Abstract
The hallux valgus deformity is untreated usually regarded as progressive deformity
that does not necessarily lead to pain and suffering for the patient. Prevention primary:
foot conforming footwear to avoid bruising and to avoid a forced progression of pathology.
Functional stabilization of the foot by means of gymnastics or physiotherapy instructions.
Secondary: orthotic and/or insoles to improve the functional stabilization. Tertiary:
consistent adapted postoperative treatment, which is based on the operation procedure.
The indication for initiation of a therapeutic measure is based on the suffering of
the patient, age and presence of arthritis in the MTP-I-joint. More patient-specific
pathologies may affect the initiation of treatment also. In the first stage of outpatient
consultation and physiotherapy are at the forefront, additive analgesic or anti-inflammatory
medication. Manual therapies, physiotherapy, orthotics or orthopedic measures adopted
in view of the existing pathology and suffering pressure. In stage 2 of outpatient
or inpatient surgical treatment therapeutic measures are indicated when symptomatic
hallux valgus surgical therapy should be oriented on the severity of the pathology
and the postoperative mobilization possibilities of the patient and other patient-specific
criteria.
Key words
Hallux valgus - Bunion - forefoot pain
