Hallux Limitus/Rigidus

Description

Hallux Limitus and Hallux Rigidus involve loss of motion at the big toe joint because of arthritis. The upward motion of the big toe is either reduced or fully lost. This can happen when there is damage to cartilage and/or when there is new bone growth on top of the big toe joint.

Symptoms

Difficulty bending the big toe upwards, pain and stiffness at the big toe joint while walking, and swelling around the joint. Also, the joint aches during cold weather

Treatment Options

Conservative treatments involve wearing shoes that are stiff and have a large toe box, wearing custom orthotics, and physical therapy. Surgery may be required if the arthritis is advanced. 

Treatment Option Description (with Duration)

In some cases, surgery is the only way to correct the problem. Depending on the severity of the condition, surgery involves either placing an implant to increase range of motion, or fusing the joint so the toe cannot move. If an implant is placed, you will be able to walk in a boot after the surgery. If the big toe joint is fused, you may have to stay off of your foot for up to 6-8 weeks. 

Expected Outcome

If the condition is caught early, progression of the arthritis can be slowed. If treatment is delayed, you may need surgery depending on the damage to the joint. The goals of surgery are to increase motion, or to eliminate it completely, resulting in less pain or complete relief of pain.

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