Hallux limitus is a degenerative condition characterized by pain and decreased range of motion in the first metatarsophalangeal (MTP) joint of the big toe or great toe. It is sometimes called a “frozen joint” and only gets worse over time.

Signs and Symptoms
– Big toe joint pain
– Bump at the top of the big toe
– Decreased range of motion of the big toe joint
– Pain and stiffness
– Inability to flex the big toe about 65 degrees upward
– Callus on the side of the big toe
– Bone spurs at the big toe joint seen on x-ray

What causes hallux limitus?

There are different biomechanical causes such as flat feet, long great toe, or a long first metatarsal. A tight Achilles tendon can also add to the flattening of the feet and increasing pressure. Other conditions that may contribute to the condition are gout and rheumatoid arthritis.

The key to the treatment of hallux limitus is early management before the destruction of the joint sets in. Remember that hallux limitus is a progressive and destructive condition.

Initially, arch supports may help as well as NSAIDs to relieve inflammation. Avoid wearing shoes that are more than an inch high. Applying ice to the painful area twice a day for 15 minutes at a time may also help. Physical therapy to provide joint mobilization, range of motion, manipulation, and strengthening of the muscles can improve stability of the first MTP.

Depending on the severity of the condition, there are different treatments available. The goal of treatment is to reduce pain and return to normal activities. Surgery is often reserved in more advanced cases or if the symptoms become more severe.

For more information on hallux limitus/ hallux rigidus, contact Dr. Kevin Lam’s office at (239) 430-3668 or visit NaplesPodiatrist.com.

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A minimally invasive approach to Hallux rigidus/limitus by Dr. Kevin Lam, D.P.M., FACFAS, DABLES, DABPS

Hallux rigidus AKA big toe joint arthritis. Sometimes this is confused with a bunion. Hallux limitus is what we call a dorsal bunion.

A live case of hallux rigidus. Dr. Lam making a very small stab incision and with the use of a rotating burr shaves down the spur to relieve pain and improve range of motion.

Patients heal with one stitch and walk on it right away. No wound healing complications, patients get back to activity very quickly.