Treatment methods

Hallux valgus: surgery is not the only option

Together with our foot surgery specialists, you can select the best-possible treatment according to the severity of your Hallux valgus. At Schoen Clinic, we offer a full range of treatments. Conservative Hallux valgus treatment, such as a Hallux valgus splint, helps alleviate pain. The muscles in your foot can be specifically strengthened early on to prevent displacement from occurring. However, Hallux valgus surgery is needed to permanently rectify the bone displacement, preferably before cartilage is damaged.

Conservative treatment methods

Hallux valgus treatment: relieve acute pain without surgery

Conservative measures are suited to relieving acute pain and inflammation in your foot. Wide, soft shoes are beneficial during this phase. Strengthening your foot muscles through physiotherapy can also help. Shoe inserts or sensomotoric inserts for strengthening your foot muscles may provide relief as well. Furthermore, a Hallux valgus splint can improve the symptoms in your affected foot.

In most cases, however, the displacement will continue to develop slowly despite all these measures. To actually correct the Hallux valgus, surgery is necessary.

Surgical treatment methods

Hallux valgus surgery: how we rectify displacements

We can correct a mild displacement with an angle of around 9 degrees near the joint on average (scarf osteotomy). We cut into the first metatarsal bone using a V or L-shaped cut and move it back to its correct position. We then stabilise your bone using a wire or screw. The remaining bone is removed.

For severe displacements, the correction is made further in the direction of the midfoot (base wedge osteotomy). Using this surgical technique, we can also permanently correct severe Hallux valgus.

We rectify a bend inside your big toe by removing a small wedge of bone (Akin osteotomy).

If the first metatarsal joint is affected due to arthritis or instability, we correct the misalignment inside your joint.

You’ll be happy to know that your ankle joint and toe movement won’t be affected by Hallux valgus surgery.

What happens afterwards: a special shoe supports the healing process

After surgery, your bone will need six to eight weeks to fully regenerate and stabilise. We prescribe a forefoot relief shoe during this phase to ensure there is no new displacement during the healing process. This will protect the operated foot, but after most surgeries, the heel of your foot can become fully strained. As soon as the wound has fully healed, you’ll be able to begin physiotherapy. Because your foot will often still be swollen or swell up under stress after the forefoot relief shoe is removed, we recommend soft, wide and comfortable shoes in the first few weeks after Hallux valgus surgery. You’ll be able to wear all types of shoes again after three months, in our experience.
Complete regeneration of your foot may take up to six months. Afterwards, you’ll be able to practise sports again without limitations as part of the standard healing process.