Hallux Valgus (Bunion)

What is hallux valgus?

Hallux valgus corresponds to the deviation of the big toe toward the other toes. This results in a bony prominence on the joint commonly called a bunion. This condition more frequently affects women and often appears on both feet.


Where does it come from?

There are two main forms of hallux valgus.

  • The first, known as “juvenile”, represents 30% of cases. It is due to a defective orientation of the metatarsal head. Appearing in the twenties, this type is hereditary.
  • The second, accounting for 70% of cases, is acquired by the gradual failure of the first metatarsal system due to aging, microtraumas, overload and, above all, wearing shoes that are too narrow.

Rarer in men, this condition is often due to the presence of flat feet or excess weight.


How can it be recognized?

The discomfort comes from inflammation of the joint, which is recognized by the red appearance, hotness and sensitivity of the skin at this location. Sometimes stiffness due to osteoarthritis can hinder walking.


Treatment solutions for hallux valgus:

A foot orthosis with a metatarsal dome reduces pressure and the load on the big toe during walking while controlling pronation.

It is recommended to wear an adapted shoe that respects the anatomy of the foot, limits flexion of the big toe and reduces pressure on the forefoot. The features to prefer are a heel lower than one inch and a thick sole, ideally a rocker sole.

  • Use orthoplasty

This little device is placed between the hallux valgus and the second toe. The resulting realignment reduces friction and contributes to eliminate discomfort.