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TORONTO CHIROPODIST, D.Ch., B.Sc., PODIATRIC MEDICINE

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Hallux Limitus/Rigidus


Hallux Limitus is a term used to describe a first metatarsophalangeal joint (MTPJ) that has developed a painful limitation in motion secondary to an acquired arthritic condition. This limitation in motion is progressive and may lead to a condition termed Hallux Rigidus, in which there is an absence of motion. During normal gait the first MTPJ dorsiflexes 50-75 degrees, and requires stability of proximal bones and joints to function properly. Abnormalities such as pronation, trauma, neuromuscular disease, arthritic conditions, or variations in bone structure can interfere with normal first MTPJ function and lead to a decrease in motion.

 

Appearance
Outwardly the condition may look like a bump on the top of the first metatarsal head with varying degree of limitation of the first MTPJ motion.

 

Hallux Limitus Symptoms
  • Joint pain and stiffness at the first MTPJ
  • The joint may feel like it "locks up" at a certain point due to articular cartilage damage
  • Pain on the top or bottom of the first metatarsal head
  • Difficulty with certain activities like running, squatting, or walking up an incline
  • Difficulty wearing shoes due to the excessive pressure on the body prominences
  • Swelling and erythema

 

Diagnosis
Physical examination and biomechanical assessment: The limitation in motion may not be appreciated in a non-weighbearing patient, proper loading of the first ray may reveal a functional limitation in motion. The patient may complain of pain beneath the second metatarsal or even the lateral aspect of the foot due to transfer of pressure from the first MTPJ as it's function declines.
X-rays will be used to help determine the severity of the condition, structural or positional deformity, as well as the proper course of treatment.
Ultrasound may also be used to evaluate the dynamic functioning of the first MTPJ.

 

Hallux Limitus Hallux Limitus

 

Conservative Treatment
Initial treatment involves management of symptoms and biomechanical control.

  • Changes in shoe gear
  • Functional orthotics: Orthotics are and important part of treatment, especially when biomechanical abnormalities are present

Dr. Hardy's Toronto Foot Clinic, Academy Foot and Orthotic Clinics has had very positive patient outcomes for this condition.  It is more common than many people realize.  if you or a loved one requires honest, competent advice or quality foot care or custom orthotics from foot specialists who love their profession and are dedicated to their ptients, please do not hesitate to contact us at 416-465-8737 today!

Comments:

Academy Clinics has a special interest in high quality custom orthotics.

 

416-465-8737

Toronto, ON Chiropodist
Academy Foot and Orthotic

752 BROADVIEW AVENUE
Toronto, ON M4K 2P1 

Across from the Broadview Subway
Professional  Family  Foot  Care

PROFESSIONAL
FOOT CLINIC

CHIROPODIST / FOOT SPECIALIST,  B.Sc. PODIATRIC MEDICINE / ACADEMY FOOT & ORTHOTIC CLINICS, 752 Broadview Ave , Toronto ON, M4K 2P1 416-465-8737