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Foot & Ankle

Hallux Rigidus

Hallux rigidus is arthritis of the big toe joint that causes pain and stiffness. It can make walking and pushing off difficult.

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Typical Recovery Time
Symptoms are chronic but can be managed over time.

Symptoms

  • Big toe pain
  • Stiffness
  • Swelling
  • Limited motion
  • Pain with push off

Common Causes

  • Joint degeneration
  • Repetitive stress
  • Prior injury
  • Genetics
  • Aging

Treatment Options

1Stiff shoe inserts
2Orthotics
3Activity modification
4Anti-inflammatory medication
5Injection therapy

When to See a Doctor

See a doctor if motion is limited or pain interferes with walking.

Frequently Asked Questions

What is hallux rigidus?
Hallux rigidus is arthritis of the big toe joint that leads to pain and stiffness. The joint becomes less flexible over time, especially when pushing off while walking or running. It can make activities like sprinting or climbing stairs uncomfortable.
What causes hallux rigidus?
It is often caused by wear and tear of the joint over time. Repetitive stress, prior injury, or certain foot shapes can increase the risk. Athletes who run or push off frequently may develop symptoms earlier.
What are the symptoms?
Symptoms include pain and stiffness in the big toe, especially with walking or running. Some people notice swelling or a bump on top of the joint. Motion becomes more limited over time.
How is it treated?
Treatment includes shoe modifications, stiff-soled shoes, orthotics, and activity changes. Anti-inflammatory medications and injections may help with pain. Surgery may be considered in more advanced cases.
Can I stay active?
Yes, many people remain active with modified footwear and activity adjustments. Low-impact activities are often better tolerated. Avoiding painful push-off movements can help manage symptoms.

Find a Sports Medicine Provider

Connect with a doctor, physical therapist, or imaging center near you.

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