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Therapeutic management of the hallux rigidus

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Sep 20, 2012.

  1. NewsBot

    NewsBot The Admin that posts the news.

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    Therapeutic management of the hallux rigidus.
    Aggarwal A, Kumar S, Kumar R.
    Rehabil Res Pract. 2012;2012:479046.
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Retracted: Therapeutic Management of the Hallux Rigidus
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4046096/
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    “Substantial flaws” trip up big toe paper
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Proposed global treatment algorithm for hallux rigidus according to evidence-based medicine.
    Herrera-Pérez M, Andarcia-Bañuelos C, de Bergua-Domingo J, Paul J, Barg A, Valderrabano V
    Revista Espanola de Cirugia Ortopedica y Traumatologia [2014]
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    A comprehensive and narrative review of historical aspects and management of low-grade hallux rigidus: conservative and surgical possibilities
    S. Caravelli et al
    MUSCULOSKELETAL SURGERY 01 February 2018
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Short-term Efficacy of Ultrasonographic Guidance for Intra-articular Corticosteroid Injection in Hallux Rigidus: A Single-Blind Randomized Controlled Trial
    Seyede Zahra Emami Razavi et al
    Foot Ankle Int. 2021 Jun 11
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Non-surgical interventions for treating osteoarthritis of the big toe joint
    Shannon E Munteanu et al
    Cochrane Database Syst Rev. 2024 Jun 17;6(6):
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    ACFAS Clinical Consensus Statements: Hallux Rigidus
    Thomas S. Roukis, DPM, PhD, FACFAS (Chair) et al
    July 31, 2024
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    The Role of the Flexor Hallucis Longus in the Treatment of the Painful Hallux Metatarsophalangeal Joint
    James D. Michelson et al
    Source
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Limited Evidence to Support the Use of Intra-Articular Injection of Hyaluronic Acid for the Management of Hallux Rigidus: A Systematic Review
    James J Butler et al
    Foot Ankle Orthop. 2024 Jul 29;9(3):24730114241265109
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Physical Therapy Management for a Patient with Hallux Rigidus in a Baseball Player
    Craig Hensley
    J Am Podiatr Med Assoc. 2024 Aug 1:1-13
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Good Short- and Mid-term Outcome After Cross-Linked Hyaluronic Acid Infiltration for Hallux Rigidus: A Case Report
    Annabel Capell Morera et al
    Source
     
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    NewsBot The Admin that posts the news.

    Articles:
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    Non-Operative Management of Symptomatic Hallux Limitus: A Novel Approach of Foot Core Stabilization and Extracorporeal Shockwave Therapy
    Tom Reilly et al
    Source: https://pubmed.ncbi.nlm.nih.gov/40309336/
    Background: This video presents assessment and management of hallux limitus using intrinsic foot strengthening and joint mobilization techniques with combination of extracorporeal shockwave therapy (ESWT).

    Indications: Clinical history includes pain with walking, running, jumping, or loaded plantarflexion localized to the first metatarsophalangeal (MTP) joint. Indications for our treatment approach of hallux limitus include pain localized to the first MTP joint, corresponding lack of active range of motion/passive range of motion, and reduced foot/ankle strength often with joint space narrowing on imaging.

    Technique description: Our program uses the principle of foot core exercises that enhance intrinsic muscles of the foot to assist in medial longitudinal arch stabilization and hallux strengthening. Progression of these exercises can be done in weight-bearing and impact activities specific to patient goals. In addition to these foot intrinsic exercises, calf raises should be incorporated to strengthen the gastroc-soleus complex to both improve plantar foot strength and facilitate extension of the first MTP joint. Manual therapy techniques reduce the rigidity of the first MTP joint and restore appropriate medial-lateral and plantar-dorsal balance. With severe limitations in mobility or pain limitations, ESWT can be incorporated to treat the joint and surrounding soft tissue restrictions.

    Results: Increased first MTP extension is observed. Reduced symptoms of first MTP joint pain with activity allow patients to return to walking and other physical activities with improved comfort. Complications are rare. Pain over the first MTP joint is expected during ESWT. Rarely, irritation of the plantar components of the first MTP joint, including the tibial and fibular sesamoid bones, may occur.

    Discussion/conclusion: Non-surgical management of hallux limitus may improve using the described technique of intrinsic foot strengthening with focus on stabilization of the medial longitudinal arch and strategies of improved mobility of the first MTP joint. Adding ESWT may address joint limitations and facilitate gains in exercise and mobility.
     
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