Treating Your Big (Great) Toe Arthritis

What is arthritis of the big toe (Hallux Rigidus)?

To summarize part of our previous post, hallux rigidus occurs when the cartilage of the knuckle of the big toe wears away, and you develop a bump on the top of your toe. 

How is hallux rigidus diagnosed?

Using a radiograph, your orthopedic surgeon checks the alignment of all your toes. Often, you can see a large bump of bone on the top of your first metatarsal (knuckle). The joint space (where the cartilage lives) is also narrowed. 

How do I treat my big toe arthritis?

There are a number of nonoperative treatments for big toe arthritis:

• NSAIDs (Ibuprofen, naproxen)
• Activity modification (modify sports or yoga poses)
• Shoe shopping (avoid high-heeled shoes)
• Carbon fiber insert
• Steroid injections
• Platelet-rich plasma injection

These treatments work to control the symptoms associated with arthritis of the great toe. Unfortunately, they cannot undo the damage done to the joint. 

When should I get surgery on my big toe arthritis?

Once the above nonoperative measures are exhausted, surgery can be considered. For all arthritic conditions, we suggest considering surgery once the pain limits what you want/must do. 

What is the best treatment for my big toe arthritis?

The orthopedic surgeons at Southwest Orthopedic Group can perform an exam and simple in-office radiographs to determine if you have big toe arthritis and discuss nonoperative and surgical treatments. 

The American Orthopaedic Foot & Ankle Society (AOFAS) has more information about arthritis at FootCareMD.

For more questions or to set up an evaluation, contact Dr. Stautberg’s office at 281-977-4870. 

Author

Eugene Stautberg, MD