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Thursday, January 06, 2011

Stiff toe (Halux Rigidus) Inquiry

I just wanted to let you know that your video on manipulation of the large toe for hallux rigidus has helped me a lot. Pain is way down. Before I couldn't even walk without a shoe that had a carbon graphite orthotic in it.

As I wrote on your youtube page, I also started to wear MBT shoes, which have a rocker bottom that really rests the toe as well.

My only question is, how often, and for what duration should the manipulation be done?

Thanks again,
Stuart S....., M.D.
I think the "Rocker Shoes" are a great idea and well worth trying.  Especially now that they are widely available.

The toe "manipulation" should be done about once a week - no sooner and not much later.  Just long enough for things to settle between sessions.  The benefit should be obvious within 4-6 sessions.

While I refer to "Rigidus" this is hardly correct.  I have yet to see a real case of the toe being completely rigid.  In all cases, there is a little or a lot of movement regardless of degree of pain.  But I use the word "Rigidus" because that is the most common term used and what people search for on the internet.

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