Analyzing the Effect of Varus Forefoot Wedge in Addition to Arch Support on Self-Reported Pain, Function, and Quality of Life in Patients with Moderate Hallux Valgus

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ehsan Norouzi ◽  
Mahtab Bagheri ◽  
Behnaz Alafchi ◽  
Nahid Tafti
2013 ◽  
Vol 103 (1) ◽  
pp. 50-55 ◽  
Author(s):  
Søren Thorgaard Skou ◽  
Lea Hojgaard ◽  
Ole H. Simonsen

Background: Knee osteoarthritis (KOA) is a prevalent degenerative disease in older adults. Treatment strategies, including insoles, focus on reducing pain and physical disability. In medial KOA, insoles have been studied extensively with conflicting results, possibly due to heterogeneity in outcome measures and the intervention. We sought to investigate the effect of custom-made laterally wedged insoles on pain, function, and quality of life in patients with medial KOA. Methods: Fifty-one consecutive patients with medial KOA were prescribed custom-made insoles with arch support and a 5.0° to 8.7° lateral wedge. At follow-up, 42 of the 51 participants (22 men; mean age, 63 years; mean Kellgren-Lawrence, 3.4) participated. Retrospectively, participants were asked to rate the pain intensity in their affected knee before and after the intervention measured on a visual analog scale after 30 min of physical activity (primary outcome), at rest, at night, and after 50 m of walking. Additionally, they completed the Oxford Knee Score and the EQ-5D. The paired-samples t test was applied in the statistics. Results: The visual analog scale score after 30 min of physical activity was significantly reduced after the intervention (mean, 3.3 cm; 95% confidence interval, 2.1–4.5 cm; P < .001). The same significant changes were found in all of the secondary outcomes. Conclusions: There was a significant reduction in pain and improvements in function and quality of life with custom-made laterally wedged insoles with arch support in older adults with mild-to-severe medial KOA. The customization of laterally wedged insoles may be essential for the effect in medial KOA. (J Am Podiatr Med Assoc 103(1): 50–55, 2013)


2020 ◽  
Vol 11 (2) ◽  
pp. 21-27
Author(s):  
Katarzyna Wódka ◽  
Agnieszka Jankowicz-Szymańska ◽  
Eliza Smoła ◽  
Marta Bibro

Hallux valgus is one of the most common deformities within forefoot region. Reasons for this deformity are not entirely clear. The available literature lists both internal and external factors. Researchers dealing with hallux valgus emphasize that this deformation is accompanied by pain, reduced quality of life, changed foot statics, cosmetic problems and problems with buying the right footwear. The occurrence of pain may significantly affect the quality of everyday functioning and the broadly understood quality of life. The purpose of the following publication is to review selected interactions in the area of physiotherapy and orthopedic measures in the therapy of people reporting pain within the hallux valgus region.


2016 ◽  
Vol 7 (1) ◽  
pp. 45 ◽  
Author(s):  
Daniel López López ◽  
Lucía Callejo González ◽  
Marta Elena Losa Iglesias ◽  
Jesús Luis Saleta Canosa ◽  
David Rodríguez Sanz ◽  
...  

2019 ◽  
Vol 13 (1) ◽  
pp. 3-9
Author(s):  
Vinícius Trindade Cardoso ◽  
Henrique Mansur ◽  
Isnar Moreira Castro Junior

Objective: To evaluate the quality of life of patients undergoing hallux valgus correction and maintenance of  radiographic parameters over time. Methods: The study included 38 patients who underwent hallux valgus correction surgery using different osteotomy techniques (Scarf, Chevron, Arciform, Proximal Chevron and Chevron-Akin) between January 2010 and December 2012. The patients were evaluated radiographically at 3 different periods (preoperatively and 1 year and 5 years postoperatively) and completed the SF-36 quality-of life questionnaire. Statistical analysis was performed using Student’s t-test and the nonparametric Wilcoxon and Friedman tests at a maximum significance level of 5%. Results: Among the main results obtained for the SF-36 questionnaire, the domain patients felt better about emotional aspects, physical limitations and social aspects, with a final mean of 74.9. The metatarsophalangeal and intermetatarsal angles and medial eminence exhibited significant reductions in the postoperative period (p<0.05), and only 1 patient presented with the loss of joint congruence. Conclusion: Different surgical osteotomy techniques used to correct moderate and severe hallux valgus provide improvements in the radiological parameters and quality of life of patients. Level of Evidence IV; Therapeutic Studies; Case Series.


2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 97S
Author(s):  
Henrique Mansur ◽  
Vinicius Trindade Cardoso ◽  
Isnar Moreira de Castro Júnior

Introduction: The outcome of hallux valgus correction surgery is usually evaluated based on parameters of interest to the surgeon; however, the outcomes considered important by patients differ from those analyzed by physicians. Our objective is to evaluate the quality of life of patients undergoing hallux valgus correction and to assess the maintenance of radiographic parameters over time. Methods: The study included 38 patients who underwent hallux valgus correction surgery using different osteotomy techniques (scarf, chevron, arciform, proximal chevron and chevron-Akin) from January 2010 to December 2012. The patients were evaluated radiographically at 3 different times (preoperatively and 1 and 5 years postoperatively) and filled out the 36-Item Short Form Survey (SF-36) for the assessment of quality of life. Statistical analysis was performed using the paired Student’s t-test and the nonparametric Wilcoxon signed-rank and Friedman tests, with a maximum significance level of 5%. Results: Among the main findings of the SF-36 questionnaire, the sections on which the patients reported the best results were emotional role functioning, physical functioning and social role functioning, and the final mean score was 74.9. The metatarsophalangeal and intermetatarsal angles and medial eminence showed significant decreases during the postoperative period (p<0.05), and only 1 patient presented loss of joint congruence. Conclusion: Different surgical osteotomy techniques used to correct moderate and severe hallux valgus improved the patients’ radiological parameters and quality of life.


2019 ◽  
Vol 61 (1) ◽  
pp. 56-66 ◽  
Author(s):  
Nathan Heineman ◽  
George Liu ◽  
Thomas Pacicco ◽  
Riham Dessouky ◽  
Dane K Wukich ◽  
...  

Hallux valgus is a common condition estimated to affect as many as 23% of adults. The condition is associated with a variety of debilitating symptoms leading to significant morbidity and quality of life issues. Proper evaluation of this deformity and the timely management of its symptoms can improve hallux valgus-related symptomatology and quality of life. The most commonly used and readily reproduced measurements for assessing hallux valgus are the inter-metatarsal angle and the hallux valgus angle. These angles are helpful for choosing and planning surgical intervention for patients who fail initial conservative measures with distal osteotomies reserved for mild or moderate hallux valgus and proximal osteotomies indicated for more moderate to severe deformities. After reading this review article, readers will gain knowledge of the etiopathogenesis of hallux valgus, measurement parameters, and treatment strategies with representative case examples.


2016 ◽  
Vol 37 (11) ◽  
pp. 1171-1177 ◽  
Author(s):  
Yohei Yamamoto ◽  
Satoshi Yamaguchi ◽  
Yuta Muramatsu ◽  
Atsushi Terakado ◽  
Takahisa Sasho ◽  
...  

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