Dear Dr. Blake
I wrote to you last August re my hallux rigidus in my right toe which flared up after a physiotherapist manipulated aggressively.
I am now on orthotics after seeing a podiatrist in Hong Kong. The pain has lessened but I still can't do the Latin ballroom dancing which I love. I am so depressed. Now my only exercises are walking, stationary bicycling, pilates, etc. I have been dancing for over 20 years.
I am even afraid to dance aerobics in the gym.
My podiatrist says the toe should fuse naturally but no one knows how long that would take. I don't want surgery either because of the unknown.
The toe still hurts on a daily basis. I used to just feel a bit of pain after wearing high heels but after that physiotherapist messed this toe up its constant unpredictable pain.
Any advice would be appreciated.
Attach the latest x-ray of my foot.
Regards
Marked joint degenerative disease
This oblique view actually shows the joint is a long way from fusing. Only a small amount is bone to bone.
Dr. Blake's comment: I am so sorry, and I wish I could predict how fast this will calm down. I have attached my original article on Hallux Limitus/Rigidus to emphasize to treat it as a sore joint and boot it at least 4 hours per day to get complete rest. You can have a physio use EGS with ice to calm the joint down for 6 visits--no manipulation, please. The joint is too open to expect fusion in the next 10 years, but 3 months in a boot may do the trick. I would also spica tape it every day to immobilize also. Your bone health looks good in the photos.
Here is the link to my early comments on this subject.
