#866 When can you resume pushups with hallux rigidus? - DOC

#866 When can you resume pushups with hallux rigidus?

When can you start doing push-ups again, if you have hallux rigidus? Well, that’s what we’re talking about today on the Doc On The Run Podcast.



Today’s episode actually comes from one of the YouTube videos and it was specifically a comment that someone posted on one of the videos that was actually called Five worst exercises for hallux rigidus.

The question was really simple. This came from Matt, but he actually asked, “When can you resume doing push-ups?” It’s a great question but the answer is really simple. Any athlete with hallux rigidus should be able to safely resume push-ups when either, number one your doctor says unsafe or number two, something has changed in the condition of your foot such that you’re certain, you’re not going to make the condition worse by doing push-ups.

This is true for all the exercises I’ve talked about where push-ups in particular where certain injury might get worse. This true of plantar plate sprains. This is true of hallux rigidus. It’s true of lots of different things.

The issue is this, hallux rigidus technically speaking, is where the big toe joint is actually completely rigid. But that’s the diagnosis code that’s used by most physicians when they see you. So, even if you have hallux limitus, which is the sort of beginning stages of that, where the joint still moves, but it’s starting to get more and more painful. The more you move it, the more it’s going to hurt if you jam the joint in a way that is pathologic or harmful.

What do you have to do? Well, if you loosen the joint up, if you’ve been doing exercises, stretching, you’ve been doing physical therapy or something, and you’ve actually gotten better motion in the joint, and it doesn’t hurt when you push it up, and you impact the areas where the cartilage was previously damaged, then it may be safe for you to do push- ups then.

But if it’s still in that same kind of condition, where you’re basically jamming the joint, every time you do a push-up, you’re going to definitely make it worse over time. And that’s why I say, you’ve got to either have clearance from your doctor or you’ve got to be sure that you’ve actually improved the condition of the joints so that it’s not going to cause trouble. The only other circumstance is if you have End Stage hallux rigidus, meaning it doesn’t move at all. There’s so much bone formed around it, it is completely rigid and it doesn’t move. That’s what a fusion is.

So, when you have surgical fusion for hallux rigidus, you get basically the end stage of hallux rigidus. It’s completely fused. It doesn’t move, it doesn’t wiggle, it doesn’t hurt. In that case, you can do all the push-ups you want, but you don’t want to wind up in that circumstance just because you were doing push-ups in a way that was actually aggravating the condition of the joint and making it worse over time.

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