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Sunday, March 25, 2018

Hallux Limitus and Hallux Rigidus: When do we allow Motion and When do we Restrict

I do not like to criticize someone's work, but the article emphasizes joint stiffness in all cases of hallux limitus or rigidus. To me, you want to allow the joint to move as much as it can so it will not freeze up. There are times when you will do something that requires too much painful motion, and then you restrict. It is like nerve pain: sometimes you honor the pain, and sometimes you push through it. I have made 2 pairs of orthotics for some of my patients: one that limits and one that restricts. But, I tend to make an orthotic with dancer's padding that allows freedom of the joint and then have the patient when they need restriction (for example, an upcoming backpacking trip that they know will irritate the joint) slip a flat carbon graphite plate under the orthotic, use spica taping, stiff sole shoes, or a combination that they have found helpful. 

http://lermagazine.com/article/orthotic-management-tactics-for-hallux-limitus#.Wh41INTMSBg.gmail

1 comment:

  1. Hello Dr. Blake
    I've two questions:
    -are you using an entire (supporting the entire forefoot) or Morton's type extension of the flat carbon graphite plate?
    -how do you choose the stiffness/flexibility or the thickness of the plate?
    Mane thanks,
    Daniel

    ReplyDelete

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.