Functional Hallux Limitus

If anyone is interested, this is my problem...

Hallux limitus, by definition, is a decrease in sagittal plane dorsiflexion of the hallux at the first metatarsophalangeal joint (MPJ) when the foot is in a weightbearing or simulated weightbearing position.

Normal range of dorsiflexion motion of the first MPJ should be 65 to 75 degrees in order to allow for a normal gait. Near the end of the propulsive phase of gait (when you push off your big toe), the leg has a 45-degree position to the floor and the ankle is in about 20 degrees of plantarflexion to the leg. This position requires the hallux to be able to dorsiflex 65 degrees. Anything less requires accommodation or adaptation from the surrounding joints. This compensation can come from gait changes, such as subtalar joint supination and walking on the outside of the foot, subtalar joint pronation with foot abduction, etc.

We often speak of functional versus structural hallux limitus. A decrease in joint motion in the loaded and unloaded foot is structural hallux limitus. In regard to functional hallux limitus, there is limitation only when the foot is weightbearing or loaded.

Believe it or not, after 2 hours now with Dr. Hasenback, I actually understand the above 3 paragraphs in detail and can explain it to someone else. This is what you get with Dr. H. I'm very pleased with the service I got with Spine & Sports and pleased with the prescribed treatment and the fact that they take the time to explain everything they are doing or are proposing to do. Plus, they have a money back, no questions asked, guarantee. Basically, they see what I am paying them to treat me as an investment. Like any investment, the investor (me) expects to get back MORE than they put in. If after the proposed course of action is taken, I do not feel like I received a satisfactory return on my investment, they will give me a no questions asked refund and then refer me to someone they think can help me. That's bold.