Effectiveness of non?surgical interventions for hallux valgu
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A Study was conducted to investigate the effectiveness of non?surgical interventions for hallux valgus (HV).

Two reviewers independently screened articles for inclusion, extracted data, performed risk of bias and GRADE assessments. Risk of bias was assessed using version 2 of the Cochrane risk of bias tool. Effect sizes were calculated and pooled where possible for the primary outcomes, foot pain and HV angle.

Results:
--Eighteen included studies investigated a wide range of non?surgical interventions for HV. Most studies had small sample sizes and concerns regarding risk of bias.

--Five separate meta?analyses for foot orthoses, splints, manual therapy, and taping added to foot exercises showed no significant effects on primary outcomes.

--However, results from 8 studies showed a significant pain reduction with the use of foot orthoses, night splints, dynamic splints, manual therapy, taping added to foot exercises, multifaceted physical therapy program and Botox injections.

--4 studies reported a clinically significant reduction in HV angle with night splints, foot exercises, multifaceted physical therapy and Botox injections.

There is a lack of certainty about the efficacy of nonsurgical treatments for HV, in particular, but a decrease in pain tends to be more likely than an increase in HV angle.

Source: https://onlinelibrary.wiley.com/doi/10.1002/acr.24603?af=R
Like
Comment
Share