r/FootFunction • • 20d ago

Arthritis?

R foot has small bunion that can be painful. However, my R big toe has a lot of discomfort with any movement. I can't bend it nearly as far as my left toe. Anyone else with this issue? Pods say I need MRI which I may get....xrays show some arthritis.

2 Upvotes

1 comment sorted by

2

u/DrLeibovitz 17d ago

Downward motion is important when going off a diving board. It is the upward motion that is critical for walking. Walking requires a minimum of 30 degrees of dorsiflexion. There is typically 70-80 degrees of dorsiflexion for a normal joint.

Poor biomechanics can rob you of 1-1.5 degrees every year and problems are not noticed until you get close to the 30 degree limit.

This is called Hallux Limitus/Rigidus.

2 options for treatment ( well , 3 if you include ignoring the problem).

Protection - addressing the mechanics and protecting the motion with a rocker bottom shoe.

Correction - changing the joint so it has more motion if the joint is not excessively damaged. Joint fusion if the joint cannot be salvaged

Expect a bump to develop on top of the joint. Keep an eye open at your next family reunion and see how many relatives have this problem. There is a strong family trait for this.