Hallux valgus – vad det är, varför det uppstår och vad du kan göra - Rehcore AB

Hallux Valgus

Hallux valgus, also known as a bunion, is a common foot problem where the big toe angles inwards towards the other toes. This misalignment often causes a bump to form at the joint of the big toe, which can cause both pain and difficulty finding shoes that fit. The condition often develops over several years and can worsen if not treated.

Symptoms of hallux valgus

Typical symptoms are:

  • Bump or protrusion at the base of the big toe on the inside of the foot
  • Pain and tenderness over the bump, especially when wearing tight shoes
  • Redness and sometimes swelling around the big toe joint
  • Stiffness or reduced mobility in the big toe
  • The big toe points inwards towards the other toes

Causes

There are several causes of hallux valgus, but heredity is one of the most important. If someone in the family has bunions, the risk of developing them yourself is higher. Other contributing factors include wearing narrow or pointed shoes, age, fallen arches, and obesity, which can increase the load on the forefoot. Women are more often affected than men, partly due to shoe use.

Diagnosis

It can usually be diagnosed during a regular medical examination. The doctor will examine the appearance of the foot and ask about symptoms and complaints. Sometimes an X-ray is taken to see how much the joint has changed and to plan any treatment.

Treatment

The treatment primarily aims to relieve symptoms and prevent the misalignment from worsening. Many people get good results from switching to wider and roomier shoes that do not press against the big toe joint. If the pain persists, insoles, toe separators, or special protectors can be used to reduce pressure and support the big toe. Foot exercises to strengthen the muscles around the foot can also help. In severe cases, surgery may be an option, but it is rarely the first choice.

Prevention

It is possible to reduce the risk by choosing shoes that are wide at the front and have a low heel. It is also good to avoid wearing tight shoes for extended periods. Maintaining a normal weight and doing simple foot exercises can provide additional protection against the big toe starting to angle inwards.

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Frequently asked questions (FAQs)

Can hallux valgus go away on its own?

No, bunions usually do not disappear spontaneously, but the right shoes and relief can slow down the development and alleviate the symptoms.

When do I need to seek medical care?

Seek medical attention if you have severe pain, difficulty finding shoes, or if the big toe continues to angle more and more.

Do insoles or toe separators help?

Yes, many people experience reduced pain and improved comfort with these aids.

Is surgery the only solution for severe hallux valgus?

No, but in severe cases where other methods do not help, surgery can provide good results.

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Text created by:

Mats Siljehag, Certified Chiropractor

Mats Siljehag is an experienced chiropractor and physiotherapist with over 20 years of industry experience. He has worked as a chiropractor for the national basketball team and has extensive experience in treatment and education.