A patient referred for HAV deformity is likely to show which characteristic in their existing footwear?

A patient with a Hallux Abducto Valgus (HAV) deformity is likely to have footwear that features a narrow toe box. This characteristic is significant because the narrow toe box does not provide adequate space for the toes, particularly for the big toe, which tends to drift towards the other toes in cases of HAV. This can exacerbate the misalignment and pressure on the bunion, causing discomfort and further complications for the patient.

Footwear designed with a narrow toe box typically does not accommodate the natural splaying of the toes, which can lead to additional pain and create further challenges for individuals with foot deformities, such as HAV. In contrast, shoes with a wider toe box would help reduce pressure on the bunion and provide comfort for the affected foot.

The other characteristics mentioned would not be as commonly associated with HAV-related footwear. For instance, a wedge type sole might be employed for other conditions that require elevation or to shift weight away from the forefoot but is not specifically targeted for shaping around the bunion. An inflare last would create an inward curve that contradicts the need for space in the forefoot area. A low heel, while potentially beneficial in certain aspects, does not directly influence the narrowness of the toe area