Evaluation of the Pain and Foot Functions in Women with Hallux valgus deformities

Abstract

Objectives: The aim of this study was to investigate whether deformity affects pain and associated functional status in women with hallux valgus (HV). Methods:The study included 27 women (mean age: 40.5±10.3 years) diagnosed with HV and with a deformity level of two or more as determined using the Manchester scale. Demographic data of the participants were recorded. In addition, Visual Analog Scale (VAS) was used to determine the intensity of pain during walking. To determine the function affected by pain and deformity, Foot Function Index (FFI), and the American Orthopaedic Foot and Ankle Society MTP-IP (AOFAS MTP-IP) Scale along with AOFAS Midfoot (MF) Scale were used.Results: Based on the study results, we determined a statistically significant relationship between foot function and pain among our patients (p<0.05). These significant relationships were observed between the pain and total scores of the Foot Function Index (p<0.05), the pain parameter of AOFAS MTP-IP and the pain and total scores of AOFAS midfootpain scale (p<0.05). Conclusion:It was concluded that when assessing and planning treatment for hallux valgus, all health professionals dealing with foot health, pathologies, deformities and treatment should consider the patient as a whole, bearing in mind that pathologies can affect not only the perceived symptoms of individuals, but also their normal functions through various physical and social limitations. Sonuç: Ayak sağlığı, patolojileri, deformiteleri ve tedavisiyle ilgili tüm sağlık profesyonellerinin, halluks valgusa yönelik değerlendirme ve tedaviyi planlarken, hastayı bir bütün olarak ele almaları gerektiği, patolojinin bireyin algıladığı semptomlar kadar, fiziksel ve sosyal kısıtlılıklara neden olarak, fonksiyonları da etkileyebildiğinin unutulmaması gerektiği vurgulanmıştır.

Hallux valgus among sales promotion women wearing high heels in a department store

“…High heels have been proved to be one of the extrinsic factors that cause HV formation 7,13 as well as increasing its severity. 8,12 Wearing high heels elevates the pressure on the first metatarsal, which will eventually lead to HV formation, 13 which is an argument supported by Nguyen et al, 18 whose study reported that women wearing high heels 2 in. or more as the main shoes at the age of 20-64 years have 20% increased incidence of HV compared with those who do not.…”

“…10 Most studies found that this condition appeared mostly in women, especially the ones who wore high heels shoes with a narrow toe box. 8,11…”

“…HV occurs in 2-4% of the population, 7 especially in shoe-wearing populations. 8,9 Mann and Coughlin reported the incidence of HV in adult shoe-wearing populations by 33%. The number of HV varies greatly depending on the subject being investigated.…”

“…10 Most studies found that this condition appeared mostly in women, especially the ones who wore high heels shoes with a narrow toe box. 8,11 Wearing high-heeled shoes with a narrow toe box was a very important extrinsic factor in HV formation and has been proved to increase the severity. 8,12 Biomechanical studies showed that heel elevation on high heels increased pressure under the metatarsal head and limited the motion of the first metatarsophalangeal joints.…”

“…8,11 Wearing high-heeled shoes with a narrow toe box was a very important extrinsic factor in HV formation and has been proved to increase the severity. 8,12 Biomechanical studies showed that heel elevation on high heels increased pressure under the metatarsal head and limited the motion of the first metatarsophalangeal joints. Additionally, shoes with narrow toe box increased pressure on the medial aspect of the foot and between the toes.…”