The condition is defined as the displacement of the great (first) toe toward the other toes. The condition may also be referred to as a bunion.

Abnormal foot mechanics, joint hypermobility, structural factors, arthritic conditions such as gout, psoriatic and rheumatoid arthritis, wearing shoes that are tight or high heeled shoes.

The condition may be characterized by inflammation and thickening of the bursa (located at the base of the toe on the bottom of the foot) of the joint of the great toe, with marked enlargement of the joint and lateral displacement of the toe.

Tests for the condition may include x-rays which will show the degree of hallux valgus, the intermetatarsal angle, and the distal metatarsal articular angle. Other diagnostic measures involve a comprehensive history and physical examination.

Treatment may include the wearing of shoes with adequate size and shape, use of protective and supportive padding; and surgical treatment if the condition does not respond to conservative measures.

Residuals may include pain, reduced joint mobility, change in gait, and recurrence of the deformity if surgery is performed. After surgery, some patients may still be unable to wear certain types of shoes.

• The rating schedule for musculoskeletal was updated on February 7, 2021. Protection still does apply and should be considered with existing evaluations (38 CFR 3.951(a)).

• When multiple foot disabilities are present, but the etiology of the symptoms cannot be separated, assign a single disability evaluation for the predominant symptoms. If the etiology of the symptoms can be delineated, separate disability evaluation may be assigned under multiple DCs for foot disabilities provided that the principles of 38 CFR 4.14 have not been violated.

• None.