Hallux rigidus is a degenerative condition that affects the joint at the base of the big toe. The condition can cause stiffness, pain, and limited mobility in the joint. This joint is important in the gait cycle and limited mobility can cause changes in walking patterns and affect the rest of the body’s joints.

Hallux rigidus typically develops gradually, and in the early stages, conservative treatments such as shoe inserts, anti-inflammatory medication, and physical therapy can be effective in reducing pain and improving mobility. However, in more advanced cases, surgery may be necessary to address the underlying joint damage.

Surgical options for hallux rigidus range from minimally invasive procedures to more complex surgeries, depending on the severity of the condition. The goal of surgery is to restore normal function and reduce pain. In some cases, surgical intervention may be necessary if conservative measures have not been successful or if the deformity is causing significant pain and affecting the patient’s quality of life.

One of the most common surgical procedures for hallux rigidus is a cheilectomy. This procedure involves removing the bony spurs that have formed around the joint, which can reduce pain and improve joint mobility. Another surgical option is joint fusion or arthrodesis, which involves fusing the joint to prevent movement and reduce pain. Joint replacement or arthroplasty may also be considered in severe cases.

Like any surgical procedure, there are risks associated with hallux rigidus surgery, including infection, nerve damage, and recurrence of the condition. It is important to discuss these risks with your surgeon and carefully weigh the potential benefits and risks of surgery before making a decision.

In addition to surgical intervention, orthotics can be used to manage hallux rigidus. An orthotic device can help to redistribute pressure away from the affected joint, reducing pain and slowing the progression of the condition. Orthotics can also be used to correct gait abnormalities that may be contributing to the development of hallux rigidus.

In conclusion, hallux rigidus is a condition that can cause pain and limited mobility in the big toe joint. Conservative treatments can be effective in early stages, but surgery may be necessary in more advanced cases. The goal of surgery is to restore normal function and reduce pain, and the specific surgical technique used will depend on the severity of the condition. Orthotics can also be helpful in managing hallux rigidus by reducing pressure on the affected joint and correcting gait abnormalities.