Hallux Rigidus, toe pain, sometimes called "stiff big toe," is a commonly occurring condition of degenerative arthritis (a wearing out of surfaces) affecting the MTP joint, the large joint at the base of the great (big) toe, the hallux. The condition results over time from constant wear and stress or from an injury to the joint. The result of the condition is pain, swelling, and/or restriction of movement; eventually the patient will stop bending the joint when transferring weight to the other foot, as in walking or running. Women will probably have to stop wearing shoes with high heels.
In most cases, there is no definite cause of this condition. Because of the tremendous stress put on this small joint over time (a force equal to twice one's body weight), eventually the joint simply begins to wear out. It can affect fairly young people, even as young as teenagers.
Hallus limitus can also result from an injury or as a complication of another medical condition, such as gout or infection. It can also result from mechanical or anatomical problems in the foot and ankle, excessive pronation (rolling in) of the ankles, as well as toe deformities, which increase the stress on the joint.
Two problems result from Hallux rigidus: big toe joint pain and stiffness (loss of motion). Walking is painful and difficult, since the MTP joint cannot move enough to allow the foot to "roll through" while walking.
As a form of degenerative arthritis, treatment begins with anti-inflammatory medication. Other conservative treatments include:
When conservative treatments fail, surgery may be suggested. There are several types of surgical procedures, including arthroplasty,a cheilectomy, hallux vagus surgery, and or the replacement of the MTP with an artificial joint and fusion of the joint.
The information provided herein is not intended to be a substitute for professional medical advice. You should not use this information to diagnose or treat a health problem or disease without consulting a licensed physician.