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Hallux Rigidus is a term used to describe wear and tear (arthritis) in the joint at the base of the big toe.
Over many years, the joint forms new bone, to increase its surface area, which contributes to the bony swelling felt around the joint. This also causes the joint to be stiff.
It is usually symptomatic due to pain on walking, rubbing of the bony swelling against shoes and stiffness of the joint.
Patients with arthritis in the big toe joint usually suffer from 3 different types of pain:
There are three levels of procedures offered for the arthritis of the big toe.
The first tackle the excess bone to relief the local irritation and the impingement pain. This is called a Cheilectomy.
The second level are procedures that replace part or all the joint when the arthritis is more advanced.
The third group are procedures to fuse the joint when the arthritis is severe.
There are also some recent procedures that aim at implanting a spacer within the joint that can reduce the rubbing of the surfaces and therefore improve the pain. These are still the subject of current research.
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