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Arthritis of the great toe or hallux rigidus is a common condition that results in a painful and sometimes deformed great toe. Arthritis is a loss of joint cartilage, which is smooth and slippery. Without it, the bones grind together, and the joint becomes stiff and painful. Eventually there may be formation of bony spurs around the joint.
Causes of toe arthritis of the greater toe (hallux rigidus)
The condition is often caused by wear and tear or arthritis of the joint, leading to the formation of bony growths or bone spurs, which can impede joint movement.
Symptoms of arthritis of the greater toe (hallux rigidus)
Symptoms of hallux rigidus can include:
- Pain and stiffness in the big toe joint, especially during activity or when bearing weight on the foot
- Swelling and inflammation around the affected joint
- A visible bump or enlargement at the base of the big toe
- Decreased range of motion in the joint, making it difficult to bend or flex the toe
- A grinding or popping sensation in the joint during movement
- Changes in gait or walking pattern due to pain or discomfort in the affected foot
Diagnosing Arthritis of the greater toe (hallux rigidus)
Hallux rigidus is typically diagnosed through a physical examination by Dr Singh, who will evaluate the size and shape of the bony growths, the degree of joint mobility, and any associated symptoms. X-rays or other imaging tests may also be ordered to confirm the diagnosis and assess the severity of your condition.
Treatment for Arthritis of the greater toe (hallux rigidus)
Treatment for hallux rigidus may include non-surgical and surgical options.
Non-surgical treatments may include:
- Wearing comfortable shoes with a wide toe box and low heels
- Applying ice or heat therapy to reduce pain and inflammation
- Taking over-the-counter pain medications to relieve discomfort
- Physiotherapy exercises to improve joint mobility and flexibility
- Using orthotic devices, such as splints or custom shoe inserts, to provide support and reduce pressure on the affected joint
Surgical treatments may be recommended in more severe cases or when conservative treatments have failed to provide relief. This may involve Dr Singh removing the bony growths, fusing the joint, or replacing the joint with an artificial implant. The type of surgery will depend on the severity of the condition and your overall health. These factors will all be discussed with you in consultation with Dr Singh.
