What is Hallux valgus?

Hallux valgus ("bunion") is the orthopaedic term for one of the most common foot deformities, especially in women (around 10 million people in Germany). The big toe deviates outwards, the metatarsal bone and the metatarsal head ("bunion") are clearly protruding. Over time, this initially cosmetic problem can develop into serious complaints. Hallux valgus inflammation and swellings at the bunion of the foot (metatarsal head), incorrect stresses and incipient joint wear (arthrosis) lead to severe and permanent Hallux valgus pain. Patients with Hallux valgus can be treated conservatively (Hallux valgus splint or bandage) or surgically, depending on the severity. If used in time and as a preventive measure, the regular wearing of a Hallux valgus splint can significantly delay or even help to avoid surgery.

Symptoms of Hallux valgus depending on severity

- Aesthetic problem

- Calluses, chronic irritations of the skin and bursa.

- Increasing pressure and movement pain. (Hallux valgus pain)

- Progressive arthrosis and stiffening in the metatarsophalangeal joint.

- Subsequent deformities such as hammer and claw toes.

How does a Hallux valgus develop?

In addition to a congenital disposition, connective tissue weakness as well as stress deformities as a result of flat feet, chronic inflammations or the consequences of accidents can be responsible for the development of Hallux valgus (bunion).

By the way: Wearing tight, pointed shoes and high heels (over 3 to 4 centimetres) is not causally responsible for the deformity, but can considerably promote the development of an incipient Hallux valgus.

What are the different stages of Hallux valgus?

under 20°

Grade 1

Toe deformities below 20 degrees. No symptoms.
The Hallufix® Splint can be used for early prevention at this stage!

This stage is characterised by a gentle tilt of the toe, which manifests itself in a slight bulge on the inside of the foot. At this stage, the first pain may already occur when walking. However, many people have no complaints in the first stage. 

between 20 and 30°

Grade 2

Misalignments between 20 and 30 degrees. Occasional Hallux valgus pain.
This stage is the most common area of use for the Hallufix® Splint or the Hallufix® Therapy Sandals.

At this stage, the bursa under the skin has mostly become inflamed. Pain is often felt during movement, the big toe clearly pushes towards the smaller toes and reaches an angle of inclination of up to 30 degrees. 

between 30 and 50°

Grade 3

Deformities between 30 and 50 degrees. Regular Hallux valgus pain. Increasing restriction of activities.
Pronounced deformity!
The third stage is reached when the big toe pushes under or over the adjacent toe. This can be accompanied by an angle of up to 50 degrees. Palpable symptoms at this stage include possible numbness on the inside of the big toe and pain that persists when the foot is not moved. 

over 50°

Grade 4

Most severe form with malpositions over 50 degrees and painful restrictions in everyday life.
The use of Hallufix® can no longer be recommended at this stage.
Hallux valgus surgery is advisable. The foot is extremely splayed, there is pain in the metatarsus and impairment of the smaller toes.

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