In the foot, the primary location of propriception is located in the area around the hallux and therefore this location is a primary reason why individuals lack balance. Persons with hallux amputation experience a balance deficit of approximately 40%. Additionally, research has shown that the hallux is of particular importance to balance in forward and backward weight shift and walking.
When treating patients for proprioception we try to encourage the entire Hallux to be articulating with the floor in order to gain as much proprioceptive input as possible.
Elf Toe is a condition where the tip of the distal Hallux is curved up. It is caused by Hallux Ridigus which is a condition where the proximal phalux is hypomobile creating a hypermobility of the distal phalux and 1st Metetarsal phalangeal joint. This hypermobility can cause an arthritic bunion to form at the MTP joint. My 3 year old, started to develop such a bump.
Because extension of the big toe is an important mechanism for the push-up phase of gate, with every step a patient with hallux ridigus is affected.
When treating this condition with the ARMS release technique, you would first stabilize the hypermobile distal phalanx, by doing this you will reveal the area of restriction of the proximal phalanx that is NOT in articulation with the floor. Then you will release the hypomobile proximal phalanx.
After treatment you would re-educate with functional exercise and/or taping.
With this simple technique you will be treating not only balance, but bunion formation, as well as improving the quality and efficiency of gait.
