Hallux Valgus affects more women

• May 7, 2024

The bunion , medically known as "hallux valgus ", Is characterized by the deviation of big toe or first board towards the outer edge of the foot and the appearance of a prominence on the inner side in relation to it.

It is presented more frequently in women between 30 and 50 years, being 9 times more frequent with respect to men. It is accepted that this difference is due to the use of footwear inappropriate by the women understood as such those that compress the Forefoot .

It is considered a pathology or multifactorial disease and in general, it is a problem of foot inside of the footwear . It is not only given by the confinement and external pressure of this, on the foot , but is also indirectly favored by the muscular atrophy secondary caused by lack of activity muscular of the fingers

Although the type of footwear seems to be one of the fundamental factors is not the only one, since not all people who use a inappropriate shoe they develop the disease and the onset may be unilateral. In addition, there are intrinsic factors that play an important role:

1. Hereditary or genetic: 60 to 70%. 2. Presence of flatfoot . 3. Retraction of the Achilles tendon . 4. Hypermobility generalized 5. Neuromuscular disorders (cerebral palsy-poliomyelitis ). 6. Length of the thumb .

Once the deformity , the tendency is to increase over the years.

The initial treatment is oriented towards a change of footwear that has a broad form, the use of templates and exercises that seek to enhance musculature stabilizer Forefoot .

Although these measures do not correct the deformity, they can be a solution in terms of control of the pain , and to allow normal activity in everyday life and sports.

When there is presence of pain or there is a constant need to remove the shoes Looking for relief during the day, we recommend surgery .

There are different techniques for each case depending on the degree of deformity , activity and age of the patients. It is necessary to indicate the surgery case by case to achieve the best result both functional and aesthetic.

It is not uncommon for the pain not only be in the first toe or big toe , but there may also be a transfer of it to the central part of the Forefoot .

Currently, there are great advances in the bunion surgery , which involves the use of biomaterials and fixation methods that reduce pain post operative and rest.

Video Medicine: Big Toe Pain - Everything You Need To Know - Dr. Nabil Ebraheim (May 2024).