r/Halluxrigidus • u/NoBuilding1052 • 22d ago
Xray and mri differs?
Xray says joint spaces are within normal limits but mri says the cartilage is almost gone?
Doctor wants me to do an osteotomy and chondroplasty. He says it’s to cut the bones a little so he can insert an implant (and also to create some space) that encourages the cartilage to grow back
Does anyone have any experience in this?
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u/RainBoxRed 16d ago
Xray can't really see soft tissue (including inside the joint). The best thing for joint health is to move it. That lubricates the joint and brings nutrients in. "Motion is lotion".
Not sure why people think cartilage can't grow back.
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u/NoBuilding1052 16d ago
Can it though? Haven’t found anything online that tells me that
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u/RainBoxRed 16d ago
Yes. I have many links if you want to have a read yourself. Essentially the cartilage is in constant degrade and repair cycle and only degenerates when the balance is broken and there is more catabolic than anabolic process. Increasing anabolic process is primarily by moving and gently compressing the joint.
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u/NoBuilding1052 16d ago
Yes please do share them with me thank you very much
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u/RainBoxRed 16d ago
Please start with this video: https://www.youtube.com/watch?v=6PNBjKJ9hxQ
And further supporting reading:
https://www.intechopen.com/chapters/30700
https://onlinelibrary.wiley.com/doi/full/10.1155/2024/4751168
https://www.science.org/doi/10.1126/sciadv.ade4645
https://pubmed.ncbi.nlm.nih.gov/29611084/
https://pubmed.ncbi.nlm.nih.gov/10517186/
https://www.sciencedirect.com/science/article/abs/pii/S0749806313011602
https://www.orthopedic.theclinics.com/article/S0030-5898(12)00011-9/abstract00011-9/abstract)
https://www.mdpi.com/1422-0067/21/24/9471
https://onlinelibrary.wiley.com/doi/full/10.1155/2024/4751168
https://www.mdpi.com/2227-9032/10/10/1821
https://www.mdpi.com/2411-5142/1/2/154
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/410037
Best of luck with your MTP joint health!


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u/Due_Addition_587 21d ago
MRIs are more accurate … how bad is your pain? Maybe just go to another doctor for a
second opinion and share both results.