Interesting patient of the day. Bunion or Bone Spur?


I saw this patient in the office today complaining of a painful right big toe joint.  It hurt a little on the top and outside of the foot but most of the pain was on the inside of the great toe in the interspace area.  This from the outside looked as if it was hallux limitus (to learn more about this condition click here) but really if you look at the x-ray there is a little spur on the inside of the big toe joint.  This is what caused the pain for the patient from Worcester, Massachusetts.  That is why she came to see us in the office.  What was the treatment?

Good supportive shoes, orthtoics and if continues to be painful either a cortisone injection or surgery to remove the spur.