Night splints & toe seperators for painful HAV

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Effects of insole with toe-separator and night splint on patients with painful hallux valgus: A comparative study.
Tehraninasr A, Saeedi H, Forogh B, Bahramizadeh M, Keyhani MR.
Department of Orthotics and Prosthetics, Iran University of Medical Sciences, Tehran.
Prosthet Orthot Int. 2008 Mar;32(1):79-83.

 

Although the night splint may not be effective in reducing HAV angles or reducing pain, it is useful in post operative situations. I have had several patients referred to me post HAV surgery for night splint issue. I'm not sure why the surgeon couldn't issue the item himself, although I'm happy to have the business.

The first of these patients was referred to me after surgery when valgus deviation started to re-occur. The splint made such a difference that he started sending all of his patients for a splint regardless of post op' results. They have all reported relative comfort and quick recovery.

Trent

 

Speaking as a podiatric surgeon (I don't provide orthoses), I can't express how valuable it is to have a colleague in pp (I assume you are) who is conversant with post-op. outcomes. I always refer to a colleague who is more knowledgable than I in the field of functional treatment.

Isn't this the way it should work or are we still living in the world of 'I can do it all, I'm a jack of all trades'. My father knew that this situation was fatuous 40 years ago. Just enjoy the extended practice!

All the best

Bill Liggins

 

I am in private practice Bill and I totally agree with you in terms of how things should work. I know I refer on when good patient outcomes rely on the best person doing the job. I know it should be this way, however I think we will do it tough to convince everyone.

The almighty dollar often gets in the way of quality care. I know so many Podiatrists, physio's and surgeons who as you say, "do it all". Everyone's a winner if we use each other to achieve the best patient outcomes. Isn't that after all what it's all about?

Anyway I will definitely enjoy the extended practice.

Best Regards
Trent

 

I guess it really depends on the patient regarding night splints and their effectiveness. I have had some patients get great results with the splints, yet probably had an equal number of patients that simply cant stand to wear them. Because of this I just give the splint to the patient to trial free of charge for a while. I have tended to use the firmer style ones in the past but have recently trialled the softer post-op one which looks much more comfortable. See how it goes.......
Paul