Name of the Procedure:

Hallux Valgus Night Dynamic Splint, Prefabricated, Off-the-Shelf (L3100)

Common names: Night Splint for Bunions, Bunion Splint, Hallux Valgus Splint

Technical term: Hallux Valgus Night Dynamic Splint

Summary

The Hallux Valgus Night Dynamic Splint is a device worn at night to help correct the alignment of the big toe in patients with bunions (hallux valgus). It is an off-the-shelf, prefabricated product designed to apply gentle pressure and maintain the toe in a proper position.

Purpose

The primary goal of this splint is to alleviate discomfort and prevent the progression of a bunion. It helps in realigning the big toe, reducing pain, and potentially avoiding the need for surgical intervention.

Indications

• Presence of a bunion (hallux valgus)
• Pain or discomfort caused by the misalignment of the big toe
• Mild to moderate hallux valgus deformities
• Patients seeking non-surgical treatment options

Preparation

• No specific pre-procedure instructions are required.
• Patients do not need to fast or adjust medications.
• A physical examination or imaging may be utilized for proper fitting of the splint.

Procedure Description

1. Fitting: The splint is typically sized and adjusted to fit the patient's foot.
2. Application: The patient puts on the splint before going to bed.
3. Adjustment: The device is equipped with straps or other adjustable components to ensure it applies the correct amount of pressure and holds the toe in proper alignment.
4. Usage: The patient wears the splint overnight and removes it in the morning.

Tools and Equipment: The splint comes ready-to-use, requiring no special tools for application.

Anesthesia or Sedation: None required.

Duration

The splint is worn nightly. Duration of use depends on the severity of the bunion and the effectiveness of the treatment, typically ranging from several months to a year.

Setting

This device is used at home. Initial instruction or fitting may occur in a healthcare provider's office.

Personnel

• Primary care physician, podiatrist, or orthopedic specialist may recommend and fit the splint.
• No other specialized personnel are needed for its application.

Risks and Complications

• Potential skin irritation or discomfort from the splint
• Unintended pressure or misalignment if not properly fitted
• Minor swelling or redness
• Rare risk of worsening the condition if used improperly

Management: Discontinue use and consult a healthcare provider if significant discomfort or complications arise.

Benefits

• Non-invasive method to alleviate bunion pain
• May slow or halt progression of bunion deformity
• Can improve toe alignment over time
• Potentially delay or eliminate the need for surgery

Recovery

• No significant recovery period required
• Patients may initially feel slight discomfort as they adjust to wearing the splint
• Regular follow-ups with healthcare provider to monitor progress

Alternatives

• Custom orthotic devices
• Foot exercises and physical therapy
• Medications for pain relief
• Surgical options in severe cases

Pros and Cons of Alternatives: Orthotics and exercises are less invasive but may be less effective than surgery in severe cases. Surgery is more definitive but involves higher risks and longer recovery.

Patient Experience

Patients might experience initial discomfort as they adjust to sleeping with the splint. Over time, the splint should become more comfortable. Pain management includes ensuring the splint is properly fitted and using cushions or pads if needed. Comfort measures involve gradually getting used to the splint and consulting with a healthcare provider for any concerns.