Background
pain
SECONDARY
Hallux valgus is characterised by the lateral deviation of the hallux towards the lesser toes which disrupts the alignment of the first metatarsophalangeal joint. A systematic review reported pooled prevalence estimates of 23% in people aged 18 to 65 years and 36% in people aged over 65 years [Nonsurgical management of hallux valgus involves footwear advice or modification, foot orthoses, night splints, and physical therapies. In clinical practice, these interventions are often combined in a multifaceted approach [The most commonly used nonsurgical treatments are footwear, foot orthoses and foot exercises [The evidence provides support for the use of footwear, foot orthoses and foot exercises for the treatment of hallux valgus, but these approaches are yet to be evaluated in combination. Therefore, the primary objective of this study was to evaluate the feasibility of conducting a randomised trial comparing multifaceted, nonsurgical intervention versus usual care for reducing pain associated with hallux valgus. The secondary objectives were to provide a signal of efficacy to justify a future trial and obtain statistical parameters to inform the main trial sample size calculation.