Nick, if you have surgery, then whether you do any damage to the cartilage in the meantime is of no consequence other than to expedite eligibility for the procedure! But, of course, we will not be doing that.
When the toe joint is gapped by pulling firmly, the possibility of damage is as good as nil. There may be intense pain during the twisting and gliding as scarred ligaments are stretched and there may be some grinding away of any calcium deposits.
I have been doing this procedure for years and the results are consistently excellent. Give a week rest in between each manipulation.
You may not notice significant improvements for several weeks, so hang in there!
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