Hallux Rigidus Treatment in Sinnamon Park

What is Hallux Rigidus?

Commonly referred to as ‘Stiff Big Toe’, Hallux Rigidus is a degenerative condition that leads to a reduced range of motion in the first metatarsophalangeal joint (MTP) or your big toe.

This can impair your gait, especially the propulsion phase or as you toe off. Over time you gradually lose movement in your big toe.

At the base of the first MTP is usually where the degenerative arthritis is found. The ends of the bones are covered with articular cartilage, a shiny covering to protect the ends of the bones within the joint. As this covering wears, degeneration occurs until bone is against bone. Bone spurs develop as part of this degenerative process and movement decreases.

Normal range of motion is approximately 70 degrees of extension. We need 45-65 degrees to be able to walk without compromise or compensation.

Weight bearing X-rays are often required to examine the joint.

Hattrup and Johnson classification:

Prevent further damage

Grade 0

• Dorsiflexion 40-60°
• Normal radiography
• No pain

Grade 2

• Dorsiflexion 10-30°
• Mild to moderate joint narrowing or sclerosis
• Osteophytes

Grade 4

• Stiff joint
• Severe changes with loose bodies and osteochondritis dissecans

Treatment for Hallux Rigidus

In many cases cases early treatment is crucial to prevent or postpone surgery.

If conservative management fails then surgery is the only option to eliminate or reduce pain.

• Joint mobilisation
• Soft tissue release
• TECAR therapy
• Custom Foot Orthoticscan help improve foot function
• Shockwave Therapy
• Shoe modifications such as a larger toe box or a rocker bottom may be recommended
• Tailored exercise program