Hallux rigidus

Osteoarthritis of the big toe joint causing pain and stiffness.

Overview

Hallux rigidus is osteoarthritis of the big toe joint, causing pain and progressive stiffness, especially when pushing off. Footwear changes and activity modification help, with surgery for advanced cases.

Symptoms

  • Pain and stiffness in the big toe joint
  • Pain with pushing off when walking
  • A bony bump on top of the joint
  • Reduced upward movement of the toe

Causes

  • Age-related joint wear
  • Previous big-toe injury
  • Foot mechanics

Treatment

  • Stiff-soled or rocker footwear
  • Activity modification and pain management
  • Foot exercises
  • Surgical opinion for advanced disease