Hallux LimitusHallux Limitus / Hallux Rigidus / Big Toe ArthritisBig toe / great toe arthritis causing Hallux Limitus and in time Hallux Rigidus is one of the most common causes of forefoot pain. Hallux Limitus / Rigidus is a disorder of the big toe joint that causes pain and stiffness in this joint which can get progressively worse over time. Hallux refers to the big toe, limitus means stiffness and rigidus means no movement. It is a form of degenerative arthritis. It should not be confused with a bunion which affects the same joint but they are very different and require different treatments. Left untreated, it can be progressive where the toe motion decreases as time goes on. In the early phases the motion is somewhat limited (Hallux Limitus) and as the problem advances it can become very stiff or frozen (Hallux Rigidus). |  |
This disorder can be very painful, even disabling since we need big toe flexibility to squat, walk, run and even stand. Pain and stiffness will be present over the big toe joint that is made worse with activity and poor shoe selection. Often the joint looks enlarged or swollen.
The diagnosis of Hallux Limitus is a relatively straight forward process confirmed on clinical evaluation. In most instances X rays serve only to confirm the diagnosis and are not usually required.
The most common cause is poor foot posture, overpronation leading to a flat foot which transfers too much weight / load onto the big toe joint. Other risk factors include a family history of arthritis or past injuries to the joint.
The sooner you seek treatment whilst the joint is less stiff the better it can be managed to prevent further stiffness.
Treatment options include
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