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Thursday, March 8, 2012

Hallux Limitus/Rigidus: Further Email Advice

Anonymous has left a new comment on your post "Hallux Limitus/Rigidus: Email Advice": 

Thank you, Dr. Blake for responding to my post!!!! I am very grateful for your comments!!! I never had any serious pain with this situation until I just started wearing my orthotics. I am wearing them for one hour a day and increasing by one hour each day. Both my feet are killing me.
Dr Blake's comment: In fixing a problem, pain should be avoided, or at least minimized. Look at my post on Breaking Into Orthotic Devices and it emphasizes that the process should be pain free. There are many reasons orthotics can help or irritate big toe joints, so perhaps simple orthotic adjustments will help. As of right now, remove the inserts and get yourself back to the doc. 

 Hopefully that will go away soon.

I have a copy of my MRI I had done and my X Rays. How do I get a copy of them for you to look at?
Dr Blake's comment: please see my address at the website www.aapsm.org to mail the CD with xrays and MRI. 

Thank you for your recommendation for Dr. Losito. He looks to be exactly the local doctor I have been trying to find. I will call and make an appointment with him ASAP!!!

I was wondering if you recommend putting the Voltaren gel on the joint? Mine is swollen from the bone spurs and appears red some days.
Dr Blake's comment: I love Voltaren gel better than oral anti-inflammatories for small areas. It gets more medicine to these small areas.

 Of course that is where it is most uncomfortable when wearing a shoe. I have lived in Florida for 6 years. I have spent most of those years wearing flip flops as opposed to shoes. They are all designer, leather flip flops which have been enormously comfortable and easy to wear. Now that I need to wear orthotics it is quite an issue to find shoes to accomodate the orthotics. 
Dr Blake's comment: you may need some padding just to the side of sore spot to off weight the area. See the reference to proximal padding in my posts on bunions.

Let me know how I can get my x ray to you, please. I am thrilled to find someone who has given me a glimmer of hope in having to live with this condition. Everything I have read on line has just been gloom and doom!!!
Thank you so much, Dr. Blake for all your insight!!!!

Karen from Florida 

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.