Hallux amputation: Part 1 . What is next for this person ?
The stuff we get/see. Hallux amputation. What would you expect to present in this case ? We will dive into this one next week, but here are some cursory things to consider:
It is the right foot. -Without the hallux, we cannot wind up the windlass and shorten the distance between the first metatarsal and heel, thus the arch will splay (more permanently over time we suspect) and we cannot optimize the arch height. This will promote more internal spin on that limb because of more midfoot pronation and poor medial foot tripod stabilization. - more internal limb spin means more internal hip spin, and more demand (which might not be met at the glute level) and thus loads that are supposed to be buffered with hip stabilization, will be transferred into the low back, and or into the medial knee. Look for more quad protective tone if they cannot get it from the glutes. Troubles arise when we try to control the hip from quadriceps strategies, it is poorly postured to do so, but people do it everyday, *hint: most cyclists and distance runners to a large degree) - anterior pelvis posturing on the right, perhaps challenging durability of the lower abdominals, hence suspect QL increased protective tone, possible low back tightness or pain depending on duration of activities
- there is so much more, we are just wetting your appetite here on this one. see you next week on this one gang !
Ivo and i are in the studio for another podcast this afternoon, hope you got to #137 this week ! lots more goodies to come !
cheers, shawn and ivo
Photo permission by patient
