For those individuals that have structural hallux limitus with bone spurs or osteophytes, this can be a difficult problem.  At the early stages they can be quite difficult to see from an x-ray.  But surprisingly they can be seen quite clearly with diagnostic ultrasound imaging.  It's also helpful to try to bend the great toe upward and do a live manipulation of this joint under ultrasound guidance and visualization.  You can then see the definitive block to the upward range of motion. 

Over time the small bone spurs become larger and larger and more painful.  In addition the joint itself can become more inflamed and the inner joint lining becomes thicker–synovitis.  For some patients eventually the cartilage becomes thinner also and eventually the joint can become bone-on-bone and extremely painful.

If you are experiencing heel pain, do not hesitate to call us at 425-391-8666 or contact us online.