Treatment depends on symptom severity rather than the magnitude of the deformity alone. 4.1. Conservative Treatment
The deformity starts with a medial deviation of the first metatarsal head, followed by valgus deformity of the proximal phalanx, and a lateral shift of the sesamoids.
Female sex, age, family history, flat feet (pes planus), and chronic wearing of narrow-toed, high-heeled shoes.