Association between hallux valgus pain and foot-related quality of life: The hallux valgus and pain epidemiology study.
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Murahashi Yasutaka, Matsuoka Masatake, Kimura Seiji, Teramoto Atsushi, Onodera Tomohiro, Nishimura Akinobu, Nagamoto Hideaki, Kimura Yuka, Innami Ken, Nakagawa Ryosuke, Matsumoto Takumi, Amaha Kentaro, Takeshima Kenichiro, Seki Hiroyuki, Horie Masafumi, Matsunaga Ryo, Okada Hirokazu, Wakabayashi Kenjiro, Taki Masanori, Ohara Kuniji, Kanzaki Noriyuki, Takakura Yoshiyuki, Hirao Makoto, Nakazora Shigeto, Nakasa Tomoyuki, Saiga Kenta, Imade Shinji, Tanaka Hirofumi, Noguchi Koji, Nakamura Shunsuke, Azuma Chinatsu, Shiko Yuki, Kawasaki Yohei, Yamaguchi Satoshi
Аннотация
METHODS: We conducted a large cross-sectional investigation, the Hallux Valgus and Pain Epidemiology Study, in Japan. A total of 1700 participants, aged ≥20 years, provided foot photographs and completed a self-administered questionnaire. The HV angle was measured using the submitted photographs. Propensity score matching for age and sex was performed to compare QOL outcomes, using the Self-Administered Foot Evaluation Questionnaire (SAFE-Q), between participants with and those without HV.
RESULTS: Among the 1700 participants, 419 were diagnosed with HV. Those with HV exhibited lower QOL scores across all self-administered foot evaluation questionnaire subscales, including pain, physical functioning, social functioning, and footwear. Greater HV severity correlated with increased foot pain (33.6 % in mild and 57.1 % in severe cases) and reduced QOL. Pain was most common in the big toe in mild/moderate cases but shifted to the lesser toes and metatarsal regions in severe cases. Multivariate analysis revealed the HV angle, daily physical activity, and coexisting knee pain as significant factors associated with HV pain.
CONCLUSIONS: HV severity is closely associated with pain and lower QOL, particularly in cases involving pain in the lesser toes and metatarsalgia. Identifying risk factors for HV pain can guide preventive measures and improve patient outcomes.