With an adult patient, on what do you base the decision to prescribe an orthotic for painful Hallux Valgus vs refer for surgery (or give no treatment)?
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Orthoses give relief from hallux valgus pain according to this quote from a 2008 Cochrane review ''This review shows that for people younger than 60 years of age with painful hallux valgus (a condition where the base of the big toe bulges out sideways, away from the foot) custom-made foot orthoses:
Reduce foot pain after 6 months compared to no treatment, but may not reduce foot pain after 6 or 12 months compared to surgery".
Does anyone know what the longer term outcomes are for orthoses vs no treatment?
We all know what we do as individuals and why, but are there any established protocols?
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