| | Hallux Limitus from Lapidus procedure
Hello All- First off I would like to say that I read some of the older message boards regarding hallux limitus/ rigidus and am very impressed that all of you are such informed patients!!
Now down to business. When I was 15 (11 years ago) I had a severe bunion, which I chose to have surgically corrected by a pediatric orthopedic surgeon. He chose to do a lapidus procedure to remove the bump on the bunion and took a wedge of bone out of the first metatarsal bone at the base to reduce the space between the first and second metatarsals. In addition, a wedge of bone was removed from the proximal phalange in my big toe to straighten that out as well. I had 4 inch long pins in 3 spots to hold the bones together until they healed. The recovery was about 3 months long, and I have been extremely happy with the results.
Recently, I have been trying to get more active and began noticing pain in the joint between the first metatarsal and middle phalanges (toe bone, as I call it). I thought it was the bunion recurring, as I do have a small bump on the side of my foot. The first podiatrist I saw recommended a head osteotomy. I went for a second opinion to another podiatrist, who noted the range of motion in my big toe was limited. Without taking x-rays and only on examination alone, he recommended what I have later researched to be a cheilectomy. I went for a third opinion to another podiatrist, who is more of the non-surgical route, however did take weight-bearing x-rays of my foot and noted I had a Hallux Limitus. He said surgery could help but to be very wise who I chose. He also recommended orthotics, but as a 26 year old, I don't want to have to rely on fancy shoe inserts for the rest of my life!
In reading several message boards regarding hallux limitus, I have noticed several more things about my scenario I hadn't previously. The bunion has recurred ever so slightly, but in addition I noticed the bump on the top of the joint, which I read is common in the Hallux Limitus. I am leaning towards surgery, as like I said I am only 26 and I do not want it to turn into a hallux rigidus. I am nervous in making this decision. Has anyone had a similar situation? Any advice or feedback would be extremely helpful.