Hallux Valgus

Hallux valgus is a deformity in which the big toe deviates in a valgus direction due to misalignment of the first metatarsophalangeal joint (MTP joint). Weakening of the intrinsic toe muscles causes ligaments to loosen, and if shoes with narrow toe boxes continuously apply lateral pressure, the medial joint capsule of the MTP joint stretches, causing the deformity to become fixed. Progression is rapid in the presence of flat feet, hyperpronation, or ligament hyperlaxity. Perspective of Korean Medicine Clinic 3 4 In Korean medicine, the approach is based on the view that the spleen governs the muscles, the kidneys govern the bones, and the liver governs the tendons. When digestive and kidney functions weaken, the force holding muscles and bones together diminishes, and stagnation of Qi and blood in the meridians passing through the inside of the big toe leads to dysfunction of the ligaments and fascia. At Dongjedang, we first check for adhesions in the adductor pollicis muscle and medial joint capsule using ultrasound. Then, we treat by separating the adhesions with needles and restoring Qi and blood circulation using acupuncture and pharmacopuncture to slow down the progression of the deformity.