Does joint fusion surgery treat hallux rigidus?

Hallux rigidus is arthritis and stiffness in the joint at the base of the big toe. Fusion removes the painful movement by preparing the joint surfaces and holding the bones together while they join. The toe remains positioned to support walking, but that joint no longer bends. This may be considered when pain, reduced push-off, and joint damage persist despite non-surgical care. A surgeon will assess alignment, activity needs, the condition of nearby joints, and whether another operation could preserve movement.

Arrange an assessment with an orthopaedic foot specialist if big-toe pain limits walking or footwear. Bring details about pain triggers, previous treatment, and any medical conditions or medicines that may affect healing. Before deciding, discuss imaging, the expected position of the toe, protected weight-bearing, wound care, and rehabilitation. Read about [Hallux Rigidus](/conditions/hallux-rigidus/) and [Joint Fusion Surgery](/treatments/reconstructive-orthopedic-surgery/joint-fusion-surgery/) to prepare for that conversation.

Seek prompt medical advice for a suddenly hot, red, very swollen toe, a wound that is opening or draining, fever, new numbness, or pain that is rapidly worsening. After surgery, contact the treating team if the dressing becomes soaked, the toe changes colour, or prescribed movement and weight-bearing instructions become difficult to follow.

Ask whether the arthritis is advanced enough for fusion, what toe position is planned, how long protection may be needed, and which activities could remain uncomfortable. Also ask how smoking, diabetes, circulation, or medicines might affect bone healing.