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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