New York State Medical Treatment Guidelines
for Bunions / Hallux Valgus in workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Bunions / Hallux Valgus.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Bunions / Hallux Valgus

Hallux valgus, often known as a bunion, is a lateral deviation of the great toe at the metatarsophalangeal joint with respect to the midline of the body that is typically over 14.5 degrees, and it most frequently occurs in conjunction with medial deviation of the first metatarsal.

The feet should show valgus deviation of the great toe beyond the first metatarsophalangeal joint.

Diagnostic Studies for Bunions / Hallux Valgus in workers compensation patients

Diagnostic Studies for Bunions / Hallux Valgus in workers compensation patients for X-Rays

Diagnostic Studies for Bunions / Hallux Valgus in workers compensation patients for X-Rays is recommended to assess alternative illnesses such gout, degenerative joint disease, and osteoarthrosis. Additionally, x-rays are helpful for planning surgeries and calculating angles.

Treatments of Bunions / Hallux Valgus

Rehabilitation of Bunions / Hallux Valgus

1. Low Intensity Ultrasound

   Low Intensity Ultrasound is not recommended for after hallux osteotomy

   Valgus therapy

    

2. Manipulation or Mobilization for Treatment of Hallux Valgus

   Manipulation or Mobilization for Treatment of Hallux Valgus are not recommended in order to treat hallux valgus.

Surgery of Bunions / Hallux Valgus

Surgery for Hallux Valgus

Surgery for Hallux Valgus is recommended for Hallux Valgus.

Indications: specific, usually mild cases of hallux valgus where substantial discomfort and/or weakness are present, and changing shoes Orthotics and wear are unable to adequately control symptoms.

Other of Bunions / Hallux Valgus

Orthotics for Treatment of Hallux Valgus

Orthotics for Treatment of Hallux Valgus is recommended for treatment of Hallux Valgus.

Indications: Orthotics for hallux valgus should be used. generally be confined to one of two conditions: 1) There radiographic evidence of hyperpronation is preferred. the presence of hyperpronation and a 30 degree talar flexion angle degrees on a standing study, 2) there should be two or more the hallux metatarsal’s plantar side is specifically painful head pathology, whether or not it has bunions.

Rationale for Recommendation: For people whose symptoms cannot be adequately controlled by switching shoe styles when practical, orthotics are advised. Evidence for Orthotics Use

What our office can do if you have workers compensation injuries that lead to Bunions / Hallux Valgus

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.