Hallux Limitus: A bony proliferation and articular degeneration of the first METATARSOPHALANGEAL JOINT that is characterized by pain and a progressive decrease in the dorsiflexion range of motion.Hallux Valgus: Lateral displacement of the great toe (HALLUX), producing deformity of the first METATARSOPHALANGEAL JOINT with callous, bursa, or bunion formation over the bony prominence.Hallux: The innermost digit of the foot in PRIMATES.Hallux Rigidus: A condition caused by degenerative arthritis (see OSTEOARTHRITIS) of the METATARSOPHALANGEAL JOINT of the great toe and characterized by pain and limited dorsiflexion, but relatively unrestricted plantar flexion.Toes: Any one of five terminal digits of the vertebrate FOOT.Anti-Inflammatory Agents, Non-Steroidal: Anti-inflammatory agents that are non-steroidal in nature. In addition to anti-inflammatory actions, they have analgesic, antipyretic, and platelet-inhibitory actions.They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins. Inhibition of prostaglandin synthesis accounts for their analgesic, antipyretic, and platelet-inhibitory actions; other mechanisms may contribute to their anti-inflammatory effects.Metatarsophalangeal Joint: The articulation between a metatarsal bone (METATARSAL BONES) and a phalanx.Metatarsal Bones: The five long bones of the METATARSUS, articulating with the TARSAL BONES proximally and the PHALANGES OF TOES distally.Cortisone: A naturally occurring glucocorticoid. It has been used in replacement therapy for adrenal insufficiency and as an anti-inflammatory agent. Cortisone itself is inactive. It is converted in the liver to the active metabolite HYDROCORTISONE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p726)Toe Joint: The articulation between the head of one phalanx and the base of the one distal to it, in each toe.Podiatry: A specialty concerned with the diagnosis and treatment of foot disorders and injuries and anatomic defects of the foot.IllinoisFoot Diseases: Anatomical and functional disorders affecting the foot.Gout: Hereditary metabolic disorder characterized by recurrent acute arthritis, hyperuricemia and deposition of sodium urate in and around the joints, sometimes with formation of uric acid calculi.Cartilage, Articular: A protective layer of firm, flexible cartilage over the articulating ends of bones. It provides a smooth surface for joint movement, protecting the ends of long bones from wear at points of contact.Literature, ModernCartilage: A non-vascular form of connective tissue composed of CHONDROCYTES embedded in a matrix that includes CHONDROITIN SULFATE and various types of FIBRILLAR COLLAGEN. There are three major types: HYALINE CARTILAGE; FIBROCARTILAGE; and ELASTIC CARTILAGE.ArizonaRoss River virus: A species of ALPHAVIRUS associated with epidemic EXANTHEMA and polyarthritis in Australia.Hair Dyes: Dyes used as cosmetics to change hair color either permanently or temporarily.Stress, Mechanical: A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.Soluble N-Ethylmaleimide-Sensitive Factor Attachment Proteins: SNARE binding proteins that facilitate the ATP hydrolysis-driven dissociation of the SNARE complex. They are required for the binding of N-ETHYLMALEIMIDE-SENSITIVE PROTEIN (NSF) to the SNARE complex which also stimulates the ATPASE activity of NSF. They are unrelated structurally to SNAP-25 PROTEIN.Regional Health Planning: Planning for health resources at a regional or multi-state level.EnglandState Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Great BritainSocial Control, Formal: Control which is exerted by the more stable organizations of society, such as established institutions and the law. They are ordinarily embodied in definite codes, usually written.CaliforniaBathing Beaches: Beaches, both natural and man-made, used for bathing and other activities.AxisTeaching Materials: Instructional materials used in teaching.Pharmacology, Clinical: The branch of pharmacology that deals directly with the effectiveness and safety of drugs in humans.Competitive Behavior: The direct struggle between individuals for environmental necessities or for a common goal.Video Games: A form of interactive entertainment in which the player controls electronically generated images that appear on a video display screen. This includes video games played in the home on special machines or home computers, and those played in arcades.Spondylolisthesis: Forward displacement of a superior vertebral body over the vertebral body below.Game Theory: Theoretical construct used in applied mathematics to analyze certain situations in which there is an interplay between parties that may have similar, opposed, or mixed interests. In a typical game, decision-making "players," who each have their own goals, try to gain advantage over the other parties by anticipating each other's decisions; the game is finally resolved as a consequence of the players' decisions.Diabetic Foot: Common foot problems in persons with DIABETES MELLITUS, caused by any combination of factors such as DIABETIC NEUROPATHIES; PERIPHERAL VASCULAR DISEASES; and INFECTION. With the loss of sensation and poor circulation, injuries and infections often lead to severe foot ulceration, GANGRENE and AMPUTATION.Finger Joint: The articulation between the head of one phalanx and the base of the one distal to it, in each finger.Arthrodesis: The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed)Arthroplasty: Surgical reconstruction of a joint to relieve pain or restore motion.ShoesRickettsiaceae: A family of small, gram-negative organisms, often parasitic in humans and other animals, causing diseases that may be transmitted by invertebrate vectors.Orthotic Devices: Apparatus used to support, align, prevent, or correct deformities or to improve the function of movable parts of the body.Foot: The distal extremity of the leg in vertebrates, consisting of the tarsus (ANKLE); METATARSUS; phalanges; and the soft tissues surrounding these bones.Biomechanical Phenomena: The properties, processes, and behavior of biological systems under the action of mechanical forces.Suture Anchors: Implants used in arthroscopic surgery and other orthopedic procedures to attach soft tissue to bone. One end of a suture is tied to soft tissue and the other end to the implant. The anchors are made of a variety of materials including titanium, stainless steel, or absorbable polymers.Absorbable Implants: Implants constructed of materials designed to be absorbed by the body without producing an immune response. They are usually composed of plastics and are frequently used in orthopedics and orthodontics.Obstetrical Forceps: Surgical instrument designed to extract the newborn by the head from the maternal passages without injury to it or the mother.Metals: Electropositive chemical elements characterized by ductility, malleability, luster, and conductance of heat and electricity. They can replace the hydrogen of an acid and form bases with hydroxyl radicals. (Grant & Hackh's Chemical Dictionary, 5th ed)Peptidylprolyl Isomerase: An enzyme that catalyzes the isomerization of proline residues within proteins. EC 5.2.1.8.Bone and Bones: A specialized CONNECTIVE TISSUE that is the main constituent of the SKELETON. The principle cellular component of bone is comprised of OSTEOBLASTS; OSTEOCYTES; and OSTEOCLASTS, while FIBRILLAR COLLAGENS and hydroxyapatite crystals form the BONE MATRIX.Automobile Driving: The effect of environmental or physiological factors on the driver and driving ability. Included are driving fatigue, and the effect of drugs, disease, and physical disabilities on driving.

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)

  • The current standard of care in treating Hallux Limitus will be given to all patients regardless of randomized categorization, and this includes: analgesic and nonsteroidal anti-inflammatory drugs (NSAIDs), orthotics with medial stiffness, and reduction of great toe movement in motions such as kneeling or squatting with the toes in an extended position. (clinicaltrials.gov)
  • Hallux limitus is a term that describes early-stage stiffness and loss of motion in the joint at the base of the big toe. (prairiepodiatry.com)
  • Hallux Limitus is a condition that results in stiffness of the big toe joint. It is normally caused by an abnormal alignment of the long bone behind the big toe joint, called the first metatarsal bone. (thefootdoctorms.com)
  • Because hallux limitus can exhibit redness, swelling, and pain, it is important to rule out other potential causes of those symptoms, especially infectious ones. (ayfpodiatry.com)
  • The current standard of care in treating Hallux Limitus will be given to all patients regardless of randomized categorization, and this includes: analgesic and nonsteroidal anti-inflammatory drugs (NSAIDs), orthotics with medial stiffness, and reduction of great toe movement in motions such as kneeling or squatting with the toes in an extended position. (clinicaltrials.gov)
  • Non-surgical treatment early treatment for mild cases of Hallux limitus may include prescription foot orthotics, shoe modifications (to take the pressure of the toe and/or facilitate walking), medications (anti-inflammatory drugs), injection therapy (corticosteroids to reduce inflammation and pain) and/or physical therapy. (foothealthmatters.com)
  • I ended up using Vasyli Dananberg First Ray Orthotics, which claim to help with hallux limitus by having a 1st MPJ cutout. (drblakeshealingsole.com)
  • In contrast to the hallux valgus where we find a significant deformation of the big toe but with a normal and painless mobility, in the hallux rigidus there is almost no deformation of the big toe but the mobility is very restricted and especially painful. (dr-coillard.fr)
  • In hallux valgus, pain is caused by friction against shoewear, but here big-toe motion is almost always painful, on walking, running, standing on tip-toes, barefoot or not. (dr-coillard.fr)
  • The decreased range of motion that causes hallux limitus is a common occurrence - but it is not often recognized until the big toe becomes painful. (verywellhealth.com)
  • Cusack J, Shtofmakher G, Kilfoil RL, Vu S. Improved step length symmetry and decreased low back pain with the use of a rocking-soled shoe in a patient with unilateral hallux rigidus . (verywellhealth.com)
  • There is an early type of Hallux Limitus, which does not shoe any x-ray signs, but there is limitation of motion dorsally especially when the foot is on weight bearing load. (newyork-footdoctor.com)
  • For hallux Limitus the basic tools to relieving the pain is to be put on a stretching exercise program, get fitted for an over-the-counter arch support or custom foot orthosis by a Pedorthist and be fitted with a shoe with a high toe spring or add a rocker bottom to a properly fitted shoe. (murraysshoes.com)
  • For Hallux Rigidus the management of this non-correcting problem is to be put on a stretching exercise program, molded for custom made foot orthosis by a Pedorthist and add a rocker bottom to a properly fitted shoe. (murraysshoes.com)
  • Please help me find the right shoe for the condition of hallux rigidus. (drshoereviews.com)
  • Hallux Trainer Insoles are a great product for tennis shoe or boot insole replacement. (myfootshop.com)
  • And Hallux Trainer Insoles are intended to be a replacement insole for the shoe (totally removing the old insole). (myfootshop.com)
  • Early treatment of hallux limitus is essential to halt the progression of the condition. (ottawafootclinic.com)
  • Buuuuut, if you insist on distance running, read my post on self-treatment options for runners with hallux limitus . (disfitlife.com)
  • Given the lack of studies that have specifically addressed hallux rigidus in runners, this author reviews the existing literature on the condition, defuses a couple of biomechanical myths and offers salient pointers on a variety of treatment options ranging from orthotic therapy to arthrodesis. (podiatrytoday.com)
  • Accordingly, let us take a closer look at several myths and misunderstandings about the evaluation and treatment of hallux rigidus in running athletes. (podiatrytoday.com)
  • Running athletes who present with hallux rigidus pose a significant challenge for the treating physician based upon the poor understanding of the biomechanics of this condition as well as a lack of agreement for a standardized treatment protocol. (podiatrytoday.com)
  • While it may be universally accepted that one should initially pursue conservative, non-operative treatment when treating an athlete with hallux rigidus, there may be a lack of consensus on the type of conservative interventions. (podiatrytoday.com)
  • The reduced range of motion associated with hallux limitus can progress to a more severe loss of range of motion, known as hallux rigidus . (verywellhealth.com)
  • The Hallux Limitus device is ideal for patients with a range of motion loss or limited movement in the big toe. (kevinorthopedic.com)
  • An unappealed December 2001 rating decision denied the Veteran's initial claim of entitlement to service connection for bilateral flat feet, bilateral hallux limitus, and a right foot disability, to include plantar fasciitis. (va.gov)
  • 4. In the appealed May 2011 decision, the VA declined to reopen the previously denied claim for entitlement to service connection for bilateral flat feet, bilateral hallux limitus, and a right foot disability, to include plantar fasciitis. (va.gov)