• Manral DB

• Hallux Rigidus
• Joint Diseases
• Manipulation, Chiropractic
• Metatarsophalangeal Joint
• Toes

Clinical Features: A 27-year-old, 76' male student often involved in athletic activities, had a sudden onset of continuous localized pain in the medial aspect of the mid and forefoot on the right side for I -and-a half months. The onset of pain was related to an accidental injury while playing basketball. The pain worsened every time during and after playing basketball and other weight-bearing activities such as -walking upstairs and was palliated with physical rest. He tried Biofreeze and ice application several times immediately after the injuries which helped to some extent to relieve pain and swelling, but he did not seek any other professional care. The condition had been improving slowly even before he came to the clinic although the patient described the pain as 5110 on the Borg pain scale when he came to the clinic for the first time. The characteristic local findings were a mildly hyper-pronated right foot, mildly asymmetric soft-tissue and bony contours, tenderness, stiffness and decreased range of motion (ROM) at the first metatarso-phalangel and adjacent joints on the medial aspect of the midfoot decreased fluid motions in the concerned joints on the chiropractic evaluation and some abnormal wearing in the shoes.

Intervention and Outcome: He was managed with chiropractic manipulation combined with other conservative measures. Range of motion (ROM), Borg Pain Scale and an orthopedic test (Morton's Test) were used as the outcome measures. The subject showed a favorable response to the conservative (chiropractic) care.

Conclusion: Although hallux rigidus is one of the most common musculoskeletal degenerative conditions, our conservative management received a favorable response but there has been little discussion about it in chiropractic literature. It can be hypothesized that the progress of Hallux Rigidus (HR) can be reversed or halted by chiropractic management provided it is started at the early stage of the disease.

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