The Foot and Ankle Clinic

Hallux Rigidus

Hallux Rigidus

What is hallux rigidus? | What symptoms might I get with hallux rigidus? | What causes hallux rigidus? | I have a bunion but my toe is also very stiff and painful | What treatments are available? | What are the most common operations for hallux rigidus? | What is a debridement and how does it work? | After the operation | What is a Fusion? | The operation | After the operation | I still don't like the sound of a fusion, what about a replacement?

 

hallux rigidusthe restricted range of movement from an arthritic big toe
the restricted range of movement from an arthritic big toe
The restricted range of movement from an arthritic big toe.

Diagram 2 shows a normal range of movement.

What symptoms might I get with hallux rigidus?

Like osteoarthritis in other joints there are a spectrum of presentations.  These range from a painless bony "growth" on the top aspect of the big toe

the growth of arthritic bone or osteophyte
The "growth" of arthritic bone or osteophyte(arrow).

to discomfort in particular positions of the big toe (especially in higher heels or during "push off" in running when the toe becomes maximally extended). Eventually pain may be present throughout most weight bearing activities or even be present regardless of whether a patient is weight bearing on the foot or not. As with other arthritic conditions the progression of hallux rigidus is unpredictable and may not necessarily occur.
 

 

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