Hallux Limitus & Big Toe Arthritis

The problem

The big toe joint plays a critical role in walking, running, balance, and propulsion.

Each time we take a step, the joint must bend upward to allow the body to move efficiently over the foot.

When the joint becomes stiff, inflamed, or arthritic, this movement can become painful and restricted.

Common symptoms include:

• Pain in the big toe joint
• Stiffness when walking
• Pain pushing off during walking or running
• Pain during hills or stairs
• Swelling around the joint
• Difficulty wearing certain footwear
• Reduced range of motion
• Development of a bony prominence on top of the joint

Big toe arthritis is commonly referred to as Hallux Limitus or Hallux Rigidus, depending on the severity of joint restriction.

Many people assume pain is simply a normal part of ageing. However, there are often treatment options available that can reduce symptoms and help maintain mobility.

How we treat it

Successful treatment starts with understanding how the joint is functioning and identifying the factors contributing to irritation.

Assessment may include:

• Foot and lower limb assessment
• Joint mobility assessment
• Gait analysis
• Footwear assessment
• Strength and movement testing
• Diagnostic imaging referral, where appropriate

Treatment recommendations may include:

• Footwear modification
• Orthotics designed to reduce stress on the joint
• Carbon fibre plates or stiffening devices
• Foot mobilisation therapy
• Load management strategies
• Strengthening and rehabilitation programmes
• Bracing where appropriate
• Referral for imaging or surgical opinion when required

Our goal is to improve comfort, maintain function, and help preserve mobility for as long as possible.

Why Masterton Foot Clinic

Big toe arthritis is one of the most common causes of forefoot pain in adults.

Many people are told they simply have arthritis and must learn to live with it. While arthritis cannot always be reversed, symptoms can often be improved significantly through appropriate management.

At Masterton Foot Clinic, we assess how the joint functions during walking and how factors such as footwear, foot mechanics, strength, mobility, and activity demands may be contributing to symptoms.

Our podiatrists have a particular interest in conservative management strategies designed to reduce stress on the joint and help patients remain active.

In many cases, relatively small changes in footwear, orthotic design, or movement patterns can have a significant impact on comfort and function.

Where appropriate, we work closely with physiotherapists, orthopaedic surgeons, and other healthcare providers to ensure patients have access to the full range of treatment options.

Most importantly, our focus is on helping patients maintain mobility, independence, and participation in the activities they enjoy.

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