I am not sure what happened to my left big toe joint, but it's putting a damper on my rehab! I am now 40 days into this new left big toe joint pain. It just happened one morning when I lunged while barefoot (and half awake). I don't know if the lunge was the incident, or I did something prior and only found out during the lunge. I ended up modifying my activity for 3 weeks - because that is what my PT would suggest I do. In my case, I cut out all walking and running and replaced it with a stationary bike. That did not change anything so I made a podiatry appointment. Two days before my appointment, my toe was finally feeling a tad better, as in I could flex the big toe joint behind me in the classic big toe stretch, but not with weight. That day my gait was near normal too.
I still went to the appointment. He felt I had a sprain of the big toe joint, and/or a bone contusion, maybe from one unlucky lunge perhaps. A sprain of the big toe joint is called "turf toe" and that usually happens with a more significant accident and you know for sure it happened. My PT was not in agreement with this Dx. He thought maybe a big toe joint reaction (they call it first toe joint in Australia) - so either a stress reaction? bone stress reaction? Not quite sure what he meant. He also suggested seasamoiditis which is more a tendon issue on the ball of the foot, regarding the tendons that run through the two small seasmoid bones. The thing is I was more tender on the top of the joint where he squeezed my toe, than I was on the ball of my foot where he palpated the seasmoids. So I am not sure it's that either. Anyway, I'm on day 40 and I can go for short hikes, but not 3 days in a row. I did 2 days this weekend and Monday proved to be quite tender and swollen. I can do short range of motion calf raises, single foot, just can't rise up very high. This is OK because it keeps that calf activated. Full bend with full weight bearing is still not there yet. I am testing the waters as I have a week hiking trip coming up this month! I want to get the foot exposed to some hiking before we depart. Below is a hike I did this weekend. There wasn't a trail most of the time
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AuthorA 45 year old active female who tore her ACL in January 2017 (at the age of 40). Reconstructive surgery in February 2017 with bone-patellar tendon-bone autograft. Archives
November 2022
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