What is Hallux valgus?

Hallux valgus (hallux valgus deformity of the first toe) is the deviation of the big toe outward with simultaneous deviation of the first metatarsal bone inward. A characteristic "bunion" (exostosis) forms at the base of the toe — bursitis of the first metatarsophalangeal joint.

This is the most common deformity of the forefoot, affecting up to 23% of adults and up to 35% of people over 65 years old. Women suffer 10-15 times more often than men.

Degrees of deformity (HVA angle):

Mild — HVA angle 15-20°, minimal symptoms
Moderate — HVA angle 20-40°, pain when walking, difficulty with footwear
Severe — HVA angle >40°, subluxation of the joint, osteoarthritis

Associated problems:

Osteoarthritis of the first metatarsophalangeal joint (Hallux rigidus)
Bursitis (inflammation of the "bunion")
Metatarsalgia (pain in the forefoot)
Hammertoe deformity of toes 2-3
Calluses and corns

Symptoms of Hallux valgus

Early signs

Redness and swelling at the base of the big toe
Discomfort when wearing shoes
Slight deviation of the toe outward
Periodic pain after prolonged walking

Progression

Constant pain when walking
Increase in the "bunion" (exostosis)
Inability to wear regular shoes
Bursitis — inflammation of the bursa
Deformity of toes 2-3 (hammertoe)

Late stages

Severe First Metatarsophalangeal Joint Osteoarthritis
Joint Rigidity (Hallux Rigidus)
Metatarsalgia — Pain in the Forefoot
Calluses and Corns
Gait and Posture Disturbance

Osteotomy vs regenerative treatment

Criterion	Osteotomy (Chevron, Scarf)	Orthopedic Insoles	Regenerative treatment
Principle	Bone cutting and fixation with screws	Arch support, load redistribution	Cartilage regeneration and inflammation elimination
Anesthesia	General / Spinal	None	Without anesthesia
Hospitalization	1-3 days	None	None — home same day
Rehabilitation	6-12 weeks (special footwear)	None	Several days
Pain Relief	✅ Yes (after healing)	Partial	✅ Yes — within days
Recurrence	10-30%	Does not treat	Low
Both Feet Simultaneously	❌ One foot only	✅ Yes	✅ Yes

How Regenerative Methods Treat Hallux Valgus

Regenerative treatment is effective for pain syndrome and first metatarsophalangeal joint osteoarthritis accompanying Hallux Valgus. The method does not change the bone deformity angle, but eliminates pain, inflammation, and regenerates joint cartilage.

Diagnosis

X-rays and ultrasound assess the degree of deformity, joint cartilage condition, presence of bursitis and osteoarthritis. Indications for regenerative therapy are determined.

Obtaining Concentrates

CGF — powerful anti-inflammatory factors to eliminate bursitis. MFAT — stem cells for regeneration of metatarsophalangeal joint cartilage.

Injection into the Joint

Under ultrasound guidance, concentrates are injected into the first metatarsophalangeal joint cavity, into the inflamed bursa, and into surrounding soft tissues (capsule, ligaments).

Regeneration and Pain Relief

Elimination of bursitis and inflammation — within the first days. Effect on cartilage tissue. Significant pain reduction and improved foot function, allowing you to avoid or delay surgery.

Why regenerative treatment is Effective for Hallux Valgus

Pain in Hallux Valgus is caused not by the "bunion" itself, but by bursitis and first metatarsophalangeal joint osteoarthritis. Osteotomy corrects the axis but does not regenerate cartilage. Regenerative treatment eliminates bursa inflammation (CGF — more powerful than steroids, without side effects) and initiates cartilage regeneration (MFAT — stem cells differentiate into chondrocytes). The result — pain elimination and restoration of joint function without bone cutting.

Regenerative method Advantages

A broad range of indications

Regenerative methods are used for many orthopaedic and spinal conditions. Some cases still call for surgery.

No anesthesia or incisions

Outpatient treatment via 0.3-1.5 mm puncture. No general anesthesia or hospitalization.

No age restrictions

Regeneration at any age. Safe for chronic conditions and anesthesia intolerance.

Rapid improvement

Concentrates have analgesic and anti-inflammatory properties. Relief within days.

Multiple zones at once

Simultaneous treatment of multiple discs or joints in one procedure.

Home the same day

No crutches, braces or rehabilitation needed. MRI follow-up at 8-16 weeks.

Regenerative treatment Technology

Navigation system

Intraoperative robotic navigation system. Provides precise access to deep structures with 1 mm and 1 degree accuracy.

Ultrasound guidance

Device for intervention under sonographic control. Eliminates open surgeries with real-time visual monitoring.

More about technologies →

Frequently Asked Questions About Hallux Valgus Treatment

Will regenerative treatment Correct the Toe Deformity?

Regenerative treatment is not designed for mechanical correction of the deformity angle. Its task is to eliminate pain, inflammation (bursitis), and joint osteoarthritis, which are the main causes of patient suffering. Many patients after regenerative treatment can walk normally without pain, which allows them to avoid or delay osteotomy.

Can Both Feet Be Treated Simultaneously?

Yes. During surgery, both feet are not operated on simultaneously — the patient would be unable to walk. With regenerative methods, both feet are treated in one procedure, and the patient goes home independently the same day.

Treatment Compare Methods Cost

Clinic and method matching — free of charge

Describe your case and attach your MRI report. We will identify clinics that use the relevant methods and forward your request to them. No obligation; we reply within two working days.

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