Hallux Rigidus

If your big toe feels stiff, achy, or just isn’t bending comfortably anymore, hallux rigidus may be to blame. It’s one of the most common forms of arthritis in the foot, and one that tends to get worse if you ignore it. Gaston Liu, DMP, at Gaston Mike Liu LLC in Commack, New York, can help you find relief and restore critical function, whether through conservative care or more advanced treatment options.

What is hallux rigidis?

Hallux rigidus is a form of arthritis that affects the joint at the base of your big toe, causing severe stiffness and limited range of motion. Hallux refers to your big toe, and rigidus reflects the rigidity and stiffness that develops as the condition progresses. 

It typically results from wear-and-tear on the joint’s cartilage over time, but can also be due to an old injury, overuse, or structural foot issues. Mild cases may cause some stiffness and discomfort, while advanced cases can make walking, standing, and wearing shoes painful.

What are the symptoms of hallux rigidis?

Hallux rigidus can cause a range of symptoms that tend to worsen over time, including:

• Stiffness that impairs movement in your big toe
• Throbbing pain at the base of your big toe
• Swelling or inflammation around the toe joint
• A bump or bone spur on top of your toe
• Trouble wearing shoes that press on your big toe

You may also catch yourself shifting your weight to the outer edge of your foot to keep from bending your toe, which can send shockwaves of pain into your knees, hips, and lower back.

How is hallux rigidis diagnosed?

Dr. Liu diagnoses hallux rigidus by reviewing your symptoms, current and previous activity level, and medical history. He examines your big toe joint for range of motion, tenderness, and visible changes, and typically orders X-rays to assess the degree of joint damage, cartilage loss, and bone spur formation.

What treatment options are available for hallux rigidis?

Your treatment depends on the severity of your condition. Your custom plan may include:

• Custom orthotics to reduce stress on your joints
• Supportive footwear with a stiff sole
• Anti-inflammatory medications
• Corticosteroid injections
• Physical therapy 
• At-home stretches
• Laser therapy for pain relief
• Surgery to remove bone spurs 
• Surgery to fuse or replace the joint

Dr. Liu exhausts all conservative methods before considering a surgical solution. He works closely with you to find the best approach to match your lifestyle and goals. 

Early treatment leads to better outcomes, so don’t wait for symptoms to worsen. Schedule a hallux rigidus evaluation at Gaston Mike Liu LLC by calling the office or booking an appointment online today.