Seventy patients with symptomatic hallux valgus were randomized to receive a dynamic splint or no treatment. The primary outcome of interest was the hallux valgus angle. Additional outcomes of interest included the intermetatarsal angle, range of motion, patient-reported clinical outcomes (American Orthopaedic Foot and Ankle Society Score; Foot and Ankle Outcome Score), pain scores, quality of life measures, and patient perceived change in symptoms, position and actual pain. Results revealed no significant difference in hallux valgus angle between the dynamic splinting and control groups. Pain scores at rest and the patient-perceived change in symptoms and position were significantly in favour of the dynamic splinting group. Significant differences in the pain and activities of daily living sub-scores on the FAOS were observed. Otherwise, no significant differences in clinical or radiological outcomes were observed.