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Old 03-23-2013, 03:22 PM   #16
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Re: hallux rigidus surgery

This is a reply to SMJ7123 and MATTY. No, I haven't done the fusion. I continue to deal with the pain, which makes it difficult to run and is almost always painful in the morning. It tends to loosen up in the afternoon. I have found some encouraging information on this site, however, such as a very good posting by MARK27606 sometime last year, in which he did research on the results of fusion surgery. He found a study that claimed that 75% of fusion patients were able to run after surgery. Something like half were able to play tennis. There are certainly no guarantees, but if you are in constant pain, there may be no other choice than to try surgery and hope for the best. I am not yet at the point where the pain is bad enough to go to fusion or some other type of surgery, but I have a feeling it is inevitable. Sorry you guys are having to deal with this like me, but it would appear that there is a good chance surgery can improve your situation.

 
Old 03-24-2013, 11:48 AM   #17
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Re: hallux rigidus surgery

Thanks, Bruce587. I've found an orthopedic surgeon at one of the best places around. He lists HR as a specialty plus he's a marathoner/triathlete. I'm seeing him week after next. Will let you all know what he says.

One other symptom I'm wondering if anyone else has--horrible cramping--like charley horse cramping--in the foot. Any time of day, lots of times at night. One doc said it was because I'm constantly holding the foot funny, the muscles are just overworked. And, my toe is more painful in the am as well. I guess that's typical with arthritis. Ice helps.

 
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Old 03-24-2013, 11:56 AM   #18
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Re: hallux rigidus surgery

Are you taking any anti-inflammatories live Aleve, meloxicam, etc? They really can help. Not as good as Vioxx was but that's not an option since it's off the market.

Also, I too have the foot cramps. Mine is mostly due to having worn heels for so long and now wearing flats more. I've had a couple of foot massages by a professional and it really helps. Also, roll a frozen water bottle or golf balls with your foot. That will help - and calf raises. You need to keep the fascia stretched out.

 
Old 03-24-2013, 08:21 PM   #19
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Re: hallux rigidus surgery

To SMJ7123, yes I've been having cramping and other types of pain in the foot that I assume comes from changing my normal step to avoid pressure on the joint. In particular, the bone over my arch often hurts, as well as my other toes that aren't used to bearing my weight so much. I will be interested to hear what your new doc says. I am trying to limit the use of pain meds, but for whatever reason Aleve doesn't work at all for me, while ibuprofen is very effective. One final note: I talked to a physician who I play basketball with and he said that surgical options may get a lot better in a few years with the expanded use of stem cell technology. He recommends delaying surgery as long as possible until these new methods are available. Obviously, some of us may not have the luxury of waiting.

 
Old 04-02-2013, 12:55 AM   #20
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Re: hallux rigidus surgery

Quote:
Originally Posted by Titchou View Post
Certainly you can run and play basketball after fusion. You could even wear heels if you wanted! They fuse the toe at an angle so that rolling off it is normal. I have been in discussions about one and have elected to put it off because it doesn't hurt that bad and only at certain times (dancing is really a problem). I was honest with my surgeon about not wanting to get rid of my pretty heels. He explained that he could fuse it at more of an angle than normal so I oculd wear a higher heel, The trade off is that it will stick up more when my foot is flat in sandals, etc. If I can accept that, he's willing to increase the angle.
Hi Tichou.
I will be meeting with doctors soon for consultations. Would you please share the name of your surgeon. You seem to have had positive results and I'm not ready to give up my heels.

 
Old 04-02-2013, 01:17 AM   #21
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Re: hallux rigidus surgery

I'm looking for a great foot surgeon in Chicago. Could you give me the info for your doctor? Thanks

 
Old 04-02-2013, 01:21 AM   #22
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Re: hallux rigidus surgery

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Originally Posted by IrishAD View Post
I'm not familiar with your surgery, but I can sympathize about agonizing over the decision making process. I'm 4 days post op from my surgery. It took me a few years to make this decision to have this surgery. Actually I injured myself again, and that was the last straw for me, I couldn't take it anymore!! I wish I had done this a few years ago. I tried everything else, suffered through several injuries, including severe sprains, fractures, dislocation....everything!! I was afraid that I would open up a whole other set of problems by having this surgery.

Finally I took everything into my own hands, I did a ton if research, I found a great suergon and I made sure I knew everything possible about the surgery, recovery and everything in between. I feel like I made the right decision and can't wait to get my life back!!

Good luck in your decision and do what is best for you and your quality of life.
Hi, I'm looking for a foot surgeon in Chicago. Could you please give me your doctor's info?

 
Old 04-02-2013, 03:41 AM   #23
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Re: hallux rigidus surgery

Find out who the Bears or the Bulls use and go see that person. Or whatever professional dance company is there - they'll use someone good also. And they should be foot and ankle board certified.

 
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Old 04-02-2013, 08:32 AM   #24
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Re: hallux rigidus surgery

Quote:
Originally Posted by bruce587 View Post
To SMJ7123, yes I've been having cramping and other types of pain in the foot that I assume comes from changing my normal step to avoid pressure on the joint. In particular, the bone over my arch often hurts, as well as my other toes that aren't used to bearing my weight so much. I will be interested to hear what your new doc says. I am trying to limit the use of pain meds, but for whatever reason Aleve doesn't work at all for me, while ibuprofen is very effective. One final note: I talked to a physician who I play basketball with and he said that surgical options may get a lot better in a few years with the expanded use of stem cell technology. He recommends delaying surgery as long as possible until these new methods are available. Obviously, some of us may not have the luxury of waiting.
bruce587, I saw the new doc yesterday. I had gotten my hopes up, thinking that he would tell me that I would be able to run on a fused joint. I was pretty disappointed. He said running more likely than not would be very limited--due to the stress on the rest of the foot from that primary joint not bending. But there's always exceptions, just no guarentees. I think he was trying to be really straight with me. This guy works at the premier ortho sports clinic, serving the professional athletes in the area, etc. He gave me a Rx for new orthodics with a steel or carbon shank, and an anti-inflammatory, Voltaren. If the orthodics are really that stiff, they may approximate a fusion and I can see what the running feels like. My MTP joint as it is only has about 15 degrees of motion. So, I'll try the orthodics, and will probably stick iwth ibuprofen until that doesn't work anymore. I'll see how the summer goes.

 
Old 04-14-2013, 07:40 PM   #25
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Re: hallux rigidus surgery

Quote:
Originally Posted by Titchou View Post
Certainly you can run and play basketball after fusion. You could even wear heels if you wanted! They fuse the toe at an angle so that rolling off it is normal. I have been in discussions about one and have elected to put it off because it doesn't hurt that bad and only at certain times (dancing is really a problem). I was honest with my surgeon about not wanting to get rid of my pretty heels. He explained that he could fuse it at more of an angle than normal so I oculd wear a higher heel, The trade off is that it will stick up more when my foot is flat in sandals, etc. If I can accept that, he's willing to increase the angle.
I had a cheilectomy in March 2010 (my foot has been worse off and painful ever since!) I had the surgery performed by a recommended podiatrist - big mistake... He expressed the simplicity of the procedure and I truly thought it would be a piece of cake.
I have had 4 opinions from foot and ankle orthos and all have suggested a fusion.

I hate to admit it, but I cannot fathom the idea of never wearing a high heel again (like 4" - only on occasion).
I need to hear more about the angle increase of the fusion... or other options... Can anyone out there give feedback on this? I am seeing 2 more specialists in the next month - one in LA at Cedars Mt. Sinai Medical and the other in Bellingham, WA.

 
Old 04-15-2013, 04:04 AM   #26
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Re: hallux rigidus surgery

They can fuse it aany angle. You just need to ask about that and be sure you understand all the implications. It will stick up in flats and sandals. You just have to be sure you can accept that.

Are you seeing someone who is foot and ankle board certified?

 
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Old 04-15-2013, 11:53 AM   #27
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Re: hallux rigidus surgery

Quote:
Originally Posted by smj7123 View Post
bruce587, I saw the new doc yesterday. I had gotten my hopes up, thinking that he would tell me that I would be able to run on a fused joint. I was pretty disappointed. He said running more likely than not would be very limited--due to the stress on the rest of the foot from that primary joint not bending. But there's always exceptions, just no guarentees. I think he was trying to be really straight with me. This guy works at the premier ortho sports clinic, serving the professional athletes in the area, etc. He gave me a Rx for new orthodics with a steel or carbon shank, and an anti-inflammatory, Voltaren. If the orthodics are really that stiff, they may approximate a fusion and I can see what the running feels like. My MTP joint as it is only has about 15 degrees of motion. So, I'll try the orthodics, and will probably stick iwth ibuprofen until that doesn't work anymore. I'll see how the summer goes.
SMJ7123, thanks for this information. I've been wondering how running is with those metal inserts. I've tried voltaren and had mixed results. It's hard to identify what causes various improvements. For example, right now in northern Florida it is pretty humid and my pain level has gone down quite a bit. It's still there, but less. Not sure the weather is the reason, but I'm not taking any medication right now. Hope the orthotics help you. Thanks again

 
Old 04-15-2013, 01:42 PM   #28
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Smile Re: hallux rigidus surgery

Quote:
Originally Posted by Titchou View Post
They can fuse it aany angle. You just need to ask about that and be sure you understand all the implications. It will stick up in flats and sandals. You just have to be sure you can accept that.

Are you seeing someone who is foot and ankle board certified?
Yes! Every orthopedic surgeon I have consulted with (since my botched 2010 cheilectomy) has been very highly recommended, and Foot and Ankle Board Certified... Of those providers, 1 is the doc to our NBA team, and 3 are published or work at elite teaching hospitals.

I don't think I will care much about my toe sticking up a bit. (how funny does that sound!) I just am at the end of my rope with the pain now... I have tried numerous anti-inflammatory meds (Meloxicam, Mobic, Lodine), as well as PT, orthotics, Steroidal and Platelet/Plasma injections, non-narcotic Lidocaine patches, and Vicodin when the pain is unbearable on a few occasions.

I have 4 children and a husband - and I hate them seeing me in pain or depressed over this (dare I say, disability?), but seriously I feel disabled at times, and my quality of life is being affected. I am a spunky, petite 46 year old, in the fashion/design business - no one would look at me and think I have this issue, unless they saw me limp or walk gingerly at times.

Do you know of anyone that has had a good result with regaining an active life, be able to dance pain-free, and be comfortable wearing a heel again?

Also, do you have any recommendations for U.S. surgeons?

Thank you so much!!

 
Old 04-15-2013, 01:45 PM   #29
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sanderville6 HB User
Re: hallux rigidus surgery

Quote:
Originally Posted by Titchou View Post
They can fuse it aany angle. You just need to ask about that and be sure you understand all the implications. It will stick up in flats and sandals. You just have to be sure you can accept that.

Are you seeing someone who is foot and ankle board certified?
Titchou, you are very knowledgeable on this topic!! Are you a medical professional?

 
Old 04-15-2013, 05:30 PM   #30
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Re: hallux rigidus surgery

No but I've had 3 foot surgeries, a stress fracture in the foot and a ganglian cyst on top of the foot. So, I've spent a lot of time the last 12 years at the ortho's office! Far more than I would have liked. My ex also was on faculty at the medical school here so I know my way around them and how to find the best and most appropriate doctors. And I ask LOTS of questions because - you know what they call the guy who graduates last in his class at med school - Doctor!

 
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