Understanding the difference between functional hallux limitus and structural hallux rigidus determines the right orthotic approach: Cluffy wedge vs Morton's extension.
Hallux limitus benefits from Cluffy wedge to improve functional dorsiflexion, while hallux rigidus/arthritis requires Morton's extension for rigid support and motion restriction. 1st-ray raise serves as a balancing option for both conditions to prevent overcorrection and optimize comfort.
| Aspect | Hallux Limitus | Hallux Rigidus |
|---|---|---|
| Primary Issue | Limited motion during walking, good passive flexibility | Severe arthritis, minimal motion in all situations |
| Symptoms | Stiffness during push-off, compensatory gait | Constant pain, swelling, bone spurs |
| Orthotic Feature | Cluffy Wedge | Morton's Extension |
| Goal | Improve functional dorsiflexion | Restrict motion, reduce pain |
| Contraindication | Structural rigidity, arthritis | Flexible joint, functional limitus |
| Balancing Option | 1st-Ray Raise (prevents overcorrection for both) | |
Proper identification and treatment of hallux limitation improves sagittal plane function and reduces compensatory stress patterns. By addressing the specific type of restriction—functional vs structural—orthotics can either facilitate better motion or provide appropriate limitation for arthritic joints.
Hallux limitus has some toe flexibility but limited motion during walking, while hallux rigidus has severe arthritis with minimal motion in all situations. Treatment approaches differ significantly.
Use a Cluffy wedge for functional hallux limitus to improve dorsiflexion during walking. Use Morton's extension for hallux rigidus/arthritis to reduce motion and provide rigid support.
A 1st-ray raise elevates the big toe area to reduce pressure and motion. It's used as a balancing option with both Cluffy wedge and Morton's extension to prevent overcorrection.
Our AI determines whether you have functional limitus or structural rigidus, then applies the appropriate orthotic modifications for optimal results.
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