Hallux valgus (HV), or more commonly known as bunions, is a painful foot deformity that affects millions of people worldwide. HV is characterized by a big toe misalignment, which can cause pain, discomfort, and difficulty walking. Fortunately, a recent study has shown promising results in using custom-mold silicone toe separators in combination with custom-fit footwear to alleviate symptoms and reduce the angle of the big toe. In this blog, we will explore how this winning combination can help you manage and potentially reduce the severity of hallux valgus.

graph of HVA angle comparing control and study groupResults comparing HVA of control and study group

The study investigated the effectiveness of a low-cost custom-mould silicone toe separator in treating hallux valgus (HV) by examining its impact on hallux valgus angle (HVA), pain, compliance, and patient satisfaction. The results demonstrated a significant decrease in HVA for the toe separator group, while HVA increased in the control group that used conventional footwear only.

"After 12 months of using the TS, the HVA of the study
group decreased 3.3° from 32.0° to 28.8°,
whereas the HVA of the control group increased 1.9°
from 30.6° to 32.5°."

Participants reported high satisfaction with the custom-mould silicone toe separator in terms of fit, comfort, perspiration, cosmetic appearance, maintenance, and overall satisfaction. Compliance was highest during the first three months, with some patients requiring minor adjustments during the initial period of use. In conclusion, the custom-mould silicone toe separator has proven to be an effective, low-cost treatment option for patients with moderate HV, reducing HVA and hallux pain while maintaining high patient satisfaction.

The Power of Custom-fit Footwear

Custom-fit footwear plays a crucial role in managing HV. Shoes designed specifically for your foot shape and size can provide ample space for your toes, preventing further crowding and irritation. More importantly, custom-fit footwear allows room for the big toe angle to be corrected, reducing the pressure and strain on the joint, which ultimately leads to less pain and discomfort.

When choosing custom-fit footwear, make sure to prioritize the following features:

  1. Wide toe box: This provides enough space for the toes to spread out and prevents further misalignment.
  2. Arch support: Proper arch support can alleviate pressure on the affected joint and improve overall foot biomechanics.
  3. Cushioned insoles: Cushioning can help absorb shock and reduce pressure on the big toe joint.

Combining Forces with Silicone Toe Separators

The addition of custom-mold silicone toe separators to your custom-fit footwear can further enhance the correction of your big toe angle. These separators are designed to be worn during the night, providing a consistent and gentle force that helps realign the big toe over time. The recent study demonstrated significant improvement in hallux valgus angle (HVA) and pain reduction in patients who used the silicone toe separator alongside custom-fit footwear.

Custom-fit trainers could allow toe separators to be worn during the day to speed up the recovery. 

Moreover, the custom-mold silicone toe separators offer several benefits:

  1. Personalized fit: Each separator is custom-made to accommodate the unique anatomy of your foot, ensuring maximum comfort.
  2. Cost-effective: Custom-mold silicone toe separators are a fraction of the cost of other medical-grade silicone devices, making them an affordable option.
  3. High satisfaction: Patients reported high satisfaction with the fit, comfort, and overall experience of using the toe separator.


The combination of custom-fit footwear and custom-mold silicone toe separators offers a powerful and effective solution to manage hallux valgus. By providing the necessary support, space, and gentle corrective force, this winning duo can reduce the severity of HV, alleviate pain, and improve your overall quality of life. So, if you're struggling with bunions, it's time to embrace the power of personalized footwear and silicone toe separators to put your best foot forward!