1. Hallux Valgus
Kristine Aclan, RN

3. Hallux Valgus
• Also called bunion
• A deformity of the foot involving the
first metatarsal and great toe

5. Hallux Valgus
• Occurs in females more frequently than
males, and incidence increases with age

6. • May have a genetic predisposition
• Commonly occurs with other
deformities of the feet, such as
hammertoe, mallet toe, and claw toe

7. CLINICAL
MANIFESTATIONS

8. • Pain
• Possible callus of skin overlying bunion
and accompanying toe deformities
• Diminished ROM
• Generally associated with tight
footwear

10. MANAGEMENT AND
NURSING
INTERVENTIONS

11. Conservative Management
• Wearing footwear made of soft leather
with a wider toe box, rounded rather
than pointed, and with low heel.
• Special orthoses can be ordered.
• Steroid injections to relieve pain.

12. Surgical Management
• Surgical alignment of the great toe by
osteotomy of metatarsal or proximal
phalanx of the great toe or fusion of the
metatarsal-metatarsophalangeal joint

14. Postoperative Care
• Elevation of the foot to reduce pain
• Initial non-weight-bearing activity, with
very gradual progress in activity
• Crutch walking initially, followed by
wooden shoe immobilizer for several
weeks

15. Postoperative Care
• NSAIDs and opioid analgesics for pain
• Bandages changed by surgeon initially