Hallux Rigidus

by admin on March 23, 2012

Hallux rigidus is a challenging problem in sports medicine. Hallux rigidus occurs when there is no or limited range of motion at the first metatarsophalangeal joint of the foot. Motion is needed at that joint if the heel is to come off the ground to facilitate forward motion of the body, so that joint is extremely important for normal function. The most common cause of hallux rigidus is osteoarthritis which is common in this joint as it is subjected to so much pressure and potential trauma. Hallux rigidus is usually painful; bit also causes compensations in the gait that can also cause symptoms elsewhere. The treatment options for hallux rigidus are somewhat limited as it is not really possible to restore the motion to the joint. The first option for hallux rigidus is to manage the pain with injection therapy and anti-inflammatories. The other main option is to compensate for that lack of motion in the joint by using a rocker bottom on the shoe so the foot can pivot forward over this. There are some options for hallux rigidus surgery, such as removal of the dorsal exostosis that may be restricting the motion or the use of a surgical implant to replace the joint. The final option is to fuse the joint.

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