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toe joint arthritis
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kristi
Posted 2009-01-30 1:28 PM (#113265)
Subject: toe joint arthritis


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Posts: 258
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The joints of my toes kept hurting for more than 2 years now, a kind of a bulge started appearing, I showed it to a doctor, he said it is arthritis, he said there may even be a need for a small surgery in the future.

I am wondering, just in case, I may be worsening the situation of those toe-joints, with my long standing postures in my daily and often hard Iyengar yoga practice.

And also, are there maybe any postures/exercises that might do good to this small problem ?
What am anyway trying to do all the time is to keep moving/stretching/twisting my toes so as to keep them “alive” and “mobile”. I hope this is right.
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kristi
Posted 2009-01-30 1:31 PM (#113266 - in reply to #113265)
Subject: RE: toe joint arthritis


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Posts: 258
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... sorry, I am speaking only about the big toe joints
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Nick
Posted 2009-01-31 4:10 AM (#113287 - in reply to #113266)
Subject: RE: toe joint arthritis



20005001002525
Location: London, England
Hi Kristi,
I'd say be careful about twisting the joint-arthritis typically results in a joint's range of motion expanding. That lump you see is the side of the joint enlarging as it tries to cope with the larger range of motion-like building up the banks of a lake so it can't overflow.
Typically, rehab for arthritis involves stabilizing a joint by tightening the muscles that act on it, not by lengthening muscles (unless a tight muscle is helping to de-stabilize the joint). Maybe the doc can send you to a specialist to show you exercises which may help to slow down the joint's degeneration.
Typically, it's a very important muscle called Abductor hallucis that needs to be strengthened. It's a big muscle that run from the medial heel to the big toe-when it contracts it pull the big toe medially, but also, and very importantly, the foot is pulled laterally-this maintains a perfect relationship in the positioning of the big toe and foot, relative to one another. It is said that if this relationship were explored from a young age, then many foot problems would be avoided in the human population.
Take care
Nick
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kristi
Posted 2009-01-31 2:09 PM (#113288 - in reply to #113265)
Subject: RE: toe joint arthritis


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Posts: 258
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Nick, thanks a lot (like always) for your precise and useful answer/tip!
By reading it I “felt” which one that Abductor hallucis muscle must be… I checked in Google and indeed it was that one.

Focusing my attention on this specific muscle of the feet, by pressing down the mounts of the big toe joints, while stretching forward/upward the 4 smaller toes, is a task I instinctively try to do in my standing postures (especially in Parsvotanasana) this last year or so of my practice. It does also affect that hurting joint...

But the reason I started focusing on this was mainly because I felt it helped me correct my alignment on standing postures that need stability. In the first years of my practice, in trying to get stability I had a tendency to put more weight/strength to the outer sides/toes. This had led to some hip/knee problems and consequently to a lower back problem. Then I somehow discovered this muscle and this “trick” of trying to lead my effort/weight more towards the “centre” and less to the “sides” of the body and so my lower back and all those little knee pains got solved.

I mentioned this so as to add to your right comment…
>>>> a perfect relationship in the positioning of the big toe and foot, relative to one another. It is said that if this relationship were explored from a young age, then many foot problems would be avoided in the human population <<<<<<
…that not only foot problems would be solved !

I will try find a specialized person here (sooooo difficult…) who could advice/show me more exercises to strengthen that muscle

thanks again!
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Nick
Posted 2009-01-31 2:35 PM (#113289 - in reply to #113288)
Subject: RE: toe joint arthritis



20005001002525
Location: London, England
Hi Kristi,
Yes, it would be nice if rehabilitating abductor hallucis solved all the world's problems Glad to have been useful.
What exactly you do might be a tricky one even for a specialist-in fact, everyone's feet are tricky-twenty six bones crammed in to badly fitting shoes ensures that .
Looking at my post, it was very specific. In all likelyhood, for maximum benefit, you will also have to rehabilitate joints further up the kinetic chain, especially as you mention knee, hip, and low back pain-all these areas are put under an undue strain by problems of the big toe-or vice versa-chicken and egg situation.
A quick tip for yoga practice. On the outside of your ankle, you have a prominet lump which is called the lateral malleolus-it's the end of the fibula-the one on the inside of the ankle is called the medial malleolus, and is the head of the tibia. Try to identify which postures-and you may find that this includes nearly all of them, pull the lateral malleolus away from the sole of the foot-the standing postures, supta virasana, pashimottanasana (see how the soles of the feet turn towards each other in inexperienced students). All these movements will be increasing the tendency for the big toe to be pulled laterally-as the outside of the ankle pushes out, so the base of the big toe is pushed medially, resulting in the big toe being pulled laterally.
That should keep you going for a couple of lifetimes If you are ever in England, give me a shout, no charge-I love helping solve this problem, the look on student's faces when they can do something to combat pain and increase health and performance is more than enough

Nick
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kristi
Posted 2009-02-01 1:36 PM (#113304 - in reply to #113265)
Subject: RE: toe joint arthritis


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Posts: 258
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>>>>>>If you are ever in England, give me a shout, no charge-I love helping solve this problem, the look on student's faces when they can do something to combat pain and increase health and performance is more than enough <<<<<

Thanks a lot for this Nick, I really appreciate it and I am looking forward, we do come to England every now and then.

>>>>>>>A quick tip for yoga practice. On the outside of your ankle, you have a prominet lump which is called the lateral malleolus-it's the end of the fibula-the one on the inside of the ankle is called the medial malleolus, and is the head of the tibia. Try to identify which postures-and you may find that this includes nearly all of them, pull the lateral malleolus away from the sole of the foot-the standing postures, supta virasana, pashimottanasana (see how the soles of the feet turn towards each other in inexperienced students). All these movements will be increasing the tendency for the big toe to be pulled laterally-as the outside of the ankle pushes out, so the base of the big toe is pushed medially, resulting in the big toe being pulled laterally.
That should keep you going for a couple of lifetimes <<<<<<<<

And that’s interesting input and task for an Iyengar-enthousiast to explore
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Nick
Posted 2009-02-01 2:21 PM (#113305 - in reply to #113304)
Subject: RE: toe joint arthritis



20005001002525
Location: London, England
Hi Kristi,
Good stuff, look forward to seeing you. Another tip-you mentioned trying to position your toes. Try what is called the 'short foot.' It basically utilizes not only abductor policis, but other foot and ankle muscles to pull the knee directly over the foot, and therefore helps to position the joints of the leg to avoid pain and bad posture. If you look over in the astanga thread, you'll see I was using it there in the post to Caroline. It involves tigthening the muscles which cross the sole of the foot, so that the pads of the toes are simultaneously pulled back towards the heel-not enough to scrunch the toes, just enough to make them all press down into the floor-if your foot positioning is good, you should feel that the ball of the foot presses against the floor harder. you may also notice that the lateral longitudunal arch running along the outside of the foot becomes more visible-as you tighten the foot properly, the arch lifts. Again, not much force is required for the best effect.
You then try to train movements in the joints further up the leg so that they encourage short foot, not detract from it-you then have the concept of bandha, whereby the gluteals, adductors, hip flexors etc begin to tighten the body towards the most optimal posture.
I'll try to get some articles up some time on my site so that you can have some nice pictures

Nick
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