The treatment of hallux varus depends on the severity of the condition. If the deformity is mild and the toe remains flexible, no treatment is required. If the toe begins to deviate considerably and is becoming stiff, then surgery usually is required. Correction depends on the flexibility of both joints of the big toe and whether or not arthritis is present.
Often, a tendon transfer is performed. Tendons are shifted around the big toe to straighten it and maintain flexibility. One of the more popular operations, the extensor hallucis brevis transfer procedure, used by surgeons today is a specially designed transfer of a tendon of the big toe designed by Dr. Mark Myerson.