Hallux rigidus
Definition:
Hallux rigidus is a condition characterized by stiffness and limited range of motion in the big toe joint, medically known as the first metatarsophalangeal joint. The term "hallux" refers to the big toe, and "rigidus" indicates the stiffness of the joint.
This condition typically develops gradually over time, often due to wear and tear of the cartilage that covers the ends of the bones within the joint. As the cartilage deteriorates, the bones may rub against each other, leading to pain, swelling, and stiffness in the big toe joint.
Principal causes:
Hallux rigidus can be caused by various factors, including:
Degenerative changes: Aging and overuse of the big toe joint can lead to the gradual breakdown of cartilage and the development of osteoarthritis, resulting in hallux rigidus.
Trauma: Injuries to the big toe joint, such as fractures or sprains, can damage the cartilage and accelerate the development of hallux rigidus.
Biomechanical factors: Abnormalities in foot structure or gait mechanics, such as flat feet or excessive pronation, can increase stress on the big toe joint and contribute to the development of hallux rigidus.
Genetics: Some individuals may be predisposed to developing hallux rigidus due to genetic factors.
Symptoms:
Pain and stiffness: Pain and stiffness in the big toe joint, particularly during activities that involve bending the toe, such as walking, running, or climbing stairs.
Swelling: Swelling and inflammation around the big toe joint.
Difficulty wearing shoes: Difficulty wearing shoes with a tight toe box or heels, as they can exacerbate pain and discomfort.
Limited range of motion: Difficulty bending or straightening the big toe, especially in the later stages of the condition.
Our Treatment in EvivaPHYSIO:
Non-surgical treatments such as rest, activity modification, wearing supportive footwear, and using orthotic inserts or stiff-soled shoes to reduce stress on the big toe joint. Specific exercises to improve range of motion, strengthen the muscles around the big toe joint, and improve gait mechanics can help alleviate symptoms and improve function.
Overall, the prognosis for hallux rigidus depends on the severity of the condition and the effectiveness of treatment. With appropriate management, most individuals with hallux rigidus can experience significant relief of symptoms and maintain an active lifestyle.