Stiffness of the big toe joint is termed Hallux Limitus. Hallux is the medical term for the big toe. When the big toe possesses no motion, it is termed Hallux Rigidus. To confuse the topic, the big toe joint may appear to have normal motion, but this motion can be limited when weight is on the foot and during the normal standing and walking. This is termed functional Hallux limitus, because it occurs during the normal functioning of the foot while walking. As with many conditions that affect the foot, functional conditions progress to structural deformities. The majority of people who develop Charcot's Foot have some degree of peripheral neuropathy or nerve damage in their feet. Along with the nerve damage, the reflexes that control movement of the feet may be diminished causing the feet to be subjected to excessive stress and trauma when walking around. When the nerves are damaged, sensation in the feet is reduced and a person will continue to walk on feet that are damaged because they can't feel pain. This causes worsening foot deformities including joint breakdown, dislocations, and subluxations of the feet which may all go unnoticed by the patient due to the loss of sensation. The basics of diabetic foot care includes checking the feet every day. During daily checks the patient should be looking for and/or noting any cuts, red spots, blisters, calluses, or swelling. The entire foot should be examined closely. Diabetics should also wash their feet daily using warm water and mild soap. As diabetics are prone to extremely dry skin (at times it will even crack) they should moisturize their feet using lotion or oil on a daily basis. Toenails should also be trimmed regularly (and they should be trimmed straight across with the edges filed gently). The treatment is mostly exercise or some special shoes. In some cases the doctor might ask the patient to walk without shoes for a certain period of time every day. This helps the bones to become flexible and hence the patient would slowly move towards recovery. Surgery is the last option in this case. Surgery happens for the most complicated and painful cases. There is no mobility in the patient due to flat foot. Before taking a decision on surgery first the condition has to be determined via CT scan, X-Ray or MRI. The success ratio is very low. According to the American Diabetes Association , more than 60 percent of all lower-limb amputations occur in people with diabetes The Amputee Coalition of America reports that u p to 55 percent of those who have had an amputation will experience the loss of their second leg within two to three years. At the Multidisciplinary Diabetic Foot and Wound Clinic, patients can receive regular consultation, treatment and education to prevent foot problems and amputation whenever possible. Patients can meet with a vascular surgeon, podiatrist and endocrinologist all in the same clinic. This comprehensive approach allows for better management of any foot issues relating to diabetes.