Optimal Loading refers to having a balanced rehabilitation program which encourages early and gradual activity to improve recovery. How you progress will vary from person to person depending on the injury. It is about finding the injured areas happy place and increasing slowly and gradually. Sometimes people believe they need something ‘stronger’ than paracetamol when in fact, taking a regular dose rather than a one-off dose is more effective. The exact cause is unclear. [1] It may be due to a combination of internal and external causes. [7] Proposed factors include wearing overly tight shoes, high-heeled shoes, family history [2] [3] and rheumatoid arthritis. The American College of Foot and Ankle Surgeons states that footwear only worsens a problem caused by genetics. [8] Wetenschappers weten de oorzaak van een hallux valgus niet precies. Ze kunnen niet verklaren waarom de ene mens wel een scheve teen krijgt en de andere niet. Wel is het opvallend dat bij mensen die geen schoenen dragen, vrijwel geen scheve teen voorkomt. Slechts 2 procent van deze groep heeft een scheve grote teen.

Limiting your toe movement: Your provider may recommend over-the-counter (OTC) pads that you can put in your shoe to support your big toe and limit its movement. You might need to avoid activities that stress your toe joint, like running or playing sports.Mouton A, Le Strat V, Medevielle D, Kerroumi Y, Graff W, French association of foot surgery (AFCP). Patient's satisfaction after outpatient forefoot surgery: Study of 619 cases. Orthop Traumatol Surg Res. 2015 Oct. 101 (6 Suppl):S217-20. [QxMD MEDLINE Link]. A bunion is a bony bump that forms at the base of your big toe. Bunions develop on the inside edge of your big toe joint — the metatarsophalangeal (MTP) joint. The MTP joint is where the base of your big toe meets your foot. The medical term for bunions is hallux valgus.

Wei, Fu-Chan; Colony, Lee H.; Chen, Hung-Chi; Chuang, Chwei-Chin; Noordhoff, Samuel M. (1989). "Combined Second and Third Toe Transfer". Plastic and Reconstructive Surgery. 84 (4): 651–61. doi: 10.1097/00006534-198984040-00016. PMID 2780906. De slijmbeurs bij de bunion, of knobbel, kan ook pijn gaan doen. Tussen de huid en het gewricht van de grote teen zit namelijk niets. De huid ligt direct op het bot. Door de scheefstand drukt je schoen op de bunion. Dit geeft irritatie, waardoor er een slijmbeursontsteking ontstaat. Hallux valgus wel of niet opereren? Putti AB, Pande S, Adam RF, Abboud RJ. Keller's arthroplasty in adults with hallux valgus and hallux rigidus. Foot Ankle Surg. 2012 Mar. 18 (1):34-8. [QxMD MEDLINE Link].

Juvenile or adolescent hallux valgus: These are types of bunions that affect people younger than 18. Farzadi M, Safaeepour Z, Mousavi ME, Saeedi H. Effect of medial arch support foot orthosis on plantar pressure distribution in females with mild-to-moderate hallux valgus after one month of follow-up. Prosthet Orthot Int. 2015 Apr. 39 (2):134-9. [QxMD MEDLINE Link]. Nicolosi N, et al. (2015). Long-term follow-up of the cheilectomy for degenerative joint disease of the first metatarsophalangeal joint. DOI: