Treating Hallux Limitus

A disabling form of osteoarthritis that affects the joint of the big toe is Hallux Limitus. The big toe plays a big part in everyday movements including walking, squatting, climbing, bending over and even standing. When affected by hallux limitus, the toe joint initially feels stiff and sore. As time goes on, it becomes more and more difficult to bend the toe. Eventually, if left untreated, hallux limitus will progress to hallux rigidus. At that point, the toe becomes rigid and can no longer move or unbend.

Who Gets Hallux Limitus?

Hallux limitus is part of the “wear and tear” family of arthritis. It most often strikes people who have a defect in the mechanical structure of their foot that causes the degeneration in the big toe joint. People with fallen arches or those with excessive pronation—rolling in—of the ankles are among those more likely to develop hallux limitus. In some cases this faulty foot type is inherited but it can also be the result of overuse in people whose work or activities require lots of stooping or squatting, which puts stress on the big toe. Hallux limitus can be caused by an inflammatory disease such as gout or rheumatoid arthritis or it may set in after an injury, such as severely stubbing your toe.

What Can Be Done?

First, at Southern Maryland Foot & Ankle, our board certified doctor, Larry Hotchkiss, D.P.M. will want to determine the cause of your hallux limitus. The treatment option that is right for you may depend on what is putting the strain on the toe. Most likely, a digital x-ray will be taken (which can be done in either our Waldorf or Clinton office) to see how far the arthritis has progressed and check for other abnormalities. Then the foot doctor will decide on treatment which may include:

• Custom orthotics to help correct the structure and mechanics of the foot
• Changing your footwear to shoes that have a roomier toe box and stiff soles
• Physical therapy to help relieve pain
• Anti-inflammatory medications in oral or injection form to reduce inflammation and pain

Early detection and treatment is essential to prevent hallux limitus from developing into a seriously disabling condition. If you are experiencing any pain or stiffness with your big toe, don’t delay. Set up an appointment today by calling (301) 868-3899 or (301) 843-9581.