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Conservative treatment of Hallux Rigidus

Bones, Joints & Muscles | Last Active: Oct 2, 2023 | Replies (28)

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@JustinMcClanahan

Hello @upartist, this is an interesting question to pose. I tried doing a bit of digging on my own to see what I could find. I also have arthritis in my big right toe. So far, it has not been an issue for me, other than some discomfort when it gets really cold out (and it is REALLY cold out in MN right now).

This may be a question best suited for your medical provider, especially if you are having issues. If you don't mind sharing, are you experiencing discomfort or what you think are circulation issues in your legs?

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Replies to "Hello @upartist, this is an interesting question to pose. I tried doing a bit of digging..."

Hi, I'm interested in this also. I have severe arthritis in my right big toe and I do experience discomfort and circulation in the leg with venous insufficiency. I did not think they were related, in fact, my ankle and foot doc did not comment on a relationship either.
Sure not relate to the cold. Today in south Florida, it's 79. (sorry).

Hello Justin. Thank you for your reply. I have not found information on this either. Yes I am experiencing quite a bit of discomfort in my right toe, foot, ankle, and calf. My foot is swelling out of my shoes and even my big winter boots. Just my right foot. My left side is fine. It comes and goes, and seems unrelated to the cold..... In fact the cold feels quite nice and reduces the swelling. I have to untie my boot to relieve the pain, or the foot feels like it's ready to pop. The toe has enlarged I realize, but this is bigger swelling. It feels like a tourniquet. Elevation and ice also help. I should have mentioned this at my last clinic visit a short time ago, but I was focused on some other stuff. Do you think I should bring this up with my Mayo provider?

I certainly would. Unfortunately, I cannot offer medical advice or a diagnosis because I am not a provider, but certainly do recommend mentioning your symptoms to your provider as it could be symptoms from something else. @upartist, if you feel comfortable, do you have arthritis or any other medical issues that could cause symptoms of swelling?

Hellos Justin. I plan to follow your suggestion to have the foot/leg looked at. Thank you. And no, I really do not have any other issue that could account for the focused swelling, that I am aware of. I wanted to avoid the toe surgery, which has been offered to me, because I have been able to remain quite active (walking, jogging, hiking, Snowshoeing, etc). I love being active, and wanted to go with orthotics in order for that life style to continue. I manage my other issues by being active. I am concerned that I may have waited to long on the surgery, and allowed the joint to grow to much.

Hello Justin, I wanted to close my question about my swelling foot, which I posed earlier. I did follow through with your suggestion to see my Doc. He felt the pulse, assessed the blood flow, and did a D-dimmer blood test. All were good. Unfortunately since that point, I have progressed to a pseudo-bowel obstruction with great pressure into the right groin. I didn't recognize it in its early stages, as it manifests a bit differently each time this happens. So I am being monitored and am working to stay out of the hospital right now. I know this routine quite well. Thank you for your recommendation, which was correct. Happy New Year!

Thank you for updating us @upartist. As a fellow person who lives with rare condition, a rare genetic bleeding disorder, I too often struggle with what I should contact my doctor about or what I want to just deal with on my own. As I get older, I am getting better about admitting that I need an expert voice, so I understand your situation, even if it is for a different cause.

@upartist, if you don't mind sharing, was there any cause found for your foot swelling?

Hi dinnymurph, what about your other leg? Does it have issues with venous insufficiency or the arthritis?

Both legs are involved. Right more so. Had the ultrasound mapping done. Dr recommended ablation. Will get to it soon

Good morning dinnymurph. What is ultrasound mapping? And what is ablation? I would like to learn more about these. Thanks for any info you can forward!

Hi, basically from what I understand, the ultrasound determines where in the leg the vein is blocked and actually makes a "map" ; from there the doc can determine a re-routing course.... the ablation is a severing with a cauterization I think done through the groin which makes the re-routing possible. My daughter had this done with her heart ..... much more sophisticated of course. Again I'm really simplifying what's been explained to me.