title: Nonsurgical treatment for hallux abducto valgus with botulinum toxin A.
abstract: Hallux abducto valgus is a frequently seen abnormality of the first metatarsophalangeal joint. Limited conservative treatment options exist, making surgery the only definitive treatment option for a mild-to-moderate deformity. A problem arises if the patient is not a surgical candidate owing to comorbidities, noncompliance, or personal reasons, such as work or family obligations. We describe a case in which the use of botulinum toxin A injection reduced not only the hallux abducto valgus deformity clinically and radiographically but also its associated pain.
authors.affiliation: Aestheticare/Mission Hospital Regional Medical Center PM&S 36, Mission Viejo, CA, USA. drradovic@feetfixer.com
authors.forename: Philip A
authors.initials: PA
authors.lastname: Radovic
authors.forename: Ekta
authors.initials: E
authors.lastname: Shah
mesh_terms: D000328:Adult; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D005260:Female; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D007273:Injections, Intramuscular; D008682:Metatarsal Bones / Q000000981:diagnostic imaging; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D011859:Radiography
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A