MTP Toe - 2 weeks later

It is the evening of May 30, 2013. It has been fourteen days since the procedure on my right metatarsophalangeal joint which had been affecting my walking and running for several months. Symptoms included slight loss of range of motion, catching or clicking on dorsiflexion, and redness imflammation on the anteriolateral region of the first MTP joint. I had to removed the stitches as they were becoming embedded and were extremely tight. Other than some typical inflammation, the incision healed well. Due to the location on the dorsal aspect of the first metatarsal, the stiches were strained somewhat during the plantar and

2 weeks later

dorsiflexion of the joint. The orthopedist had prescribed those manual flexion exercises to allow a smooth cartilage layer to form in the area of the distal metatarsal where the osteochondral defect was removed.

My mobility has definitely improved since surgery but clearly not to a normal level. I can place more weight on the medial side of my foot without much discomfort. However, I am still wearing the stiff sole medical shoe prescribed, until my second follow-up with the surgeon. Range of motion has improved during my
manual flexion exercises but is still not equivalent to my unaffected toe. That will take time. I am on my feet quite a lot for work but take breaks, place most weight on the lateral region of my foot, and elevate my foot whenever possible.

I have seen a lot of improvement as far as the wound physically healing. However, there is still some medial MTP discomfort and an occasional catching or clicking on dorsiflexion which was one of the major complaints and reasons for the operation. This catching or clicking sensation is usually associated with an osteochondral defect or loose body within the joint itself. The surgeon removed that defect and remarked that joint itself looked fine. There was no evidence of a osteophyte or bone spur on his examination.

5K Planning at Phipps Park

I am continuing to remain optimistic and continue to follow the surgeons orders to the word. Next up will be a carbon fiber insert for my regular shoes. This fiber plate will limit flexion of the joint while healing continues. I'm excited to finally get back into my regular shoe and look forward to more progess. I am maintaing my fitness through accelerated weightlifting sets and some stationary cycling- using my heal to pedal. Stretching is also critical while I recover due to my gait being affected by the different shoes. It is also important to stay connected to running while I recover. Currently I'm assisting a local organization by directing a 5K trail event on July 4th. In addition, I plan to volunteer at other running events this summer. I look forward to seeing the other side of sport but am anxious to return, if and when I'm able.