Step into the New Year Pain-Free: Addressing Hallux Rigidus

You can develop arthritis in any joint, including the big toe. Hallux rigidus is a painful condition that affects the big toe, causing trouble walking and wearing shoes. Living with hallux rigidus is uncomfortable, but there are treatment options that work.

At Phoenix Foot and Ankle Institute, with locations in Phoenix and Scottsdale, Arizona, Dr. Jeffrey E. McAlister and his team provide foot and ankle services so you can start the New Year out without discomfort.

Dr. McAlister is a skilled foot and ankle specialist who offers advanced arthritis treatments, minimally invasive procedures, and regenerative medicine for hallux rigidus, bunions, and other foot disorders.

What is hallux rigidus?

Hallux rigidus is a degenerative arthritis of the big toe joint. It becomes increasingly difficult to bend the toe as the condition progresses, leading to joint stiffness and rigidity.

People with hallux rigidus find it difficult to walk correctly or to wear shoes because they rely on the big toe joint for walking. The symptoms of hallux rigidus include the following:

• Pain that worsens with cold weather
• Stiffness at the base of the big toe
• Trouble with certain movements
• Swelling at the big toe joint
• Pain with walking or standing

As the condition worsens, pain is present at rest and during activity. It becomes more difficult to wear shoes or participate in activities you enjoy. Hallux rigidus also changes how you walk, which can cause hip, knee, or low back pain.

Home therapies for relief

In early hallux rigidus, you can manage symptoms at home. Rest, elevate, and ice the joint to reduce swelling and inflammation.

Over-the-counter pain medications and anti-inflammatories are another option to use for pain. These address the internal inflammation caused by the degenerative condition.

Contrast baths, where you alternate dunking your foot in cold and hot water, are a way to deal with swelling from hallux rigidus. You end in the cold to reduce swelling.

Changes in footwear can also help control pain and swelling. Pick a shoe with a wide toe box that doesn’t put pressure on the big toe joint.

Hallux rigidus treatments that work

As hallux rigidus advances, controlling symptoms independently becomes increasingly difficult. Dr. McAlister thoroughly examines your toe and symptoms to determine the most effective treatment approach.

Physical therapy and orthotics are highly effective in treating hallux rigidus. Physical therapy targets underlying causes and enhances flexibility and movement in the toe.

Orthotics provide support and take pressure off the joint, reducing pain and inflammation. The doctor may also suggest corticosteroid joint injections to quickly reduce inflammation in the toe.

Most patients experience relief with a combination of home care and professional treatment that reduces pain and inflammation.

Do I need surgery for hallux rigidus?

Most patients don’t need surgery for hallux rigidus, but some may if conservative therapies fail. Surgery is also an option if the toe is completely stiff and daily activities are no longer possible.

Several surgical options are available for hallux rigidus, including a cheilectomy, osteotomy, arthrodesis, and arthroplasty. If you’re a candidate for surgery, Dr. McAlister discusses your options to determine the best one for your needs.

To schedule a consultation for arthritis treatment, call our knowledgeable staff in Phoenix or Scottsdale, Arizona, at 602-761-7819, or book your appointment online today.