Foot orthoses Proved to an Effective Nonoperative Treatment Option for Patients With Hallux Valgus

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Foot orthoses Proved to an Effective Nonoperative Treatment Option for Patients With Hallux Valgus

Study results showed that nonoperative treatment using foot orthoses decreased pain in patients with hallux valgus, and the effect of treatment was maintained up to 2 years with a relatively high degree of patient satisfaction.

Hallux valgus (HV) is one of a common foot deformity with a prevalence varying from 23% in the adult population to 36% in people aged 65 years or more. The current study issued in the 'Journal of Orthopaedic Science' aimed to clarify the 2-year clinical and radiological outcomes of nonoperative treatment via foot orthosis for HV patients.

Ryosuke Nakagawa et al. surveyed the patients who underwent nonoperative treatment via foot orthosis prospectively. A certified orthotist used a standardized method to fabricate foot orthoses. At 3, 6, 12, 18 and 24 months, pain and quality of life were examined using subjective and objective assessment measures. Also, the radiological outcomes, patient satisfaction, and adherence to treatment were surveyed.

There were a total of 53 patients (50 women and 3 men; median age, 63 years) for the analysis. With time, the pain visual analogue scale score significantly decreased, with the lowest score perceived at 12 months. The treatment effect was retained over 24 months. The American Academy of Orthopaedic Surgeons Foot and Ankle Scale, Japanese Society for Surgery of the Foot hallux scale and 36-Item Short-Form Health Surveybodily pain subscale also ameliorated, but the treatment effects were maximal at 6 months and decreased afterwards. At 24 months, 43 (81%) patients sustained the orthosis usage, with the median visual analogue scale score for patient satisfaction being 76 points. Hallux valgus angle and intermetatarsal angle did not alter during 24 months.

Source:

Journal of Orthopaedic Science

Link:

https://www.sciencedirect.com/science/article/pii/S0949265818303269?via%3Dihub

Original title of article:

Efficacy of foot orthoses as nonoperative treatment for hallux valgus: A 2-year follow-up study.

Authors:

Ryosuke Nakagawa et al.

SearchTags: 
Exploratory, Pain, Hallux valgus, Gout, Follow-up study, Visual analog scale, Japanese Society for Surgery of the Foot hallux scale, American Academy of Orthopaedic Surgeons Foot and Ankle Scale, 36-Item Short-Form Health Survey, Efficacy
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