Dr. Abhinav Singhal is a highly skilled Orthopedic Surgeon in Ghaziabad with over 10 years of experience, specializing in joint arthroscopy, joint replacement, and complex trauma care.

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Hallux Valgus Deformity

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Hallux Valgus Deformity

Hallux valgus is a progressive deformity where the big toe (hallux) deviates laterally (towards the second toe), and the 1st metatarsal bone shifts medially, creating a bony bump on the inner side of the foot — commonly known as a bunion.

🔎 Causes & Risk Factors

  • Genetic predisposition (runs in families)

  • Improper footwear (tight, narrow, or high heels)

  • Flat feet or abnormal foot mechanics

  • Rheumatoid arthritis or ligament laxity

  • Occupational or lifestyle factors (long hours standing)


🚨 Symptoms

  • Bony bump on the side of the foot at the base of the big toe

  • Pain and swelling, especially when wearing shoes

  • Redness or skin irritation over the bump

  • Restricted motion of the big toe

  • Development of calluses or corns

  • Possible second toe crossover in severe cases


🧪 Diagnosis

  • Clinical examination: Visible deformity, range of motion, pain

  • X-rays: Measure the hallux valgus angle (HVA) and intermetatarsal angle (IMA) to assess severity

🛠️ Treatment Options

🧘 Non-Surgical (Initial Management)

For mild to moderate cases or patients avoiding surgery

  • Footwear modification (wide toe box, no heels)

  • Bunion pads or cushions

  • Orthotics/inserts to correct foot alignment

  • Toe spacers or night splints

  • Anti-inflammatories (NSAIDs) for pain/swelling

  • Physical therapy & stretching

🟢 These manage symptoms but don’t correct the deformity.


🏥 Surgical Treatment

Indicated when:

  • Pain interferes with daily life

  • Deformity is severe or worsening

  • Non-surgical options have failed

Types of Bunion Surgery (Based on Severity):

  1. Distal Chevron Osteotomy (mild deformities)

  2. Scarf Osteotomy (moderate deformities)

  3. Proximal Metatarsal Osteotomy (severe cases)

  4. Lapidus Procedure (instability at 1st TMT joint)

  5. Fusion procedures (older patients with arthritis or severe deformity)

  6. Minimally Invasive Surgery (MIS) – Smaller incisions, faster healing

ShapeF&Q's

Hallux Valgus Deformity

Hallux valgus is a progressive deformity where the big toe (hallux) deviates laterally (towards the second toe), and the 1st metatarsal bone shifts medially, creating a bony bump on the inner side of the foot — commonly known as a bunion.

No. Many mild cases are managed with conservative care, especially if pain is mild.

There’s a small chance, especially if biomechanical causes aren’t addressed. Proper footwear and rehab help prevent recurrence.

Mild to moderate discomfort is expected, but modern techniques + good pain control make it manageable.

Typically after 6–8 weeks, depending on healing.

Yes, but often in a surgical boot with limited weight-bearing initially.