02/27/2026
After bunion surgery, a patient wakes with significant forefoot pain.
The surgery was uncomplicated - recovery shouldn’t be.
A new PROSPECT guideline update (Wüst et al., 2026) outlines evidence-based pain management for hallux valgus repair.
What works best:
• Ankle block as the first-choice regional technique
• Paracetamol + NSAID/COX-2 inhibitor, continued post-op
• Intraoperative dexamethasone
• Opioids reserved for rescue
• Preference for minimally invasive techniques, as these are linked to less pain
Effective analgesia for hallux valgus surgery is multimodal, regional-first, and procedure-specific - supporting earlier mobilization and reduced opioid use.
Explore the full PROSPECT guidelines inside NYSORA360 in the Regional Anesthesia Module: https://community.nysora.com/nysora-lms-osm
Wust et al.. Eur J Anaesthesiol. 2026 Jan 1;43(1):11-18.