Rehab for 1st Ray Bunionectomy

Nate Schmidt PT, DPT

Capital Orthopaedics Hand and Physical Therapy

Relevant to the content of this lecture, Dr. Schmidt has nothing to disclose.

Topics for Discussion:

What are main focuses of Rehabilitation

Expectations with Rehabilitation

Return to Wellness Activities

Topics for Discussion:

What are main focuses of Rehabilitation

Expectations with Rehabilitation

Return to Wellness Activities

PROTOCOL

Foot and Ankle Center Vienna

Pichler, F.G., Schuh, R. (2009). Rehabilitation Program After Hallux Valgus

Surgery. Physical Therapy Journal, Volume 89 (Number 9)

Rehab Session 1

Edema Management

Scar Management

Restoring Joint Mechanics

Active Range of Motion

Gait Mechanics Education

Edema management

muscle pump

elevation

Scar Management

Cross friction mobilization

Restoring Joint Mechanics

Mobility Lacking secondary to immobilization

Joint Mobilization

– Talocrural Joint – Sub Talar Joint – MTP – Forefoot Pronation

AROM exercises

– Foot, ankle, knee, hip Gait Education

– Weight bearing on 1st MTP Joint

Rehab Sessions 2-3

Mobilization

Strengthening

Neuromuscular Re-education

Wellness Activities

Strengthening

Interosseous musculature

Peroneal Longus/Brevis, Flexor Hallucis Longus/Brevis

Promotes 1st ray contact Proximal Stability

Quadriceps Gluteus Medius

Neuromuscular Re-Education

Static Dynamic Surfaces

Returning to Wellness Activities

Normal Gait

Low Impact

Bike Elliptical

Running • Surgeon's preference • Pool Jogging • Alter G Treadmill