Tough to Treat

A Stiff 1st MTP Joint can Affect Everything!


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One of the most overlooked joints in the lower quarter is the first MTP joint unless that is the client's primary complaint. How does the stiffness of the MTP joint affect gait and lower quarter movement of all kinds? We spend some great time discussing differential diagnosis and practical interventions and sharing some new discoveries. Hint: the exam and intervention do not always center around the stiff 1st MTP - there is likely a primary driver elsewhere.

A glance at this episode:

  • [0:01] Introduction and Podcast Rebroadcast

  • [2:13] Overview of Stiff First MTP Joint

  • [4:21] Compensation and Adaptation

  • [6:30] Assessment and Treatment Approaches

  • [23:22] Exercise and Proprioception

  • [25:47] Shoe Recommendations and Adaptations

  • [34:17] Conclusion and Final Thoughts

Related links:

  • Tough To Treat Website

  • Erica's Course: Decoding the Complex Patient

  • Susan's Pelvic Health Education Subscription

  • Access the Transcript

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Tough to TreatBy Susan Clinton and Erica Meloe

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