“Related and found bad toe joint and mentioned possible options and recommended surgery as a last option. This was what I was expecting as I had it evaluated twenty years ago with the same results. Other options have not worked as expected and probably will go with surgery eventually. Dr. Jackson was exemplary with his ‘bed side’ manner and explained everything such that it was easy to understand. On another note Doctor Jewett replaced both of my hips and they are doing great. I am up to five to ten mile hikes in the high Cascades on unimproved trails with no problems. This summer I will be going on some long two day bike rides (motorcycle) and will let you know how I am doing.“