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Hallux Rigidus/Bone Spur Probem

post #1 of 4
Thread Starter 

I have a mostly rigid right big toe that is caused by post-fracture arthritis. The hallux rigidus doesn't bother me too much and I can walk/run/hike/bike without difficulty.  My podiatric surgeon says that he would not want to do surgery because I'm very functional and he thinks that the toe will self-fuse given how advanced the arthritis has become (the movement in the MTP joint is tiny). 

The difficulty that came up mid-season last year is that pressure on the top of the toe around the MTP joint causes substantial pain due to the presence of bone spurs, especially when skiing on rough hard snow and bumps when the toe strikes the top of the liner.  I had my boots punched 2x but this didn't help much.  Punching is a bit difficult because the problem area is just under the first buckle.  Tightening the second and third buckle helped somewhat by removing any slop, but toe pain tends to progressively get worse as the area becomes irritated across a single day and especially across several days.  BTW, the pain also gets worse when sitting in the lodge.

I’m in a Solomon X Max 130 with a fairly tight  fit – I used the boots for a year and a half without difficulty until the toe problem popped up.  I did not need to mold or punch the boots when new –earlier versions of this model has been my boot for years.  I wouldn’t want to heat mold the boot because it fits so well otherwise.  I have a custom insole made by a reputable boot fitter.

This year I’m thinking of putting in an Intuition liner and padding the toe area quite a bit during the molding process.  I hope that the liner will do two things – 1) remove slop on the inside of the boot which will reduce the chances of the spurs being bounced on the liner, and 2) add some area immediately around the top of the MTP joint/spurs.

Any thoughts about the above?  Other options?

Thanks

post #2 of 4

I really like Intuition liners for lots of uses but have never felt removing slop was one of them.  It is a foam liner with different properties from others but still long term they don't in my opinion maintain a more solid fit than factory liners.

 

Zipfits are what I use for the purpose you have in mind.  But before I spend the money I'd ask myself if it is possible to stretch the liner vertically to allow for more space and if that will help?

 

Lou

post #3 of 4
Thread Starter 
Quote:
Originally Posted by Lou Rosenfeld View Post
 

I really like Intuition liners for lots of uses but have never felt removing slop was one of them.  It is a foam liner with different properties from others but still long term they don't in my opinion maintain a more solid fit than factory liners.

 

Zipfits are what I use for the purpose you have in mind.  But before I spend the money I'd ask myself if it is possible to stretch the liner vertically to allow for more space and if that will help?

 

Lou

Thanks Lou

 

I probably mis-spoke a bit - slop is not really the problem, although there is increasing room in the boots after about 100+ days skiing.  It is the inevitable up and down movement of the forefoot that seems to irritate the area and it is also the pressure on the spurs from the liner/boot.  Clamping the mid-foot with the second buckle reduced the movement but not the pressure.  Clamping the first buckle makes things worse.  There is not much room in the boot and I was thinking of the low volume intuition race liners, which, I think, are a bit more firm. The other and perhaps more important reason for the Intuitions is the ability to mold the forefoot portion of the liner to make more room for the spurs.

 

I had not considered the Zipfits - my guess is that I would need a low volume liner like the GARA or WC. However, it is my understanding that the Zips are not moldable in the forefooot 

 

Perhaps I'll stop by your shop later this month (after the swelling from a sprained ankle goes down :)) - are you open yet?

 

I have not addressed the factory liner.  I have shaved a mm or two bit off the bottom of the insole.


Edited by canadianskier - 9/6/15 at 7:10pm
post #4 of 4

Didn't even look where you are from.  Funny.  There are some Zips in stock now and full stock mid-October and it is the Gara we sell.   Gara and WC are identical liners with different amounts of cork from the factory.  Otherwise identical.  You are correct they are not mouldable in the forefoot, but they do have a very roomy toe box.   We of course also have Intuitions.

 

Perhaps the best thing is for you to stop in so I can get a more complete understanding of the problem.  Don't know the specific solution yet but I'm confident that once I see your foot and get a complete explanation of the mechanics we'll be able to figure something out.

 

Lou

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