
To the left here you'll see some spurring in the big toe joint. The space is also narrowed. Comparatively, look at the space between the 2nd metatarsal (long bone) and it's associated toe bone, there is a nice black gap in between, that gap is cartilage that is radiolucent (does not show on xray).
The condition is called, Hallux Limitus or Ridigus depending on the stage of the condition. Causes range from: Post traumatic injury from soccer / football kickers, previous untreated big toe fracture, turf toe that caused joint injury, crush injury, poor choice of shoes or poor mechanics.
Your podiatrist will be able to tell you more about your cause.
Symptoms include: burning in the big toe joint, swelling, stiffness, deep throbbing pain, pain with change of weather, pain with bending the big toe joint. Now one thing can be confused for hallux limitus is gouty arthritis, with gout youur joint will be red, hot and swollen and painful to even a bedsheet's pressure. Hallux Limitus / Ridigus is more constant and consistent throbbing. There are stages of Hallux Limitus, the case presented here is a Grade III where it is almost self fused.
Non surgical option will consist of using orthotics with a morton's extension, either rigid or made from cork.
Surgical options depend on the stage of the disease: injections, joint fusion, joint replacement.
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Notice the top bump is gone |
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Joint space restored |
Fusion of the big toe has the best long term patient satisfaction according to new studies. Our center offers that too but also gives our patient choices. Fusion is great choice for active patients with debilitating pain. The end all procedure. The decision should be between you and your doctor, get some opinions. Beware of those that will tell you, I only fuse, or I only implant. There are choices and your doctor should be able to give you those choices and have the experience to guide you in the right direction.
Patient many years post arthrosurface implant, very happy about such, made a video about it and here it is.
Newest video with a full review and explanation about Hallux Limitus and Rigidus.
Family Foot and Leg Center, PA
Naples, FL
239 430 3668
Thanks for the information. It is nice to know that there are many options for arthritis in the big toe.
ReplyDeleteGeorge,
DeleteNumerous options. I am very excited about this implant and results thus far.
Dr. Kevin Lam
www.NaplesPodiatrist.com
Check out the newest video as posted today
DeleteIm impressed, I have to say.I cant wait to make something like it.
ReplyDeleteThank you.
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It’s very informative post about arthritis and I think that every person should know about this information. Thank you.
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Jim,
DeleteThank you for your kinds words and reading my blogs.
Dr. Kevin Lam
www.NaplesPodiatrist.com
great information for people suffering big toe joint pain!!
ReplyDeleteThanks and share
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