What is the first treatment tried for hallux rigidus?

Hallux rigidus causes stiffness and pain at the joint where the big toe meets the foot. Shoes with a roomy toe box and a sole that limits painful bending can reduce pressure during walking. Custom Orthotics may alter load through the foot and help some people move more comfortably. The plan is tailored to joint movement, footwear needs and daily activities.

Choose supportive shoes that do not press on the joint, and reduce activities that repeatedly force the big toe upward while symptoms settle. A clinician can discuss pain relief options and whether a Cortisone Injection is appropriate for persistent joint inflammation. If non-surgical measures no longer provide useful function, surgery such as Joint Fusion Surgery may be considered for selected severe disease.

Arrange assessment if toe pain limits walking, the joint is becoming more restricted, or a bump or swelling is rubbing against shoes. Seek urgent care for sudden severe redness, warmth, swelling, fever or an injury, because these features may indicate another problem requiring prompt treatment.

Ask which shoe features may reduce painful toe bending, whether orthotics suit your foot, and what improvement to expect from conservative care. Ask when an injection or surgery should be discussed.