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Suggest Treatment For Raised Hallux Causing Pain In Toe

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Posted on Sat, 13 Sep 2014
Question: I have a raised Hallux that is causing pain in my big toe when I walk. I've started doing exercises to lower the Hallux and this working. I still have pain in my toe and I'm wondering what else I can do to fix this. What I've been doing to resolve the raised hallux is to induce a cramp in the Flexor Hallucis muscle as well as the peroneus longus. I've been doing this for 1 month and the Hallux in my right foot is looking much more normal but will still pop and give me pain when raising the big toe. Range of motion is normal.
doctor
Answered by Dr. Het Ram Bishnoi (5 hours later)
Brief Answer:
Hallux & treatment

Detailed Answer:
Hello XXXX
Let me explain in detail about Hallux .
Two type :Hallux rigidus & Hallux valgus.
After reading your query , you are having Hallux rigidus.
This condition occurs as two distinct varieties, both more common in men.
In both the METATARSOPHALANGEAL joint of great toe is STIFF & PAINFUL.
1 This is due to synovitis of the metatarsophalangeal joint following injury, and is associated with muscular spasm . As you mentioned that you are inducing cramp in the flexor and paroneous longus muscle but this provide temporary relief but not a treatment.
The treatment :It is relieved by wearing a metatarsal bar 2 cm.wide and 1.25 cm thick . Size may vary according to the shape and size of great toe.
2 The is nothing more than MONARTICUALR OSTEOARTHROSIS , sometimes precipitated by injury ( may be in your case due to rock climbing).
In this limitation of movement is due to :
Capsular fibrosis
Deformation of the articualr surface
Interlocking of the osteophytes
Treatment.
The condition may be treated by fitting a METATARSAL BAR .
Take serratiopeptidase 20 mg thrice in day , as this will reduce edema ( if present ),but this has its limit ,may relieve pain but not a treatment .
2nd option is SURGERY especially if the hyperdorsiflexion has developed at the interphalangeal joint of the great toe.Consult an ORTHOPEDIC SURGEON and get his opinion , if hyperdorsiflexion has developed.
3rd option is physiotherapy under the ortho physiotherapist .
Hope I have answered your question .
Good luck.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Het Ram Bishnoi (16 hours later)
Is the joint causing the hallux issue or is the hallux causing the joint issue? I have the tendency to try and boil everything down to one thing which may not be reasonable.
doctor
Answered by Dr. Het Ram Bishnoi (11 hours later)
Brief Answer:
Hallus

Detailed Answer:
Hello XXXX
Hallux means big toe .
It is the metatarsophalngeal joint which causes Hallux.
Various reasons mentioned in previous reply.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Het Ram Bishnoi

General & Family Physician

Practicing since :1978

Answered : 6271 Questions

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Suggest Treatment For Raised Hallux Causing Pain In Toe

Brief Answer: Hallux & treatment Detailed Answer: Hello XXXX Let me explain in detail about Hallux . Two type :Hallux rigidus & Hallux valgus. After reading your query , you are having Hallux rigidus. This condition occurs as two distinct varieties, both more common in men. In both the METATARSOPHALANGEAL joint of great toe is STIFF & PAINFUL. 1 This is due to synovitis of the metatarsophalangeal joint following injury, and is associated with muscular spasm . As you mentioned that you are inducing cramp in the flexor and paroneous longus muscle but this provide temporary relief but not a treatment. The treatment :It is relieved by wearing a metatarsal bar 2 cm.wide and 1.25 cm thick . Size may vary according to the shape and size of great toe. 2 The is nothing more than MONARTICUALR OSTEOARTHROSIS , sometimes precipitated by injury ( may be in your case due to rock climbing). In this limitation of movement is due to : Capsular fibrosis Deformation of the articualr surface Interlocking of the osteophytes Treatment. The condition may be treated by fitting a METATARSAL BAR . Take serratiopeptidase 20 mg thrice in day , as this will reduce edema ( if present ),but this has its limit ,may relieve pain but not a treatment . 2nd option is SURGERY especially if the hyperdorsiflexion has developed at the interphalangeal joint of the great toe.Consult an ORTHOPEDIC SURGEON and get his opinion , if hyperdorsiflexion has developed. 3rd option is physiotherapy under the ortho physiotherapist . Hope I have answered your question . Good luck.