Conclusion
pain
This pilot and feasibility study has shown that a fully powered randomised trial of footwear, foot orthoses, foot exercises, advice and self-management for relieving pain associated with hallux valgus is not feasible in its current form due to the low adherence associated with the intervention. However, it is difficult to determine whether the trial would be feasible under different circumstances, as a signal of efficacy was observed, and the trial was conducted during two COVID-19 stay-at-home orders. Future trials may indeed be feasible if adherence to the footwear and exercise interventions can be improved, the aesthetics of the footwear can be enhanced, and the exercise program can be made simpler and less burdensome for participants to undertake.