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Big Toe Arthritis

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Old 08-12-2018, 05:27 AM   #1
Join Date: Jun 2008
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Ashley9045 HB UserAshley9045 HB User
Big Toe Arthritis

I had big toe arthritis, bone on bone and had a procedure called CARTIVA done. It has been almost a year and my toe still is painful when putting weight on it. Has anyone had this done? Cartiva is putting in artificial cartilage in so you have a spacer so it will not rub. I do not think it worked, it is a new procedure here in the US, so I may need a fusion but not sure about getting this--seeing my surgeon at my one year in September. I have read so many negative things on a fusion. Has anyone had a fusion on a toe, your outcome etc.. Thank you and appreciate your feedback.

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Old 08-12-2018, 08:41 AM   #2
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Re: Big Toe Arthritis

This will not be helpful...but I was told to avoid fusion if at all possible.

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Old 08-12-2018, 09:30 AM   #3
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Re: Big Toe Arthritis

I had a fusion 3 years ago....5 years after a cheilectomy. While it is not the most fun procedure and healing takes forever, it was a blessing to finally be without pain and not have any more stress fractures which were caused by walking incorrectly to avoid the pain. I have many posts on here about my fusion. The main things you need to know and find out:

1) Find the best sports med ortho who is Foot & ANkle Board certified. Ask how many he has done ON WOMEN! Our toes are smaller and he needs to admit that.
2) If wearing anything higher than a kitten heal is important to you -it was to me! - talk with the surgeon about altering the angle of the fusion to accommodate a higher heel AND to slant it towards the 2nd toe so you can wear pointy toed shoes. I can easily wear a 2" heel - as long as the toe box is padded.
3) Expect to have to go back in a year and have the hardware removed. Two screws were pressing on nerves and causing issues. It is still tender across the top in a certain spot and I have to pad the underneath of the toe to wear heels but neither issue is a problem.

If you have specific questions, I am happy to answer them.

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