Carriero Foot and Ankle | Podiatrist | Encinitas, CA

What is Hallux Rigidus?

Hallux Rigidus is osteoarthritis that affects the joint at the base of the big toe (also known as the first metatarsophalangeal joint, or MTP joint). The condition is characterized by stiffness, pain, and reduced range of motion in the big toe.

Over time, the cartilage in the big toe joint wears down, causing pain, and eventually the joint may become rigid (hence the name “rigidus”). As the condition progresses, you may experience increased and decreased mobility.

What Causes Hallux Rigidus?

Several factors can contribute to the development of Hallux Rigidus, including:

Genetics
Age
Previous Injuries
Abnormal Foot Mechanics
Overuse or Repetitive Stress

Symptoms of Hallux Rigidus

Hallux Rigidus can cause a variety of symptoms, which can range from mild to severe. Common signs include:

Pain at the base of the big toe
Stiffness and reduced motion
Swelling and inflammation
Bone spurs
Difficulty wearing certain shoes
Pain that worsens with activity

Treatment Options for Hallux Rigidus

The goal of treatment for Hallux Rigidus is to reduce pain, improve joint function, and prevent further damage. Treatment can range from conservative methods to surgical interventions, depending on the severity of the condition.

1. Conservative Treatments

Rest and Foot Elevation
Ice Therapy
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
Footwear Modifications
Physical Therapy

2. Injections

3. Surgical Options

If conservative treatments don’t provide relief, or if the condition is severely affecting mobility, surgery may be necessary. Surgical options include:

Cheilectomy: This procedure involves removing bone spurs and other damaged tissue from the joint, improving mobility and reducing pain.
Joint Fusion (Arthrodesis): In cases of severe Hallux Rigidus, a joint fusion may be recommended. This procedure involves permanently fusing the bones in the big toe joint to eliminate pain. However, it also limits movement in the toe.
Joint Replacement (Arthroplasty): In some cases, a joint replacement may be an option. This involves replacing the damaged joint with an artificial implant, allowing for improved movement and pain relief.

Conclusion

Hallux Rigidus can be a debilitating condition, but with the right treatment plan, you can regain your quality of life. Whether through conservative methods or more advanced treatments, there are many options to help you overcome your symptoms.

If you’re suffering from Hallux Rigidus, don’t wait to seek help. Contact us today to schedule a consultation and find out which treatment option is right for you. Our doctors are here to help you move comfortably again!