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Stiff great toe joint

When you have a stiff great toe joint, it is mostly likely due to arthritis. The medical term is called hallux rigidus. The articular cartilage covering the end of the bone erodes due to wear and tear or trauma, which results in stiff and painful motion of the joint. Bone spur can develop on top of the bone preventing full range of motion of the joint when walking.

Hallux rigidus commonly develops in adults between the ages of 30 to 60 years. Risk factors for developing hallux rigidus include history of trauma to the area such as a fracture leading to articular damage. Other risk factors include, history of osteoarthritis, rheumatoid arthritis, or gout. The symptoms of hallux rigidus include pain with activity especially during push off. People may also experience swelling around the joint, along with a bump that may develop at the top of the joint. Stiffness may develop at the big toe joint, limiting upward and downward motion of the toe.

There are several conservative treatment options for hallux rigidus, which include NSAIDs to help reduce inflammation along with shoegear changes that has a stiff soled shoe. Other treatments include foot orthoses such as carbon fiber plate or Morton’s extension to limit motion in the joint. Furthermore, an injection to the joint can be utilized for pain relief.

If conservative treatment does not provide relief to the pain symptoms, surgical procedures may be considered. Also, the extent of damage to the joint will determine the surgical procedure needed. Various options include removing the bone spurs around the joint, joint fusion or joint replacement with an implant.

If you have any similar symptoms, you should contact a foot and ankle specialist immediately at Community Foot Specialists. For more information on further treatment options and other foot and ankle injuries, call to schedule for a consultation today at (937) 426-9500.

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