Treatment of hallux valgus (bunion deformity)

Hallux valgus is a progressive deformity in which the big toe shifts toward the other toes. A bony prominence (“bunion”) develops at the base of the big toe, causing pain in the forefoot and difficulty with walking. Without treatment, the condition typically progresses and leads to persistent deformity.

Symptoms of hallux valgus

Early signs are often overlooked, as pain usually occurs only with weight-bearing. Typical symptoms include:

• a visible bony prominence at the base of the big toe;
• pain or discomfort during walking;
• redness, calluses, or soft tissue inflammation around the bunion;
• reduced mobility of the big toe and difficulty choosing footwear;
• progressive deformity of the forefoot with deviation of the toe toward adjacent toes.

Depending on symptom severity, the orthopedic specialist determines the stage of the condition and selects appropriate treatment.

Stages of hallux valgus

The severity is typically classified by the angle of deviation of the big toe:

• mild: deviation up to 20°, mild discomfort after activity;
• moderate: 20–40°, pain during walking, development of calluses;
• severe: over 40°, visible deformity, possible joint inflammation and involvement of other toes;
• advanced: significant functional limitation, pain at rest, difficulty wearing shoes.

In early stages, non-surgical treatment may be effective. In advanced cases, surgical correction is required.

Causes of hallux valgus

The most common contributing factors include:

• wearing narrow or high-heeled shoes;
• excessive load on the feet (prolonged standing, excess body weight);
• genetic predisposition and ligament laxity;
• structural abnormalities of the foot;
• previous injuries or flatfoot deformity.

Women are affected more frequently due to anatomical and footwear-related factors.

Diagnosis

Diagnosis begins with consultation with an orthopedic specialist. The doctor evaluates the degree of deformity and load distribution in the foot.

Weight-bearing X-rays are performed in multiple projections to assess the angle of deviation and joint condition. Based on these findings, an individualized treatment plan is developed.

Treatment of hallux valgus at Mashtaler Ortho&Trauma

Treatment depends on disease stage, pain intensity, and degree of deformity. Both conservative and surgical approaches are used. The goal is to relieve pain, restore proper alignment, and prevent progression.

Conservative treatment

In early stages, non-surgical methods may include:

• orthopedic insoles or toe spacers;
• physiotherapy to reduce inflammation;
• exercises to strengthen foot muscles;
• appropriate footwear with a wide toe box;
• weight management.

These measures help relieve symptoms and slow progression but do not correct the deformity.

Surgical treatment of hallux valgus

Surgery is recommended when conservative treatment is ineffective. The goal is to correct bone alignment and restore the normal biomechanics of the forefoot.

The procedure involves realignment of bones and soft tissues, stabilization of the joint, and removal of the bony prominence. It is performed under imaging guidance to ensure precision and reduce complications.

Modern surgical techniques allow restoration of the anatomical structure of the foot with predictable outcomes.

Recovery after surgery

After surgery, the patient remains under observation during the first day. Early mobilization is possible, usually with specialized postoperative footwear (e.g., Barouk shoes).

Recovery includes:

• swelling and pain control in the first days;
• regular follow-up and wound care;
• physiotherapy to support healing;
• gradual restoration of joint mobility.

Transition to regular footwear typically occurs after 6–8 weeks, with full recovery taking up to 3–6 months.

Prevention of hallux valgus

Preventive measures include:

• wearing comfortable shoes with adequate toe space;
• limiting prolonged use of high heels;
• performing exercises to strengthen foot and lower leg muscles;
• maintaining a healthy body weight;
• seeking medical advice at early signs of deformity.

Why choose Mashtaler Ortho&Trauma Clinic

1. Experienced specialists. Procedures are performed by orthopedic surgeons with extensive experience in foot deformity correction.
2. Modern techniques. Advanced surgical methods are used to reduce recovery time and improve outcomes.
3. Comprehensive care. Diagnosis, treatment, and rehabilitation are provided within one clinical pathway.
4. Patient comfort. Continuous medical supervision ensures safe recovery.
5. Transparent pricing. Treatment costs are discussed in advance with no hidden fees.

Mashtaler Ortho&Trauma Medical Center provides accurate diagnosis and individualized treatment using modern technologies and patient-centered care.

Price for hallux valgus treatment in Lviv

The cost depends on the severity of deformity, treatment method, and rehabilitation needs. The exact price is determined after consultation and examination.