@NevadaSue, I am sorry about your toe problem. That toe does sound way too far up. It is nice that your doctor thinks that your toe position is "correct", but "correct" should not be causing you other problems and pain. I would get some opinions from doctors other than your original surgeon. I think I will PM you too, because I had a lot of opinions from different doctors over the 2-1/2 years since my original fusion, and sometimes it takes finding the right person to do the job, not necessarily the one you already know who did your surgery. And even sometimes that doesn't do the trick. But consulting a surgeon who is skilled in reconstruction and isn't afraid to attend to a needed revision is worthwhile.
@Toecutter, what is the best way to find a doctor who is skilled in reconstruction, other than word of mouth? I know that doctors can be credentialed in reconstructive foot and ankle surgery, but I often see it just as rearfoot. Plus as we all know, there are DPMs, MDs, and DOs....
A trusted orthotist can be a wealth of information about surgeons, as that person will have seen the results of surgeries from many surgeons.
Here is an older article which talks about the importance of position:
I will bet that everyone who has had a fusion has been told the same thing pre-op, but it doesn't necessarily happen in the OR due to the complexity of the procedure and individual anatomy and surgeon's skill/experience.
@GolfingQueen, I did not have that problem with (what I call) my IP joint (which some call the DIP joint). I had different problems due to the MTP being fused too straight, so the IP joint took up lots of pressure all of the time and was in pain most of the time. Your joint looks to be fused at a much greater angle than mine even is now, from what I can see in your postings. So I probably can't comment. Let us know what your doctor says!
I am still in my boot for another 1-1/2 weeks. Every night and every morning (and in between) I pray that this time the position is better. Right now being at the end of the day, the bottom my big toe feels a little sore (but in a different place than previously) and I worry that maybe the angle still isn't great enough, but I have been walking/standing around the house on it, trying to do chores, and in a stiff boot at that - so probably not resting it as much as I should. Thursday I will go back to work, and will likely sit much of the time.