Stela Ivanova, Tatyana Tomova, Borislav Chongov, Albena Ukova
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hallux valgus, pain, quality of life.
Hallux valgus (HV) is one of the most common chronic deformations. It causes pain and difficulty with footwear and many patients require surgery. Hallux valgus is common and moderate or greater deformity is associated with foot pain, decreased function and worse foot health. Pain is not only a highly noxious experience per se, but it can also have an overwhelmingly negative effect on nearly every other aspect of life, including mood and capacity to function in daily roles. The purpose of this study is to estimate the impact of related to hallux valgus deformity pain on the quality of life in untreated subjects. Materials and methods: A self-reported questionnaire was distributed through podiatrists, orthopedists and kinesitherapists to 65 patients, suffering from hallux valgus deformity. Questionnaire includes 3 sections: (1) personal information, pain localization and pain intensity; (2) Manchester Foot Pain and Disability Index (MFPDI); (3) EuroQol- 5 Dimension (EQ-5D-5L). Results: Responses from MFPDI shows markedly impairment of avoiding of standing for a long time, feeling of self-conscious about the feet and the shoes, having constant pain in the feet which is worsening in the evening, and more pain and discomfort during everyday activities. Most of the subjects felt mild to moderate pain. The maximum average degree of pain is correlated with the pain presented below the ball of the hallux, the local pain of the deformity (over 4.29) in relation to the absence of pain in the region of the first metatarsophalangeal joint (under 3). It feels more painful when combined with pain under the balls of all the other toes and/or under the fifth toe. Feeling pain under the ball of the hallux with or without pain under the balls of the other toes (metatarsalgia) was associated with significantly higher scores on the Functionality, Personal Appearance, and Pain subscales of the MFPDI, but not on the Work/Leisure subscale. However, the values are below 50% of the MFPDI subscales range. Conclusions: The intensity and localization of pain in hallux valgus deformity worsens some aspects of the quality of life, mainly related to the avoidance of activities that require prolonged standing and the concern about the feet and the shoes that must be worn.
Cite this paper: Ivanova, S., Tomova, T., Chongov, B., Ukova, A. (2024). IMPACT OF RELATED TO HALLUX VALGUS PAIN SENSATION ON THE QUALITY OF LIFE. Current Trends in Natural Sciences, 13(26), 153-159. https://doi.org/10.47068/ctns.2024.v13i26.016
