Hallux Valgus disease, known as the curvature of the big toe
(bump on big toe), is defined as a problem that should be considered
when it becomes painful, although it is generally thought to be an
aesthetic problem. This disease, which can be inherited, can progress
over time due to the wearing of tight, high heels or uncomfortable
Hallux Valgus is manifested by the bending of the big toe towards the
other fingers and the backbone under the thumb protruding in the
opposite direction. Hallux Valgus, also known as the bump on big toe, is
more common in women.
Choice of shoes is very important
The main cause of Hallux Valgus is genetic, in other words familial
inheritance. Those who have bump on big toe in their mother or
grandmother are more likely to develop this disorder than other people.
This disease is more common in individuals who have a genetic background
and wear very high heels and narrow-front shoes. However, flat feet
also increases the risk of Hallux Valgus.
The most important symptom is pain and swelling
The most common and complained symptom in patients is the rubbing of
the protrusion of the root of the big toe against the shoe and the pain
and swelling that develops due to it. As a result of rubbing, swelling
increases, as the swelling increases, there is more friction. At the
point where friction occurs, calluses form with a large swelling on the
bone, called a bunion. This ongoing vicious circle increases the
Hallux Valgus disrupts the mechanics of the foot
Another symptom of Hallux Valgus is that the mechanics of the foot
begin to deteriorate with the bending of the thumb. Calluses, which
should normally be under the thumb, begin to form under the second and
third fingers as the thumb lifts up. This situation causes the mechanics
of the foot to change and cause pain in the middle of the foot during
Wounds and inflammation can also be seen
In the more advanced stages of the disease, the big toe begins to
fall under the second toe. Since the thumb pushes the second finger from
the bottom upwards, calluses form below and above the second finger in
advanced stage patients. If the friction against the shoes is excessive,
wounds and inflammation can also be seen, although not very often.
Expert help should be obtained
The image of the patient’s foot helps in making the diagnosis. In
addition, the x-ray film of the loaded foot while stepping on the ground
gives the diagnosis certainty. The angles of the thumb to the first
comb bone or to the second comb bone are measured with X-ray film. After
the angle calculations, the appropriate treatment method is selected.
Relaxing exercises are recommended in the early stages
In the first stage of Hallux Valgus, which has three stages, only an
appearance appears in the patient’s foot, but there is no severe pain.
In this case, while surgery is not recommended, some relaxing exercises
can be planned. First of all, these patients should not wear high-heeled
shoes with a narrow front, and should do exercises that allow the thumb
to be pulled to the opposite side of the deformity. If the genetic
transition is not very serious and there is a slight curvature in the
finger, these exercises both relax the muscles and prevent pain and
ensure that the situation does not worsen.
In the early stage, patients can also use silicone rollers and
orthoses between the fingers. These materials reduce the pain by holding
the thumb in the opposite direction of the deformity, similar to
Bone spurs are filed with a simple surgery
The second phase of Hallux Valgus is the situation in which the
patient’s complaints increase, but the thumb is not bent too much and
the angles of the comb bones to each other are not disturbed, only the
bone protrusion comes to the fore. In this case, a simple surgery is
performed in which only the bone protrusion is ripped and the muscles
that cause the thumb to bend are relaxed.
The risk of recurrence of Hallux Valgus is reduced with bone correction surgery
In patients with high angles of the comb bones, bone correction
surgery, which is a third step treatment, is applied. In other words,
the thumb and comb bone correction operation is performed. If the
correct surgery is performed according to the type of the patient, the
possibility of recurrence of Hallux Valgus is quite low.
Patients leave the hospital wearing special shoes
Patients stay in the hospital overnight or can be discharged on the
same day after bone resurfacing surgery. Plaster is generally not
applied according to the degree of deformity after surgery. Patients can
step on their feet healthier from the third week onwards. After the
first month of the operation, they can wear normal shoes, and they can
start their normal walks after one and a half months. It is necessary to
wait 4 months for long and fast walks and jogging, and 6 months for
sports such as football and basketball.
Life comfort increases
The goal after the operation is to ensure that the patient can walk
in a healthy and painless manner, exercise painlessly after at least 4
months and especially wear the shoes they like.