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How to Walk With a Fused Big Toe?

Published in Post-Surgery Walking 3 mins read

Walking with a fused big toe, especially after surgery, requires specific techniques to ensure proper healing and mobility. Following medical guidance is crucial.

Initial Post-Surgery Walking

In the immediate post-operative phase, you won't be able to walk on your foot normally. Instead, focus on these steps, as outlined in the provided reference material:

  • Crutches are Essential: Initially, use crutches to avoid putting direct weight on the foot.
  • Surgical Sandal Support: You will be provided with a surgical sandal. This sandal is designed to help you walk by shifting the weight away from the front of the foot where the surgery took place.
  • Weight Distribution: While walking, make sure to put your weight primarily on the back/heel of your foot. This protects the front of the foot and allows the fusion to heal correctly.
  • Proper Technique: The surgical sandal helps to keep the pressure off the ball of your foot, but focus on the heel-to-toe motion. It will feel different to how you usually walk. Take short, steady steps, and avoid jerky or abrupt movements.
  • Practice makes perfect It is important to not overdo it initially.

How to Walk Long-Term After Fusion

Longer-term walking after fusion of the big toe will need to accommodate your new joint mobility. You may find these changes:

  • Adjusted Gait: Your natural gait will likely change because your big toe can no longer bend.
    • You may find yourself pushing off more with the outside of your foot.
  • You might feel a slight shift in balance as you walk.
  • Footwear: Choose shoes with good arch support and a roomy toe box. Avoid high heels or shoes with narrow toe boxes that might compress the toes.
  • Physical Therapy: Physical therapy can help you learn to walk more efficiently with your fused toe.
  • Strengthening muscles in your leg and foot is key
  • Gait training is really helpful in the long run
Step Description
1. Initial Post Surgery Use crutches and a surgical sandal, focusing weight on the heel.
2. Weight Bearing Avoid weight on the front foot, concentrating on the heel.
3. Gait Adjustment Adjust your walking pattern to adapt to a non-bending big toe, slowly.
4. Shoe Choice Select supportive shoes with a roomy toe box.



It's always best to consult with your doctor or physical therapist for personalized guidance on walking after big toe fusion surgery.

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