Purpose:  To restore mobility of the 1st MTP. 

Procedure:  With the patient in supine, palpate the patient’s 1st MTP joint.  The therapist should grasp the toe using the thumb over the dorsal aspect and the fingers under the plantar aspect.  The therapist should apply a distraction force along the long axis of the metatarsal and apply AàP and PàA glides to the 1st MTP joint as indicated.