Hallux Valgus or a bunion refers to a bony formation which develops at the base of the big toe, particularly at the MTP joint over time.
In some cases, a fluid-filled sac or bursa could also develop over the joint.
Some of the common causes of the problem are poorly fitting shoes, genetics and certain types of arthritis such as rheumatoid arthritis.
Treatment for this structural deformity could either be surgical or non-surgical, depending on how severe the problem is.
Improper foot posture can lead to undue stress on the forefoot causing the bones to shift medially and laterally often creating a hallux valgus deformity. This gradually contributes to the development of a bunion over time.
As health care providers, it is our responsibility to identify this abnormal development and educate the patient in regards to early intervention, pain reduction and/or rehabilitation protocols.
Although tight fitting shoes and repetitive impact cause pain with the formation of bunions, they are not typically the cause of the deformity.
Hyperpronation is one of the most common causes of aberrant weight distribution and hallux valgus deformity.
Conservative treatment protocols need to be inclusive of stretching and joint mobilisation, pain reduction through cryotherapy, and external support of patients' optimal supinated arch.
MASS4D® custom foot orthotics work to support optimal foot posture and function, paying more attention to the factors contributing to the overpronation.
Whether used on their own or as part of a more comprehensive rehabilitation program, these orthotics enhance the wearer’s neuroplasticity and prove to be valuable treatment option.
Reduction and correction of repetitive hyperpronation will immediately reduce hallux joint stress and allow for reduced inflammation and healing to occur.
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Repetitive plantarflexion can lead to pain and mechanical limitation in the posterior ankle joint which is known as posterior ankle impingement syndrome. This pathology commonly occurs in ballet dancers and football players.