foot issue, mostly the great toe
The great toe on my left foot is in dorsiflexion. I have tried to keep in down when walking and have created a pain in my ankle and then swelling in my foot. I treated the ankle as a sprain w/ Rice and that is much better. I don't know what type of Dr. to see to correct the dorsiflexion. Would prefer not to have surgery. Can you direct me to who I should see? An orthopedist, a podiatrist, a physical therapist? I live in New Orleans, La. I'd appreciated any direction you can give me. Thanks. Patricia RESPONSE
The first thing that has to be determined is why is your big toe in a dorsiflexed position. Assuming you come to find that there is no neurological explanation for this and it is simply idiopathic, meaning it just happened, the only way that I know to straighten the toe would be through a simple surgical procedure.
The tight tendon, the extensor hallucis longus tendon, or perhaps even the extensor hallucis brevis tendon, would have to be lengthened, so that your big toe would come back down to the ground. This is also assuming there is no bone obstruction at the level of the big toe joint that is not allowing the toe to come down on its own.
The procedure itself is not a terribly involved one as the tendon lies just below the skin, you can probably actually see it as it would be more pronounced in a dorsiflexed big toe.
I am not so sure a physical therapist could do anything to actually stretch the tendon so that the big toe comes back down.
So, in that case you could see either a podiatrist or an orthopedist.
Marc Mitnick DPMDISCLAIMER