Toe pain/ Hallus Valgus
Hallus Valgus is an increased angle of the great toe when it deviates towards the second toe. Hallux Valgus is usually seen in athletes or other individuals with excessive foot pronation or flat foot posturing. This condition can als be attributed to splayfoot syndrome which is associated with widening of the forefoot when weight is placed on the foot. Due to the foot sitting in an altered position and the compression from footwear, calluses, additional bone growth, pain and thickening of a bursa (bunions) can occur at the base of the big toe.
Retraining the muscles of the intrinsic foot has a very important role in stabilizing the foot. Control of the intrinsic foot muscles are essential in order to stabilize the small bones of the midfoot/ forefoot and to help control the rate of pronation or lowering of the arch.
Physiotherapists treat Hallus Valgus through strengthening of the tibialis posterior and other muscles of the foot/ lower leg, orthotics, ultrasound to decrease the bursitis, correcting forefoot width of footwear and manual joint mobilization techniques to improve movement of the great toe joint and other related joints. Posturing of the whole leg and pelvis is evaluated since abnormal movements may be occurring in joints above the foot and may be contributing to increased stress on the big toe.