From the Research
While waiting for a provider appointment for bilateral hallux valgus (bunions), focus on conservative management to reduce pain and prevent progression. Wear wide, low-heeled shoes with a roomy toe box to minimize pressure on the bunions. Consider using over-the-counter bunion pads, toe spacers, or moleskin to reduce friction and pressure. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (400-600mg every 6-8 hours with food) or naproxen (220-440mg twice daily) can help manage pain and inflammation, as suggested by various studies 1, 2, 3, 4. Apply ice to the affected joints for 15-20 minutes several times daily to reduce swelling. Gentle stretching exercises for the toes and feet may help maintain joint mobility. Avoid activities that exacerbate pain, such as prolonged standing or walking. Custom or over-the-counter orthotic inserts can provide arch support and help redistribute pressure. Night splints may temporarily improve alignment while sleeping. These measures won't correct the deformity but can provide symptomatic relief until you see a specialist who can evaluate the severity and discuss potential surgical options if conservative measures fail to provide adequate relief. According to a systematic review, surgery, specifically distal chevron osteotomy of the first metatarsal, is a more effective procedure than conservative treatment in reducing pain in the first year following surgery 3.
Some key points to consider:
- Conservative management is the initial approach for managing hallux valgus, as it can help alleviate symptoms and slow disease progression 5, 2, 4.
- Surgical options are available for patients who do not respond to conservative management, and the choice of procedure depends on the severity of the deformity and individual patient factors 5, 1, 2, 3, 4.
- It is essential to consult a specialist to determine the best course of treatment, as they can assess the severity of the condition and discuss potential surgical options if necessary.
Overall, the goal of treatment is to reduce pain, improve function, and enhance quality of life for patients with hallux valgus. By focusing on conservative management and considering surgical options when necessary, patients can achieve significant improvements in their symptoms and overall well-being.