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Podiatry/Hallux limitus


I recently went to a podiatrist because I was having intermittent pain in my right big toe. Sometimes it would occur when I was sitting down or lying in bed as well as when walking. The podiatrist looked at the toe, flexed it with his hand, and said I had hallux limitus, or arthritis in the toe. He did not take an x ray; he said it would not change the treatment. He  fitted me for an orthotic, which I have just received. I am wearing it now for a few days, and am wondering if I should be wearing it all the time? I haven't felt the pain in a while.

I understand that the orthotic has a raised section by the toe to help the toe stay fixed in position, but what is the real benefit? Is this a progressive condition? Should I be switching it to all of my shoes and sneakers so I am always using it? I am 64 years old, and I walk briskly on  a treadmill each day for a half hour (about 2 miles). Thanks!

Dear David,

This Orthopedic Chicago Podiatrist located in West Loop 60661, Roscoe Village 60618, Ukrainian Village 60622, Elmhurst 60126 & Bartlett 60103 says,

Hallux Limitus may be a progressive arthritic deformity if the mechanical forces continue to act on that toe joint. For example, kneeling, kicking with that toe,etc. The orthotics should be worn for most, if not all your activities-because they should help decrease the forces that would aggravate your hallux limitus. If the activity causes return of pain, then the orthotic should be worn during that activity-and in an appropriate shoe.
Hope this helps & Good Luck!

Dr George Tsatsos, Svetlana Zats, Dr Mariano Rivera, Dr Massard & Dr Kurtz
Chicago 60661, 60618 & 60622, Elmhurst 60126, Bartlett 60103 Podiatrists
Board Certified swimming or wearing a knee bin Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661

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Dr George Tsatsos


All questions related to surgery, orthopedics and medicine of the foot and ankle-Adults and Children. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating. to foot and ankle problems in children Sports medicine of the foot and ankle Runner's and walking problems


PRIVATE PRACTICES: Ankle N Foot, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010

Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

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