Article online from LER http://lermagazine.com/article/managing-hallux-limitus-and-rigidus-in-athletes on how best to manage the Hallux Limitus & Rigidus.
The takeaway I have from the article is how first that footwear should be looked at and it is a vital component on managing the hallux. As the article stated soft footwear and a hard playing surface are tough on the 1stMTPJ.
After the footwear then it’s the idea on how an orthoses can help manage the hallux pain/function. I agree that meeting the arch with the orthotic is ideal that is achieved with an over the counter or a custom insole. But as well since most people put up with the pain their hallux limitus can couple with hallux valgus which then may make a morton’s extension a good idea as that may help the person or the athlete.
Essentially at times it’s trial and error as the athlete wants the orthotic to be as low a profile as possible, as light as possible but the ideal orthotic has to be a bit more bulky then desired. I use a step approach of first good footwear, then determine if an over the counter is effective, then start working on a custom and what features that device would need to help the patient.
C. Ped ©