At the Gastaldi Orquin Traumatology Institute (ITGO), we receive many inquiries about hallux valgus, a common foot deformity known as “hallux bunions“.

This condition, which can cause pain and discomfort, does not always require surgery as a primary solution.

As specialists in traumatology in Valencia, we want to explain what this condition consists of and when it is really necessary to resort to surgery.

What is hallux valgus?

Hallux valgus is a deviation of the big toe toward the other toes, which causes the formation of a bump or protrusion at the base of the toe.

This deformity can be caused by several factors, such as:

• Prolonged use of inappropriate footwear (narrow shoes or high heels).
• Genetic predisposition.
• Biomechanical alterations of the foot, such as flat feet.

Common symptoms include pain, swelling, redness and difficulty walking. In mild cases, it can be managed with conservative measures, such as changes in footwear, customized insoles and physical therapy.

However, in more severe cases, sports surgery may be considered to correct the deformity and alleviate symptoms.

Thanks to our advances in treatments and the support of our sports medicine unit in Valencia, we help patients return to their routine as soon as possible, ensuring a complete and effective recovery.

When is surgery necessary?

Surgery for hallux valgus is recommended only in cases where pain and deformity significantly interfere with the patient’s quality of life.

The main criteria include:

• Persistent pain that does not improve with conservative treatments.
• Difficulty in performing daily activities due to the deformity.
• Obvious progression of big toe deviation.

At the ITGO, we evaluate each case in a personalized manner, using imaging studies and biomechanical analysis to determine if surgery is the best option.

Our team, led by Dr. Gastaldi in Valencia, uses advanced surgical techniques to ensure optimal results and rapid recovery.

Surgical options for hallux valgus

There are different surgical techniques to treat hallux valgus, and the choice depends on the severity of the deformity and the specific needs of the patient. Some of the most common options include:

• Osteotomies: Consist of cutting and realigning the affected bones to correct the deformity.
• Arthrodesis: This is used in severe cases and involves fusing the joints of the big toe.
• Minimally invasive surgery: This approach reduces damage to surrounding tissues, which facilitates a faster recovery.

In addition, we have expertise in muscle surgery techniques that may be necessary in certain cases to balance stresses in the soft tissues of the foot and improve outcomes.

Recovery after surgery

Recovery after hallux valgus surgery may vary depending on the technique used and the patient’s general condition. In general terms, it includes:

• Use of special footwear during the first few weeks.
• Rehabilitation with physiotherapy to recover mobility and strength.
• Avoidance of high impact activities for at least 8 weeks.

Trust ITGO to take care of your feet

At ITGO, we are committed to your well-being and to offering personalized solutions for any locomotor system problem.

If you have questions about hallux valgus or need guidance on whether surgery is necessary, do not hesitate to call us.

Our team will be happy to assist you and provide you with the best possible treatment.