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Re: anyone ever have fusion of big toe (MTP) joint
Posted by Carolyn1016
5/13/2013  1:34:00 PM
Thanks for your reply! I may need more advice from you about shoes when I am ready to start dancing again. I had a hemi-implant done on May 2, and the cast removed today. You are so right about the importance of elevating the foot post-op. That was really the only thing that kept the pain under control for the first couple of days, and the pain meds made me too loopy. My back and legs are sore now from lack of exercise, so I am very motivated to get back on track again! Isn't it something what we will endure for the sake of dancing!! And I am a real beginner at age 59, so I have to get moving! Just took the dog for a walk -- It's slow going, but I can do it! Yay!
Re: anyone ever have fusion of big toe (MTP) joint
Posted by PhilRob
4/1/2013  11:25:00 AM
Four years ago I had this problem with my left big toe joint. The Doc wanted to fuse or replace the joint. I said no to both and had him clean out the joint ie: chip, chisel, scrape etc. instead. He said I'd be back in 3 years for a more permanent fix but so far so good. It's a minor irritant but it bends enough and there is almost no pain. I chose the least permanent/ invasive fix as I feared permanent loss of flexibility....and would do it again.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by Carolyn1016
5/13/2013  1:40:00 PM
I am so glad I decided against the fusion and found a doctor who did a hemi-implant that has been in use successfully for 50 years. We can always fuse as a last resort, but I am so grateful that I won't be losing the flexibility. I had the surgery on May 2 and the cast removed today -- and I am walking in my regular walking NIkes this afternoon! I am hopeful that it will heal well and I'll be dancing again in a few months! Thanks for your thoughts and good luck! Hopefully you won't need to see your doctor for anything more drastic for a long time.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by novemberecho
5/16/2013  9:27:00 AM
that is great news!! Hope you are back to dancing in no time!
Re: anyone ever have fusion of big toe (MTP) joint
Posted by Nita
10/26/2013  6:09:00 PM
I had this done 4 years ago due to a bunion between my big and 2nd toes. I hope you have not done this - it has created a gait pattern that has since caused back and neck problems and I can only wear shoes that have a rocker effect to replace the dorsiflexion that I lost. I have a neice who just had a big toe joint replacement. If that had been offered, I would have gone that route.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by Sherry Leonard
11/26/2013  9:07:00 AM
I had a big toe joint fusion in 2009. Is it possible to go back in and have a big toe joint replacement after a big toe joint fusion. And if it is, what is best DR to do it?
Re: anyone ever have fusion of big toe (MTP) joint
Posted by Ruth Kersley
1/24/2014  4:23:00 PM
I have had endless problems after the fusion of my big toe 4 years ago. The main problem is lack of mobility and needing to wear rocker type shoes all the time. If I had known the downside truly I would never have gone ahead as the pain I get trying to wear normal shoes - even totally flat sensible walking shoes are uncomfortable. At the time I was told I would not be able to wear heels above a certain height but that just isn't true - no normal shoes feel right and dancing is painful except in mbt type shoes. I was told by a podiatric surgeon (Steve Kriss) that this could be reversed and I could have joint replacement surgery - am very nervous to have more surgery in case it fails and creates more problems. Also the established orthopaedic surgeon's attitude is extreme scepticism. What have you done so far?
Re: anyone ever have fusion of big toe (MTP) joint
Posted by terence2
10/27/2013  5:16:00 AM
The socket in my big toe, wore out yrs ago. Hyper-extended gives me a lot of sharp pain.

I was given 3 options.. Cortisone injections ( which do not last very long ) Surgery, and or, Live with it.. I chose the latter
Re: anyone ever have fusion of big toe (MTP) joint
Posted by O.K.
11/26/2013  9:21:00 PM
Those of you who have this problem . It is most unfortunate. The joint where your big toe meets the ball of the foot is, and should be, the most used joint within your whole body when dancing. To not use that joint means you are dancing from a flat foot without rolling onto the toe. To dance at a competitive level it is absolutely necessary that the correct technique be used.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by 40 year old previous dancer - fusion
5/14/2014  5:34:00 AM
All the research I did warned (orthopaedics obviously and podiatrists) that the gold standard for arthritis for anyone active or young is fusion as all implants fail - longest life 10 years and many fail within 2-5 if you are very active. Plus it still causes mechanical issues with the gait and strange compensations the foot does just like with a fusion, so it sounds wonderful but it must be shown to work on active people for many years before you can trust the results. I was horrified with my issue because I went in for a bone spur cleaning and came out with a fusion - because there was "zero cartilage" left - but I, like many on this site, would have chosent to "live with it" - I only agreed to any surgery at all because it was the attempt to clean it up to give more life to the joint. There is no data on "active" yound people who get fusions after 2 years. There is all this information on how they can "run half marathons" which at first gave me hope but I have since had a PT wanr me that any activity will destroy all the other toes and joints in the foot after a fusion - so I am begging for any source of info on these "runners" post fusion after year 10, 15, 25 etd - who cares about year 1-3, you can do anything for a couple years but that proves nothing abut longevity. Does anyone have any 10-30 year post fusion activity stories? Right now I can wear heels, run, raise up on the ball of my foot (8 months post op) BUT I won't do it any longer because of my new fear that over time this is going to cause all the rest of my foot to fall apart.

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