I was just on a call with a runner who has had this condition called “hallux rigidus.” and it’s where your big toe joint starts to get stiff, becomes rigid, and it doesn’t move as much.
Hallux rigidus is a progressive condition, especially if you continue to irritate the joint. You can damage the joint cartilage. The stiffer the big toe joint gets, the more pressure on the cartilage when the big toe is trying to fight that stiffness. Sometimes that movement hurts.
He was asking me about the options on different injections.
What are the risks between an injection like a PRP or platelet rich plasma injection versus something like a cortisone injection when you have hallux rigidus?
Well, that’s what we’re talking about today on the Doc On The Run Podcast.
View Details »Today on Doc On The Run podcast we’re talking about hallux rigidus shoe traits for runners. I recently got a question on one of the YouTube videos about hallux rigidus, and this guy, I really understand his situation. He was basically giving me a long description about how there aren’t good treatment options […]
View Details »One time at a medical conference, an expert lecturing on biomechanics said,
“When a runner develops Hallux Rigidus, he becomes a swimmer instead of a runner.”
Most of the doctors in the audience laughed.
I really didn’t think that was very funny. I actually have hallux rigidus myself, and it doesn’t disrupt my running.
It is true Hallux Rigidus can cause pain and swelling in the big toe joint. If you aren’t careful the joint can get destroyed.
If you understand a little bit about the mechanics of the joint, it may help you understand how to avoid the arthritis that can hamper your ability to run in the future.
How can pronation cause hallux rigidus in a runner?
Well, that’s what we’re talking about today on the Doc On The Run podcast.
View Details »Today we’re talking about some of the x-ray changes that happen when you get hallux rigidus or hallux limitus.
If your doctor tells you the x-rays show hallux limitus…what does it mean?
We’re going to talk about these five things that you can see commonly on the x-rays when you have hallux rigidus.
Today on the Doc On The Run podcast, we’re talking about five changes on x-rays when you get hallux rigidus.
View Details »If you get pain and swelling and discomfort particularly in and around the big toe joint, you may have a condition called hallux limitus or hallux rigidus.
Hallux limitus and hallux rigidus are both conditions that affect the big toe joint. It causes pain right where your big toe attaches to your foot.
Many runners with this condition don’t even understand the difference between hallux limitus and hallux rigidus.
There are really a few things that define the difference between these two conditions.
Understanding the differences may help you get clarity after a doctor visit.
Today on the Doc On The Run Podcast, we’re talking about hallux rigidus versus hallux limitus. What’s the difference?
View Details »Today’s discussion actually comes from a question from a runner in the Monday, Wednesday, Friday Coaching Group.
This is a runner who has a condition called “hallux rigidus.”
He wanted to understand the best way to assess your running shoes. He also wanted to know whether or not it was possible to identify hallux rigidus just by looking at the soles of a runner’s running shoes.
When you get hallux rigidus, your big toe doesn’t actually “dorsiflex” or come up away from the ground enough to allow you to walk or run without doing something to compensate. That shift in the way you walk creates a characteristic wear pattern on the sole of the shoe.
Today on the Doc On The Run Podcast, we’re talking about running shoe wear patterns with hallux rigidus.
View Details »This is a great question from one of the YouTube viewers.
Can I do calf raises with hallux rigidus?
He wanted to know whether or not calf raises might cause more damage to the big toe joint. He wants to make sure that condition does not get worse.
This runner wanted to know whether or not it was safe.
And that’s what we’re talking about today on the Doc On The Run Podcast.
View Details »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.
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.
View Details »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.
