An accident or any sort of physical trauma can precipitate a crooked toe.
  • It can be a result of a neurological deficit.
  • Arthritis
  • Hallux Valgus has a predilection for women owing to their relatively weaker connective tissues.
  • A bunion is also exacerbated by splayfoot or a skewed foot.

ALL ABOUT THE SURGICAL METHODS

Prognosis

It is to be noted that the severity of the deformity does not determine the surgical outcomes and its success rate, however, it does affect the complexity of the procedure. The acute cases necessitate the use of metal implants which also require surgical removal after 6 to 12 months of insertion.

The ensuing pros and cons of bunion surgery must always be evaluated. As per studies carried out on the subjects, nearly 80% of patients had a successful surgery and swift recovery. Whereas a subset of 10 to 15% exhibited adverse effects, and an even smaller group of patients faced post-surgical complications. However, the younger age group can still achieve permanent normalization through the conservative methods i.e., physical therapy,etc, while the older age group possesses better prospects and higher chances of restoration through the surgical methods.

Surgical Methods

Most of the surgeries comprise multiple procedures as per the case of the patient. Some of the procedures include the following among many others:

  1. Repositioning the bone (osteotomy)cuts out the extra bone to straightens the foot ray.
  2. Soft tissue correction (lateral release) involves the correction of the joint capsule.
  3. Tendon correction fixes the length of the tendon so the pull of the tendon does not produce deformity again.
  4. Treating the metatarsophalangeal joint is a joint-preserving cheilectomy (bone spur removal) or integration of the metatarsophalangeal joint (arthrodesis) for severe arthritis.

CONSERVATIVE PREVENTION

  • Avoid wearing high heels too often or for longer hours
  • Walking barefoot helps a lot
  • Exercise regularly to strengthen your foot muscles

After failed conservative management, do not delay your visit to an Orthopedic Surgeon in Boulevard Hospital in Karachi for further investigation into your case.