硬性拇趾
医学
脊椎按摩疗法
触诊
物理疗法
滑囊炎
骨关节炎
手法治疗
运动范围
跖骨痛
外科
关节融合术
替代医学
病理
前脚
并发症
作者
James W. Brantingham,Timothy G. Wood
标识
DOI:10.1016/s0899-3467(07)60025-1
摘要
Hallux rigidus is a common problem of the first metatarsophalangeal joint and is particularly common in the 31-69 year old age group. Loss of articular cartilage narrowing of joint space and formation of periarticular osteophytes are present and increase over time, often leading to palpable osteophyte formation. The authors suggest that a diagnosis of hallux rigidus be made if at least 4 of the following are present at the big toe: pain, stiffness, palpable exostosis, positive X-ray findings, positive axial grind test, occasional synovitis, decreased motion on motion palpation (particularly dorsiflexion). This case study follows a 36-year-old male professional tennis player over a 7 year period under various forms of management including orthopaedic, physical therapy and chiropractic care. Initial surgery provided some relief, subsequent physiotherapy did not significantly reduce the patient's pain while chiropractic manipulation and mobilization on two separate occasions provided marked reduction in pain scores. NSAID usage and "punching out" his shoes also provided some relief. There is a reasonable possibility that general foot and big toe mobilization and the Brantingham "protective" big toe manipulation may reduce the pain of hallux rigidus. A randomized-controlled study should be done to ascertain the efficacy of such a treatment protocol.
科研通智能强力驱动
Strongly Powered by AbleSci AI