Hallux Limitus
Hallux Valgus
Nonoperative management of functional hallux limitus in a patient with rheumatoid arthritis. (1/2)
BACKGROUND AND PURPOSE: Functional hallux limitus (FHL) is a condition that affects motion at the first metatarsophalangeal joint and may lead to abnormal forefoot plantar pressures, pain, and difficulty with ambulation. The purpose of this case report is to describe a patient with rheumatoid arthritis (RA) and FHL who was managed with foot orthoses, footwear, shoe modifications, and patient education. CASE DESCRIPTION: The patient was a 55-year-old woman diagnosed with seropositive RA 10 years previously. Her chief complaint was bilateral foot pain, particularly under the left great toe. Her foot pain had been present for several years, but during the past 5 months it had intensified and interfered with her work performance, activities of daily living, and social life. OUTCOMES: Following 4 sessions of physical therapy over a 6-week time period, the patient reported complete relief of forefoot pain despite no change in medication use or RA disease pathophysiology. She was able to continuously walk for up to 4 hours. Left hallux peak plantar pressures were reduced from 43 N/cm2 to 18 N/cm2 with the foot orthoses. DISCUSSION: Patients with RA who develop FHL may benefit from physical therapist management using semirigid foot orthoses, footwear, shoe modifications, and patient education. (+info)Relationship between foot type, foot deformity, and ulcer occurrence in the high-risk diabetic foot. (2/2)
We hypothesized an association between foot type, foot deformity, and foot ulceration and conducted an analysis of a well-characterized, high-risk diabetic population of 398 subjects. The average age was 62 years of age and 74% of the study population were males. Foot-type distributions were 19.5% pes cavus (high arch), 51.5% neutrally aligned (normal arch), and 29.0% pes planus (low arch). We quantified the presence of hallux valgus (23.9%), hammer/claw toes (46.7%), and hallux limitus (24.4%). A significant association was found between foot type and hallux valgus (p = 0.003); pes planus feet had the highest prevalence as compared with neutrally aligned feet (odds ratio [OR] = 2.43, p = 0.0006). Foot type was also significantly associated with fixed hammer/claw toes (p = 0.01); pes cavus feet had the highest prevalence as compared with neutrally aligned feet (OR = 3.89, p = 0.001). Foot type was also significantly associated with hallux limitus (p = 0.006) with pes planus feet having the highest prevalence as compared with neutrally aligned feet (OR = 2.19, p = 0.003). However, foot type was not significantly related to any ulcer outcome (p = 0.7). Fixed hammer/claw toes (OR = 3.91, p = 0.003) and hallux limitus (OR = 3.02, p = 0.006) were associated with increased risk of any ulcer occurrence. This study affirms that foot type and foot deformity are related and that foot deformities are associated with ulcer occurrence. (+info)Hallux limitus is a degenerative condition that affects the joint at the base of the big toe, also known as the first metatarsophalangeal (MTP) joint. It is characterized by stiffness and limited range of motion in the big toe, which can make it difficult to walk or participate in activities that require pushing off with the toes.
In hallux limitus, the cartilage in the MTP joint gradually wears away, leading to bone-on-bone contact and the formation of bone spurs. This can cause pain, swelling, and stiffness in the joint. The condition is often caused by structural abnormalities, such as a long or elevated first metatarsal bone, or biomechanical issues that put excessive pressure on the MTP joint.
Hallux limitus can be treated with conservative measures such as shoe modifications, orthotics, physical therapy, and pain-relieving medications. In more severe cases, surgery may be necessary to relieve symptoms and restore mobility to the joint.
Hallux Valgus is a medical condition that affects the foot, specifically the big toe joint. It is characterized by the deviation of the big toe (hallux) towards the second toe, resulting in a prominent bump on the inner side of the foot at the base of the big toe. This bump is actually the metatarsal head of the first bone in the foot that becomes exposed due to the angulation.
The deformity can lead to pain, stiffness, and difficulty wearing shoes. In severe cases, it can also cause secondary arthritis in the joint. Hallux Valgus is more common in women than men and can be caused by genetic factors, foot shape, or ill-fitting shoes that put pressure on the big toe joint.
"Hallux" is a medical term that refers to the big toe or great toe, which is the first digit of the human foot. It is derived from Latin, where "hallus" means "big toe." In some contexts, specific pathologies or conditions related to the big toe may also be referred to as hallux issues, such as hallux valgus (a common foot deformity where the big toe drifts toward the second toe) or hallux rigidus (a form of degenerative arthritis that affects the big toe joint).
Hallux rigidus is a degenerative arthritis condition that affects the joint at the base of the big toe, also known as the first metatarsophalangeal (MTP) joint. This condition is characterized by stiffness and limited motion in the big toe joint, leading to difficulty with walking and pushing off during the gait cycle.
The degenerative changes in the joint can cause bone spurs, or osteophytes, to form on the top of the joint, which can further limit motion and cause pain. The condition may also result in decreased shock absorption and increased stress on other parts of the foot, potentially leading to additional foot problems.
Hallux rigidus is typically caused by wear and tear on the joint over time, although it can also be associated with trauma or injury to the big toe joint. Treatment options for hallux rigidus may include pain relief medications, physical therapy, shoe modifications, orthotics, or in severe cases, surgery.