Background: Hallux Valgus is a type of plantar deformation that involves an angular deviation of the big toe, inwards, with respect to the long axis of the foot. This creates a state of chronic inflammation with a formation of protusion on articulation of big toe called bunion. As a consequence, people can lose capacity of deambulation and require the contribution of self-propelled supports. The treatment consists of surgery and use of non-steroidal anti-inflammatory drugs. A familiarity in this condition has also recently been highlighted. Objectives: To demonstrate, how the combined treatment with manual techniques and specific anti-inflammatory, cream is able to resolve plantar deformation without the aid of surgery and without recurrence. Methods: The synergistic combination of three manual techniques, as: Bowen Technique, Reflexology and Su Jok, coupled with a cream containing Glycerol, Camphor and Povidone Iodine, applied on a cohort of 30 patient, divided in 5 groups, was the basis of the clinical application. In order to confirm the efficacy of the preparation, its composition was compared, by Molecular Docking, with normal antinflammatory drugs. Results: The results from molecular docking showed a greater affinity, of the components of the cream, than the classical drugs. Furthermore, the statistic of the reduction of the size of bunions, showed a complete success in the reduction of volume of bunion, without recrudescence. Conclusions: The combined treatment of manual techniques, with the application of a cream, has shown full effectiveness in resolving the Hallux Valgus plantar deformation, without the appearance of recrudescence.
Keywords: Hallux Valgus, Bowen Technique, Reflexology, Su Jok, Molecular Docking, Camphor, Povidone Iodine.
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Source of Funding:
The work reported here was conducted with the assistance of the company Worldwide Consultancy & Services (https://en.worldwideeurope.com/), with registered office located in Via Andrea Ferrara 45 - 00165, Rome, Italy. The company enjoys the following Certification Systems: UNI EN ISO 9001: 2015, ISO 21001: 2019, UNI EN 16775: 2016, UNI EN ISO 20700: 2018, UNI / TR 11594: 2015.
Conflicts of interest:
The authors have no conflicts of interest to declare that are relevant to the content of this article.
This study was conducted with the prior approval of the ethics committee specifically set up by Worldwide Consultancy & Services, defined as the Worldwide Ethics Committee (https://en.worldwideurope.com/general-8). The Numerical Code of Approval of the Ethics Committee is the following: WCS-WEC.1/2023.
Aleksandra Maksimovic: Conceptualization, Methodology, Project administration, Supervision, Visualization. Stefano Turini: Data curation, Formal Analysis, Investigation, Software, Validation, Writing original draft.
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Authors declare that they consented for the publication of this research work.
Availability of data and materials:
All data and materials are available in the main text.
The authors would like to thank in particular the Physiotherapy Assistant Ljubica Tesic, member of ALVITA PLUS D.O.O., for her contribution and help provided in carrying out the applied study.