Hallux Limitus and Rigidus

The great toe joint is just that - it's great! Until it's not. Stiffness and immobility are very common conditions. Some studies show that over 60% of people will develop arthritis in this joint at some point in their life. Patients will report initially with occasional pain with bending, or when performing certain activities such as jumping or stooping. As the condition progresses, limitation of motion becomes more pronounced, and bone spurs will become evident. In later stages, even walking may be painful. Because arthritis is progressive degeneration, there is no easy "fix." We manage symptoms using shoe modifications and orthotic therapy, occasionally supplemented by medications and physical therapy. When these modalities fail, surgery may be indicated. The good news is that this is a slow process, often taking years for symptoms to rise to this level of care.  Surgery also has options. In early stages, joint salvage is preferred over joint destruction. This may include a simple clean up of the spurs and removal of loose cartilage. As the cartilage wear patterns continue and joint space narrows, decompression through osteotomy (cutting of the bone) may extend the life of the natural joint. In later stages of degeneration the joint may no longer be salvageable. At this stage we consider either replacement or fusion depending on activity level, radiographic parameters, and patient preference.  Joint fusion remains the mainstay for end stage arthritis. So there is always a definitive procedure for alleviating pain in this joint, but we work through many methods before choosing this option.  The content of this podcast is for educational and informational purposes only and does not constitute medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.