Archive for Hallux Rigidus

Mar
15

Terminology of hallux rigidus and limitus

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Hallux rigidus is a condition in which the movement in the big toe or hallux joint of the foot is rigid and is often associated with osteoarthritis. The big toe joint of the feet are really quite an important joint in the body as it is required to bend so the leg can move ahead over the foot when walking. If something prevents the motion at that joint, then continuing to move forward is going to be a lot more difficult and overload is going to be added to other joints that have to bend more as that joint just isn't moving properly. This tends to cause pain in the big toe or hallux joint and also other joints. In addition, it will cause an abnormal wear pattern on the footwear. The chief cause of hallux rigidus is generally a previous injury to the joint. With time this sets up a process of abnormal use which leads to further damage and osteoarthritis to the joint. Subsequently the restricted motion of the joint is even further limited and the joint becomes rigid with no motion possible.

The best way to treat a Hallux Rigidus is proper management of the initial trauma with good rehabilitation and the use of exercises to prevent or slow down the developments of the osteoarthritis. When the joint is painful, then prescription drugs and injection therapy into the joint works extremely well for the symptoms. Using a firmer sole shoe is usually useful as this reduces the demand on the joint to flex. Some footwear may also have a rocker added to them, so that you pivot over the rocker and do not need to use the joint as much. If these conservative methods are not helpful, then the next step is surgical. There are various alternatives here. The simplest, if indicated, is to basically get rid of some bone of the top of the joint to allow to bend more. If that's not possible, then the joint can be surgically fused to stop it bending. This specific fusion addresses the pain from the osteoarthritis as the joint is unable to move.

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Sep
29

Hallux rigidus is problem in which the first metatarsophalangeal joint becomes rigid

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Hallux Rigidus is a disorder in which the movement at the big toe joint of the foot is rigid and is usually associated with osteoarthritis. The big toe joint of the feet are really quite a significant joint in the body as it has to bend so the leg can move ahead over the feet when walking. If something hinders the motion at that joint, then forward movement will probably be a lot more difficult and overload is going to be put on adjacent joints that have to bend more as that joint is not bending enough. This could result in pain in the great toe or hallux joint and also other joints. It also causes an unusual wear pattern on the footwear. The chief cause of hallux rigidus is commonly a previous injury to the joint. After a while this sets up a process of abnormal use that brings about more damage and osteoarthritis to the joint. Subsequently the limited movement of the joint is even more restricted and the joint will become rigid with no movement at all.

The simplest way to treat a hallux rigidus is proper management of the initial trauma with good rehabilitation and the use of exercises to avoid or reduce the developments of the osteoarthritis. When the joint is painful, then drugs and injection therapy into the joint works extremely well for the symptoms. Using a more rigid sole footwear is frequently useful as this decreases the demand on the joint to bend. Some shoes can also have a rocker added to them, so that you can move over the rocker and don't need to use the joint as much. If these conservative methods aren't helpful, then the next thing is surgical. There are several options here. The simplest, if indicated, is to simply cut off some bone of the top of the joint to allow the joint to flex more. If that is not feasible, then the joint may be surgically fused to prevent it flexing. This specific fusion deals with the pain as a result of the osteoarthritis because the joint can't flex.

 

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