title: Orthotic management for disorders of the hallux.
abstract: Most disease conditions that affect the hallux are amenable to conservative treatment. Most of the literature that addresses the treatment of hallux rigidus, bunions, sesamoid problems, and arthritis focus on surgical management, although operative indications stress the need for attempted conservative treatment of these processes. This article reviews the technical considerations that are required for successful orthotic management of disease of the first ray. Mechanical terminology and principles of management are reviewed and examples of orthotic prescriptions for specific disease entities are included to facilitate communication between the orthopedist and orthotist.
authors.affiliation: The Center for Orthopaedic Care, 2123 Auburn Avenue, Suite 235, Cincinnati, OH 45219, USA. vjsammarco@orthopedicexcellence.com
authors.forename: V James
authors.initials: VJ
authors.lastname: Sammarco
authors.forename: Ryan
authors.initials: R
authors.lastname: Nichols
mesh_terms: D020859:Hallux Rigidus / Q000628:therapy*; D006215:Hallux Valgus / Q000628:therapy*; D006801:Humans; D007593:Joint Instability / Q000628:therapy; D009989:Orthotic Devices