Conservative treatment of Hallux Rigidus

Posted by upartist @upartist, Dec 28, 2017

Can the circulation of the leg be effected or disrupted by an advancing Big toe arthritis?

@upartist

Hello again Sandilee. May I ask how long you have been experiencing these symptoms? Are they new?

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Since Monday. I have had knee and ankle problems for years but this just came on suddenly and has had me down since then. If it’s gout I hope I can get some medication to help but I have changed my diet and drinking a lot of water. I will rest for the afternoon and put my feet up and hope it gets better.

@upartist

Hello again Sandilee. May I ask how long you have been experiencing these symptoms? Are they new?

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Well Sandilee, I am not a physician, but I have had a blood clot in the past. This foot event I just had was assessed from that direction, in that, my physician assessed the foot and did a d-dimer blood test which did rule out a blood clot for me. Your symptoms could be a variety of different things and your foot does need to be looked at, especially with the sudden onset of symptoms. If it ends up being gout, or something else, then it can be treated appropriately. So you might want to consider going in to see a physician sooner than next week. If it were to be a clot, it shouldn’t wait until next week. Good luck!

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

@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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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!

@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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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.

I've had some pain and swelling around my big toe for years now. Last year it got bad, I saw a doctor, said bone spur/hallux limitus, not bad enough for surgery yet, let's try orthotics.

And I tried orthotics, and I didn't like them, but eventually the pain decreased to the point that it wasn't interfering in my life.

Now, though, it's much worse. I'm having trouble walking enough to get through the day, forget about fun or exercise. I limp noticeably sometimes, and my other hip has started to hurt from it. I have to do something, and it really sounds like chilectomy (removing the bone spur) is the most reasonable option.

I'm scared, though. I've had surgery several times before (not on my feet), and all of them except the smallest ones involved severe uncontrolled pain. In addition, I have two jobs and two kids, the younger a toddler, and I'm worried about downtime.

My next appointment is a couple weeks away, and I want to be ready. Anyone ever have chilectomy or similar procedure? How much did it hurt, and for how long? How long until you were able to, for example, stand for an hour or two at a time?

Welcome to Connect, @sarahkane.
I moved your message to this existing discussion as I thought it would be beneficial for you to be introduced to the many members who are discussing much of what you are experiencing.
If you click on VIEW & REPLY in your email notification, you will see the whole discussion and can join in, meet, and participate with other members talking about their or their loved ones' experiences.

While we wait for members to join in, here are two studies, both of which conclude that, "Cheilectomy has demonstrated excellent outcomes for early stages of hallux rigidus, while arthrodesis is the gold standard for end-stage hallux rigidus.”
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5434342/
https://journals.sagepub.com/doi/full/10.1177/2473011418764461

@sarahkane, have you ruled out other conservative measures – orthotics, special shoe styles, shoe pads – to get some relief? Do you have family or friends who might be able to help out with the kids if you opt for surgery?

@kanaazpereira

Welcome to Connect, @sarahkane.
I moved your message to this existing discussion as I thought it would be beneficial for you to be introduced to the many members who are discussing much of what you are experiencing.
If you click on VIEW & REPLY in your email notification, you will see the whole discussion and can join in, meet, and participate with other members talking about their or their loved ones' experiences.

While we wait for members to join in, here are two studies, both of which conclude that, "Cheilectomy has demonstrated excellent outcomes for early stages of hallux rigidus, while arthrodesis is the gold standard for end-stage hallux rigidus.”
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5434342/
https://journals.sagepub.com/doi/full/10.1177/2473011418764461

@sarahkane, have you ruled out other conservative measures – orthotics, special shoe styles, shoe pads – to get some relief? Do you have family or friends who might be able to help out with the kids if you opt for surgery?

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Thanks, Kanazz. I have tried changes in footwear and custom orthotics. It helped for a while, but it's not doing enough any more. Maybe a cortisone shot could at least buy a little more time.

I can probably get some help, but maybe not for very long, and I'd have to schedule it carefully.

Well, I did get a cortisone shot last week. It definitely helped, and I can now walk without limping noticeably. It still hurts, and I'm almost certainly going to have surgery eventually, but for now, I'm in less pain.

Still interested in any prior experiences with this surgery.

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