Hallux Valgus - Bunions

Hallux Valgus - Bunions

What is it?
A subluxation of the 1st MPJ with a deviation of the great toe towards the second with an enlargement of the medial first metatarsal head. In a nutshell, bone rubs against bone and creates more bone. Affects gait by degrading toe-off and causes excessive pronation due to 1st ray instability.

Causes:

  • Excessive pronation and narrow footwear. 
  • Higher incidence amongst women than men.  
  • Hereditary factors are listed in some literature.
Symptoms: 
  • Reddened skin over the base of the great toe.  Pain over the joint where the great toe joins the foot (MPJ)
Solutions:
  • If caused by overpronation, stability or motion control shoe
  • Proper fit, including accomodation for widening of the toebox
  • Superfeet insoles, to guide the foot to its best alignment and reduce the pressure/deviation
  • Educate on proper non-running footwear choices and pre-accommodation for a bunion
  • Calluses may be trimmed
  • Icing may help bursitis and pain symptoms
  • Surgery, but that's beyond our scope of expertise