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View Full Version : Hallux Limitus/posterior tibial tendonitis


Katerina
07-19-2008, 09:09 PM
Hello,

I have been a great gym devotee for the past four years. Typically I walk for an hour per day, 7 days per week, at an incline of 12-15% (varying the degrees as I go).

Six weeks ago I bought a new pair of slip-on sandals, and walked around the city about five hours in them. They gave me blisters, so I was clenching the foot to avoid more slippage and pain by the end of the day. When I got home that night, the top of my foot (where the leather had been) was sore. I thought nothing of it at the time. The next morning it was still sore.

Two weeks later the pain had not gone away. At that time the bottom of the first metatarsal bone as well as the skin on the dorsal side of my foot was sore and painful. I went to the doctor at that point. (I am in a 3rd world country). His diagnosis was deformative arthritis. He told me to get shoe inserts. Which I did.
I now wear only tennis shoes that do not allow my metatarsal to bend when in motion.

However I disagree with his diagnosis. I believe I have hallux limitus brought on by a previous untreated ankle sprain as well as posterior tibial tendonitis. The latter, because my left calf muscle has a very tight knot in it that is tender when probed, but feels *as if* you could 'knead it away'.

Aside from RICE, what else can i do? Also how can i know if the calf is causing the first phalanx pain, or if the toe tendon is due to walking uphill and the calf issue is separate? I am concerned that I have hallux limitus and that whether I RICE or not, that I will lose range of motion as time goes on.

Advice is much appreciated.

Heidi
07-21-2008, 10:37 AM
Hi

My advise is to treat the calf and peroneal issue and see what happens at the toe. Stretching all lower leg muscles will help:

http://www.sportsinjuryclinic.net/cybertherapist/stretching/allstretches.php

As will a sports massage or other deep tissue massage.