Functional hallux limitus is not without it controversy. Some think it’s the root of all evil and other thing it does not exist. Functional hallux limitus is defined as a restriction in the range of dorsiflexion during functioning, i.e. walking. During a normal non-weight bearing examination functional hallux limitus has a normal range of motion, but for some reason during gait the first metatarsophalangeal joint does not want to move. There is debate as to if functional hallux limitus just secondary to a pronation foot or if functional hallux limitus is actually the primary problem and is the cause of the pronated foot. There is no evidence to guide which one of these approaches is the most appropriate. There are also suggestions that functional hallux limitus is a windlass mechanism dysfunction. The treatment of functional hallux limitus is the use of things like the cluffy wedge and kinetic wedge. Functional hallux limitus is also helped by inverting the rearfoot.
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