Hallux Abducto Valgus (Bunion)

Definition

Hallux Abducto Valgus (HAV) is characterised by lateral deviation of the hallux on the first metatarsal. There is abduction & valgus rotation of the hallux, whilst the first metatarsal is in an adducted & varus position.

Inadequate footwear - Particularly narrow toed &/or high heeled shoes exacerbate & enhance the progression of the deformity, rather than be the initial instigating factor.

Symptoms

Pain on the medial prominence of the 1st metatarsal head
Synovial thickening & inflammation at the above site
Secondary osteoarthritis of the 1st metatarsophalangeal joint (MPJ) which leads to narrowing of the joint space and osteophytic changes
Restricted motion at the 1st MPJ
Pressure lesions and nail deformity due to deformity:

Podiatric Treatment

The aim of conservative treatment is to relieve pain & pressure & to slow down its physical progression
Orthotics to address excessive pronation and ultimately offload the MPJ
Debridement of callus & corns.
Protective padding over the prominent joint
Extra width & extra depth footwear to accommodate the deformity
Anti-inflammatory or analgesic medications may be required for temporary pain relief or to reduce inflamed joint / bursa
Icing
Surgery - Often considered when bunion pain is interfering with daily activities

General Foot Care - Quick Tips

Wash your feet daily. Rinse off all soap and dry thoroughly, especially between toes.
Trim nails straight across, and not too short. Don't cut out or dig at corners.
Do not trim, shave, or use over-the-counter medicines to dissolve corns or calluses
Wear clean socks or stockings, changed daily. Don't wear any that are too short or too tight.
Wear shoes that fit.

City Chiropody - What we do

Hard skin
Warts and verrucae
Diabetic foot problems
In-growing toe nails
Fungal infections
Biomechanics Corns and callous
Infected and deformed toe nails
Nail surgery under local anaesthetic
Footcare and footwear advice
Sports injuries
Orthotics

Call - 020 7488 4924 to Book!

Richard Crosby-Podiatrist

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