Hallux Rigidus (Big Toe Arthritis)
Hallux rigidus is arthritis of the great toe joint. The joint becomes stiff and painful, and bone spurs form on top of the joint, limiting upward motion of the big toe.
Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon
Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors
- Pain and stiffness in the big toe joint
- Limited upward motion of the big toe
- Bony bump on top of the joint
- Pain with push-off when walking
- Wear and tear over time
- Past injury to the big toe joint
- Inherited joint mechanics
- Inflammatory arthritis
- Stiff-soled shoes or rocker-bottom shoes
- Custom orthotics with a Morton's extension
- Anti-inflammatory medication
- Cortisone injections
Surgery is offered when joint pain limits activity. Procedure choice depends on the stage of arthritis.
Surgical procedures we perform
Cheilectomy (Big Toe Joint Cleanup)
Cheilectomy removes the bone spur on top of the big toe joint, relieving impingement and restoring upward motion. Best for early-to-moderate hallux rigidus.
Learn moreFirst MTP Joint Fusion
First MTP fusion is the gold-standard surgery for advanced big toe arthritis. It eliminates joint pain reliably and allows most patients to walk and exercise comfortably.
Learn moreCartiva Implant (Big Toe)
The Cartiva implant is a synthetic cartilage device for moderate-stage big toe arthritis. It preserves motion as an alternative to fusion in select patients.
Learn moreCheilectomy: surgical shoe 2–4 weeks. Fusion: boot 6–8 weeks. Most patients return to full activity by 3–6 months.
Frequently asked questions
Is fusion of the big toe joint life-changing?
Most patients walk and exercise comfortably after fusion — it eliminates the painful joint motion. Running with a high push-off is usually still possible.
Related conditions
Schedule a consultation
Tell us about your hallux rigidus (big toe arthritis) — our team will follow up to schedule.
Ready to Get Relief?
Call Foot Health Centers to schedule your visit in Hernando or Southaven.