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Re: Hallux Rigidus Surgery

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General fitness, health and nutrition
Published
25 March 2006
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4 April 2006
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  1. Well, I'm scheduled for cheilectomy in a couple of months. The surgeon
    recommends fusion since he says my cartilege is in an advanced stage
    but i'm apprehensive about the fusion when I need to be very active for
    future career goals.

    Furthermore, i've been taking quality fish oil for about a month,
    working out pretty hard (running, stepper, weight lifting etc) and I
    don't really have any pain anymore! I guess it takes the inflamation
    down. So now i'm thinking about cancelling the surgery...but i'm not
    sure.

    The only limitation I have right now is range of motion.

    Any advice?

  2. email hidden said:

    Well, I'm scheduled for cheilectomy in a couple of months.

    Since when do they schedule those? Aound here, they just shove a
    garden hose up your [censored], turn it on, and when you can't hold it
    anymore that's it. Then you pay them $40.

  3. Quoted message said:

    Well, I'm scheduled for cheilectomy in a couple of months. The surgeon
    recommends fusion since he says my cartilege is in an advanced stage
    but i'm apprehensive about the fusion when I need to be very active for
    future career goals.

    Furthermore, i've been taking quality fish oil for about a month,
    working out pretty hard (running, stepper, weight lifting etc) and I
    don't really have any pain anymore! I guess it takes the inflamation
    down. So now i'm thinking about cancelling the surgery...but i'm not
    sure.

    The only limitation I have right now is range of motion.

    Any advice?

    I don't think advanced cartilage breakdown would prevent you from
    getting a joint replacement. They remove all the cartilage and both of
    the bony surfaces in the joint replacement surgery. Did your doc tell
    you joint replacement was the wrong choice for you because of the stage
    of your cartilage?

  4. No, he said it was the wrong choice because he doesn't do it (or
    recommend it anyway) due to the fact that they are not durable/reliable
    and need to be replaced after an extremely short time. Apparently they
    are designed for more sedentary or older individuals.

    Have you had one implanted?

  5. Quoted message said:

    No, he said it was the wrong choice because he doesn't do it (or
    recommend it anyway) due to the fact that they are not durable/reliable
    and need to be replaced after an extremely short time. Apparently they
    are designed for more sedentary or older individuals.

    Have you had one implanted?

    Nope. I found another link that agrees with your doc. You'd think if
    they can make an artificial knee that lasts around 20 years, they could
    do better with a toe, but I guess that shows what I know.

    http://www.blackburnfeet.org.uk/hyperbook/conditions/hallux%20rigidus_backgr.htm

  6. Well, I don't know what's up but I don't have any pain whatsoever.
    I've been taking about 5g of quality fish oil per day in addition to
    other sources of quality Omega 3 EFA's from fish and nuts. I eat
    extremely clean and strict. I'm curious if I actually have more
    cartilege left and a better joint than the doctor is leading me to
    believe (afterall surgery is his livelihood). I suppose my symptoms
    have been less and less until they have no disappeared since I stubbed
    my toe real bad last Sept. I guess the body has a remarkable sense to
    heal itself and the only problem are the bone spurs which don't hard
    but limit the range of motion which doesn't seem to bother me.

    At this point i'm thinking of cancelling the surgery and going on with
    my life and moving forward with my career. If the pain comes back then
    i'll have to deal with it at that time.

    This almost feels like a miracle! I highly recommend fish oil for
    arthritis and joints...give it a few weeks and you'll see for yourself.

  7. <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Well, I don't know what's up but I don't have any pain whatsoever.
    I've been taking about 5g of quality fish oil per day in addition to
    other sources of quality Omega 3 EFA's from fish and nuts. I eat
    extremely clean and strict. I'm curious if I actually have more
    cartilege left and a better joint than the doctor is leading me to
    believe (afterall surgery is his livelihood). I suppose my symptoms
    have been less and less until they have no disappeared since I stubbed
    my toe real bad last Sept. I guess the body has a remarkable sense to
    heal itself and the only problem are the bone spurs which don't hard
    but limit the range of motion which doesn't seem to bother me.

    At this point i'm thinking of cancelling the surgery and going on with
    my life and moving forward with my career. If the pain comes back then
    i'll have to deal with it at that time.

    This almost feels like a miracle! I highly recommend fish oil for
    arthritis and joints...give it a few weeks and you'll see for yourself.

    If it hurts again...
    A cheilectomy and joint distraction with extrenal fixation is also a great
    option. All damaged cartilage / raw bone can also be made to bleed with a
    K-wire, which will cause a pseudo-joint to form while the joint is
    distracted. Once the external fixator is removed, the joint appears
    narrower on X-rays, but the function of the joint is improved. If the joint
    is really bad... the new KMI hemi implants are promising. The older
    implants popped out, or became useless in one way or another.... The gold
    standard for a bad rigidus is still fusion.

  8. And with fusion, will I really be able to be active, do sports, and
    have normal gait. I have heard mixed things on this...some say running
    is no problem, other says I will need a rocker type shoe to walk
    normal! Plus i'm guessing much more strain on other joints in the toe.

    This is a tough decision for me...but the pain is pretty much gone. I
    can only occassionally feel something (and it's not even really PAIN
    per se) on the bottom of the joint when I walk with a specific shoe.
    And it seems exercise is ok and even helps loosen things up. Could the
    xrays not be as accurate as the doctor thinks?

    Sure I don't have the flexion but it doesn't seem to be a big deal to
    me.

  9. email hidden said:

    And with fusion, will I really be able to be active, do sports, and
    have normal gait. I have heard mixed things on this..

    Do NOT let them cut you. It is a major mistake.

  10. Really? WHY?? Please elaborate.

  11. Furthermore, i've been taking quality fish oil for about a month,
    working out pretty hard (running, stepper, weight lifting etc) and I
    don't really have any pain anymore! I guess it takes the inflamation
    down. So now i'm thinking about cancelling the surgery...but i'm not
    sure.

    The only limitation I have right now is range of motion.

    Any advice?
    ~ msamson11975

    Keep it up!
    Delay surgery.

    For range, try some light yoga,
    the sunrise sequence of 7 or so positions
    is good. 20 min worth,
    check out yoga.com

    for some good tips.

  12. Keep the weights light
    so you don't add weight on your bod,
    that x-training is good.

    Fresh fruit and veggies also reduces
    inflammation,
    eg, Mediterranean Diet,
    lowering C-reative protein.

  13. email hidden said:

    Really? WHY?? Please elaborate.

    Common sense. Do not let them cut you.

  14. well I wish you could explain more, but I do understand that surgery is
    a last resort. I have been meaning to get my weight down some (i'm 210
    presently, and want to get down to 200), so i'll do more cardio and
    circuit training instead of bodybuilding (weight lifting). It's
    weird...sometimes it feels great, but also at times when I walk I can
    feel it in the bottom of the joint, which leads me to believe that
    cheilectomy would do absolutely nothing since the pain isn't in the
    bone spurs (bunion). Even with the fusion, I think it hurts just if I
    put weight on it with the joint not even moving so the fusion might not
    do squat.

    Right now i'm heavily leaning toward no surgery and just keep taking
    the fish oil with a clean diet (fruits/veggies) and rehab it naturally.
    But then I think about my future career goals and want this out of my
    mind permanently.

  15. Today the pain while walking returned. Coincidence that I ran out of
    fish oil on the weekend? Or maybe due to doing some wind sprints
    yesterday. I am now starting to think that surgery is the only option.
    I have to get rid of this problem as it's holding back my life. I'm
    thinking i'll let the surgeon decide what surgery to do depending on
    the cartilage remaining - but leaning toward the Fusion as I don't want
    to have anymore discomfort. I'm also starting to pronate alot (my foot
    rolls in) and ball of foot is hurting more. This sucks!

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