Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/12/2025

Hallux Valgus Deformity Management

Conservative Management

  • Patients with hallux valgus should be referred for specialized footwear if standard shoes cannot accommodate the deformity or if there are signs of abnormal loading, as recommended by the American Diabetes Association 2, 3
  • Conservative measures may include appropriate footwear modification, with shoes that accommodate the deformity and avoid tight fitting at the metatarsophalangeal joints, according to the American Diabetes Association 1, 2, 3

Surgical Management

  • Recurrent deformity occurs in approximately 29% of patients in some series, highlighting the importance of careful patient selection and surgical technique, as noted by the National Institute of Health 4
  • Functional support with bracing is preferred over immobilization in post-operative management, as recommended by the British Society of Sports Medicine 5