Forefoot Varus Wedge for Hallux Valgus

NewsBot · Jan 20, 2022

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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
A Pilot Study
Norouzi, Ehsan PhD; Bagheri, Mahtab PhD; Alafchi, Behnaz PhD; Tafti, Nahid PhD
Journal of Prosthetics and Orthotics: January 12, 2022 - Volume - Issue -

Introduction
The hallux valgus, a painful forefoot deformity, is defined as lateral deviation of the hallux, which is highly correlated with forefoot pronation. This study aimed to compare the effect of two types of foot orthoses, one with and one without a varus forefoot wedge, on self-reported outcomes of pain, function, and QOL (by FAOS questionnaire) in patients with moderate hallux valgus.

Materials and Methods
Sixteen patients with hallux valgus were assigned to two equal groups randomly in a before-after trial.

Results
The within-group comparison showed significant improvements in all subscales of the FAOS questionnaire for both groups (P < 0.05). The between-group analysis showed no statistically significant difference.

Conclusions
It seems the addition of varus forefoot wedge to foot orthoses may have no adverse effect on self-reported outcomes.

Clinical Relevance
It seems in conservative treatment of hallux valgus by medical insoles to correct forefoot pronation may be useful for relieving pain.
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Craig Payne · Jan 20, 2022

This makes no sense.
The 'clinical relevance' is not support by the 'conclusion' and the conclusion is not supported by the results!

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Craig Payne Moderator

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