Hallux Limitus / Hallux Rigidus / Big Toe Pain and Arthritis
Let's talk about Hallux Limitus, Rigidus, Big Toe pain and Arthritis. First off, what is it?
Hallux rigidus is stiffness in the big toe joint that can occur from arthritis developing in the metatarsal phalangeal joint. This joint connects the head of the metatarsal bone to the base of the proximal phalanx and underneath lies two small bones known as the sesamoids. Hallux rigidus is actually a form of degenerative arthritis (wearing out of the cartilage within the joint). Because hallux rigidus is a progressive condition, the toe’s motion decreases as time goes on. In its earlier stage, motion of the big toe is only somewhat limited; this is called “hallux limitus.” But as the problem advances, the toe’s range of motion decreases until it potentially reaches the end stage where the big toe becomes stiff.
- Swelling and inflammation around the joint
- Pain and stiffness in the big toe during walking, running and regular exercise
- Pain and stiffness aggravated by cold
- Difficulty with certain activities
If caught early on, less aggressive treatments such as shoe modifications, orthotics, injections, medications and physical therapy may be able to provide relief. However if the condition progresses and non surgical treatments do not provide relief, surgical treatment may be required. These surgical options include bone spur removal (Cheilectomy), Joint fusion (arthrodesis) and Joint Implants. Dr. Pajouh will discuss the best treatment option for you.