Hallux Limitus: Conventional vs. Natural Approaches

Posted By Marty Hughes, DC

Essential Footgear:

April 16, 2015
Deborah Alexander

My foot surgeon advises to avoid shoes with much flex in the forefoot—the opposite of the approach on this site. BACKGROUND: My L foot hallux pain (bony spike on top, almost zero cartilage left) required bone fusion surgery 4 months ago. At the same time, the surgeon “released” nerves in my outer toes; excruciating pain had not really responded to conservative care for a year. In truth, once the nerve pain had been somewhat reduced, the enormous pain in my large toe became obvious (an X-ray showed why). It’s true that “trying” to bend results in my L forefoot bending only the outer toes, as my L big toe is now fused. Is that a problem? Is this surgeon “old fashioned?” What gives? Your thoughts are welcome.

April 16, 2015
Natural Footgear

Hi, Deborah,

Thank you for your message. Our approach to foot health is based on the natural function of the foot. We believe that, in most scenarios, the foot functions best when it can act like a bare foot inside of the shoe. Once problems occur and are fixed surgically, however, it’s difficult for us to assess your specific needs without an in person examination. While our approach isn’t necessarily “conventional,” we understand that there are many different approaches for individuals seeking different types of treatment. You may find some helpful information in the education section of our site, and this article might be a good place to start:

Six Ways to Restore Foot Health After Surgery:

I hope this information has been helpful for you! If you have further questions or concerns, please feel free to email us at

Kind Regards,
Andrew Potter

Join The Discussion

Please note that we do not provide medical advice or comment on specific health problems.

Comments need to be approved before showing up.