big toe joint Archives - DOC

#803 How can gout lead to hallux rigidus?

One of the problems with being a runner is that you have a higher pain threshold.

If you have a minor attack of gout, it may not bother you as much as it would other people and what Gout is, is that you get painful crystals forming within a joint like the big toe joint.

If you have what we call sub-acute gout, meaning it’s not really killing you, it’s just kind of a minor thing that’s building up gradually, then the condition might actually sort of fly under the radar.

You might be gradually building up crystals in the joint that you’re not really aware of at all.

How can gout lead to hallux rigidus?

Well, that’s what we’re talking about today on the Doc On The Run Podcast.

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#471 Rehab after tibial sesamoid non-union removal surgery in both feet

Today I got a question from a doctor who wanted to know what I would do with a runner after surgery to remove non-healing sesamoid fractures in both feet.

You have two sesamoid bones under the big toe joint in each foot. When one of them develops a stress fracture, it can break.

If it breaks into two pieces, it can be very difficult to get the broken sesamoid to heal completely.

If it doesn’t heal, becomes arthritic and turns into what we as doctors call a “sesamoid fracture non-union” your doctor may recommend surgery to take it out.

Today on the Doc on the Run Podcast, we’re talking about what to think about when a doctor is trying to rehabilitate a runner after tibial sesamoid non-union removal surgery in both feet.

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#400 I think I have a bunion but my toe is straight

A bunion deformity is a really common problem, and a bunion is when your big toe moves over and starts pushing against the second toe. Over time that can get bad enough that the big toe actually sits on top or underneath the second toe.
Now because this thing is so common, whenever you get a bump of any kind around that area, people often think that they have bunions, and that’s exactly what happened with this runner when I did his second opinion consultation.
Today on the Doc On The Run podcast, we’re talking about a runner who said that he thought he had a bunion, but his big toe was straight.

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#397 Is cortisone good or bad for hallux rigidus?

A question came up during a recent telemedicine visit I was doing with a runner who has hallux rigidus. He wanted to know whether or not it was a good idea or a bad idea to inject the big toe joint with cortisone to treat his hallux rigidus.

Everything in medicine, the doctor is basically looking at your circumstances, trying to figure out what you really want short-term and long-term, and then figuring out whether or not that treatment is actually appropriate and really best for you given your circumstances, given your condition, and your goals.

There is nothing that is risk-free in medicine. So when you have a cortisone injection in the big toe joint for hallux rigidus, what’s happening is you’re doing the corticosteroid injection to reduce the inflammation. It’s very effective at that. Corticosteroids, however, are also very effective at breaking up collagen bonds.

Today on the Doc On The Run podcast, we’re talking about whether or not cortisone injections are good or bad for hallux rigidus.

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#380 Does a painful red big toe joint mean I have gout?

I was just doing telemedicine visit with a runner who has a red, painful big toe joint.
Gout is an accumulation of painful sharp crystals in the joint.
Gout certainly can cause your big toe joint to become red, hot, swollen and painful.
But gout is only one of three different conditions that might cause big toe joint pain.
The pattern of redness around the big toe joint can help you decide which condition might be causing the problem if you are a runner.
Today on the Doc On The Run Podcast, we’re talking about whether or not a a painful red big toe joint means a runner has gout.

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#378 What are sesamoid bones in the foot

A runner with pain under the big toe joint said she was told she had a problem with the sesamoid bones in her foot.

The doctor said maybe it was sesamoiditis, or a sesamoid stress reaction or possibly even a sesamoid stress fracture.

Her question was, “What exactly are the semisolid bones in the foot?”

Today on the Doc On The Run Podcast, we’re talking about these weird little things called the sesamoid bones in the foot.

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#362 What is osteophytosis?

Osteophytosis is a common finding on foot and ankle x-rays of runners. Bone spurs can form anywhere bone is irritated or otherwise aggravated by jamming, jarring motion.

Most often, osteophytosis is found in the heel, big toe joint and ankle joint.

The real is question is whether or not the osteophytosis a problem that needs to be removed, treated, or even prevented.

Today on the Doc On The Run Podcast we’re talking about osteophytosis in the foot and ankle in a runner.

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