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The purpose of this study is to regain range of motion of the great toe with dynamic splinting which will help reduce great toe's pain and swelling.
Quote:
Device: Metatarsophalangeal Extension Dynasplint System
Dynamic Splinting utilizes the protocols of Low-Load, Prolonged-Duration Stretch (LLPS) with calibrated, adjustable tension to increase the Total End Range Time (TERT) to reduce contracture. This unit is worn for 30 minutes, three times per day, (while seated or resting in bed) totaling 1.5 hours per day.
Other: Standard of Care
The current standard of care in treating Hallux Limitus will be given to all patients regardless of randomized categorization, and this includes: analgesic and nonsteroidal anti-inflammatory drugs (NSAIDs), orthotics with medial stiffness, and reduction of great toe movement in motions such as kneeling or squatting with the toes in an extended position.
I've always found that if a good pair of orthoses can't relieve symptoms, then just send hallux limitus to surgery. Chevron ostoetomy or a chilectomy have been demonstrated in the literatre to work quite well :)
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Adrian Misseri
B.Pod.,M.Hlth.Sci.(Pod.)
Dynamic splinting for painful hallux problems
Linear Mode
