Seven years ago my big toe hurt so much, I had slmost had to give up even simple things like just walking.
Arthritis had destroyed most of the cartilage in my big toe joint. The outlook sounded dismal. I was faced with possible surgery and a resultant fused toe joint.
Then I met with Dr. Lisa Barr, and ended up trying Prolo Therapy. This worked faily well. However, over the years, I have been fortunate to have Dr. Barr try something faster, better, and longer lasting - PRP (Platelet Rich Plasma). PRP has proved to be a "miracle treatment" for my toe (not to mention my rotator cuff problems).
I am now "rapid-walking" approximately 96 mies every month - that's over 1,600 miles since I started over 16 months ago. I have had no pain or even discomfort. My wife ways I'm in "great shape".
P.S. As for my rotator cuff, I now work out and play golf on a regular basis with no discomfort.