علاج ألم مقدمة القدم في مفصل مشط السلامية الأول في القدم الحنفاء مع ارتفاع الزاوية الأولى بين المشطيات

References

• Symptomatic patients typically present with a gradual onset of sharp pain at the metatarsal phalangeal (MTP) joint that is worse on weight bearing.
• NICE uses the HVA and intermetatarsal angle (IMA) to sub-classify the severity of the deformity.
• Patients must meet at least one of the criteria in the rows to be diagnosed.
• Initial management of symptomatic HV involves conservative measures.
• Patients should be educated on their condition, as well as receive a footwear assessment and relevant analgesia.
• From here, patients may be provided with further options such as offloading orthotics.
• Another common treatment is physiotherapy to improve patient balance, proprioception, and core stability.
• Some patients may also be referred for therapeutic injections.
• However, this is usually only indicated if inflammation or arthritis is suspected or if the patient is unfit for surgery.
• Conservative treatments are aimed at symptom relief but do not prevent or slow down deformity progression.