Priority 19 from the Foot Health PSP
| UNCERTAINTY: What are the best ways to treat toe deformities (e.g. bunions, clawed toes, hammer toes)? (JLA PSP Priority 19) | |
|---|---|
| Overall ranking | 19 |
| JLA question ID | 0092/19 |
| Explanatory note | It is known that structural deformities of the toes have a high prevalence in the adult population (Sayli et al, 2018; Dunn et al, 2004),however research to support the most effective, non-surgical management strategies is limited and /or weak. Such deformities are associated with significant disability such as foot pain, balance issues and increased falls rates (especially in the elderly). Therefore research to understand the most effective non-surgical management strategies and the most effective time to instigate interventions is essential in reducing the potential risk of developing subsequent morbidity as a result of such deformity. |
| Evidence |
CD007809 – Zammat et al (2010). Intervention for the treatment of osteoarthritis of the big toe. Only 1 trial of poor quality included, therefore limited to no conclusions about treatment. |
| Health Research Classification System category | Generic health relevance |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | What can I do to prevent bunions? ~ How are toes prevented from curling? ~ What is the best treatment for hammer toes? |
| Submitted by | Healthcare Professional x 1, Patient x 12 |
| PSP information | |
|---|---|
| PSP unique ID | 0092 |
| PSP name | Foot Health |
| Total number of uncertainties identified by this PSP. | 30 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 26 September 2019 |