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The dreaded Hallux Valgus

The dreaded Hallux Valgus. Significant History Family History Painful Bunion Aggravated by Shoe Wear Progressive Deformity. Significant Findings Medical Prominence – “Bunion” Lateral Deviation of Big Toe Widening of Forefoot Neuritic Bunion Pain. Treatment Options. Patient T x

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The dreaded Hallux Valgus

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  1. The dreaded Hallux Valgus • Significant History • Family History • Painful Bunion • Aggravated by Shoe Wear • Progressive Deformity • Significant Findings • Medical Prominence – “Bunion” • Lateral Deviation of Big Toe • Widening of Forefoot • Neuritic Bunion Pain Treatment Options • Patient Tx • Wider, lower heeled shoes • Ice • OTC NSAIDs • Operative Tx • Proceed to Box 7 • Non-Operative Tx • Orthoses • Shoe Modifications • Patient Education • Rx NSAIDs Clinical Response (Outcome) Proceed to Surgical Evaluation Continue Initial Therapy Assess Degree & Location of Deformity Return to Treatment • Stage 1 • HA Angle < 25° • IM Angel < 12° • Joint Deviated • +/- Hallux Deformity • Stage 3 • HA Angle > 35° • IM Angel < 16° • Joint Deviated prSubluxed • +/- Hallux Deformity • Stage 2 • HA Angle >/= 25° • IM Angel </= 16° • Joint Deviated or Subluxed • +/- Hallux Deformity

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