Hallux valgus is a deviation located at the base of the big toe. It manifests itself by a deformation of the bone and the appearance of a hump (also called an onion) located inside the foot, on the first metatarsus. This deformity of the big toe can be painful both in the skin and in the joint. It can be caused by the wearing of pointed shoes such as high heels and boots.

Causes

Sometimes, the appearance of hallux valgus is the result of genetics. Indeed, some people are predisposed to have this malformation than others.

In addition, age, menopause and the wearing of high shoes can contribute to its appearance. Finally, rheumatological diseases and poliomyelitis can foster the development of hallux valgus.

Treatment

Several solutions are available to get rid of hallux valgus, including:

  • Non-surgical treatments: First of all, the wearing of shoes adapted to your feet is essential. Indeed, at the very beginning of the development of this deviation, wearing wide shoes will help stop its progression. These will limit the pressure or friction exerted on the onion.
  • Hallux valgus surgery: this procedure is performed from a small incision made on the side of the foot, just above the area where the onion is located. Once the skin is opened, the surgeon removes the hump with a surgical saw or chisel. Subsequently, he smooths the bone and closes the incision with small stitches.
  • Proximal osteotomy: this involves cutting the first metatarsus, which is located near the bone. Usually, this procedure requires only a few incisions, two or three maximum in the foot. Subsequently, the bone is realigned and is held in the right place by metal pins until complete healing. Once satisfied with the balance of the toe, the doctor closes the incisions with stitches.
  • Distal osteotomy: this involves cutting and lateral displacement of the bone. The purpose of this procedure is to reduce the angle between the metatarsus’ two bones. Usually, it is performed by one or two incisions. When he is satisfied with the procedure and position of the bones, he maintains them with metal pins. Upon healing, these pins are removed.

The Bunionectomy procedure

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