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Wednesday, January 29, 2014

Wednesday's Article of the Week: Possible Future of Synthetic Cartilage Injections in the Big Toe Joint for Hallux Limitus/Rigidus

The article below discusses the complex world of research around Synthetic Cartilage injections for Hallux Limitus/Rigidus. Every Podiatrist is waiting anxiously for approval of a synthetic substance to act like a new cartilage pillow within the big toe joint when injured. In this proposed study, intra-articular Hyaluronan (Synvisc) would be injected into every other patient and sterile saline (salt water) into the other 50%. Everything else would be equal. It would be the only treatment for a 6 month period. Patients would be evaluated many ways:

  • pain levels
  • function levels
  • pain with walking and at rest
  • amount of stiffness in the big toe joint
  • amount of measured big toe joint dorsiflexion
  • plantarflexion strength across the big toe joint
  • global satisfaction to treatment
  • overall health related quality of life
  • magnitude of symptom changes throughout the day
  • use of pain relieving medications
  • changes in measured pressures in walking of the ball of the foot
Data will be collected at baseline, 1, 3 and 6 months
Up to 3 shots will be given each patient based on symptom relief
Data will be analyzed using the Intent to Treat Principle and other common forms of objective testing.

Dancer's Pads used to off weight Hallux Limitus/Rigidus when it is sore to put weight on the big toe joint.

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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.