Hallux rigidus pads: what to know

Hallux rigidus affects the joint where the big toe meets the foot. A pad can cushion a tender prominence or redistribute contact inside a shoe. The useful effect depends on its shape and exact position: pressure placed directly over a painful bump may aggravate symptoms, while a carefully fitted design may leave more room around the joint. Pads do not remove joint stiffness, and a bulky insert can make a narrow shoe worse. Explore [Hallux Rigidus](/conditions/hallux-rigidus/), [Foot Pain](/symptoms/foot-pain/) and [Toe Pain](/symptoms/toe-pain/).

Use a pad only with footwear that has enough length, width and upper-room for the toe. Stop using it if it causes rubbing, numbness, skin breakdown or greater pain. Test it during ordinary walking before a long outing. A clinician or podiatrist can assess whether a pad, shoe modification or [Custom Orthotics](/treatments/non-surgical-orthopedics/custom-orthotics/) is more suitable. Persistent joint pain may lead to a discussion of a [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/). In advanced cases, [Joint Fusion Surgery](/treatments/reconstructive-orthopedic-surgery/joint-fusion-surgery/) may be considered after examination.

Book an assessment when a pad no longer lets you walk comfortably, symptoms are progressing, or you are changing how you place your foot. Seek prompt care for a hot, red and rapidly swollen joint, fever, an open sore, new loss of sensation or inability to bear weight after an injury.

Where should pressure be reduced on my foot? Is a pad appropriate for my shoe shape? Would an orthotic provide better support? How will we tell whether pain comes from the joint or irritated skin? What symptoms should prompt a review?