تصلب إبهام القدم (Hallux Rigidus)

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Hallux Rigidus 

 

(Symptoms) 

This page will help answer yourquestions aboutHallux Rigidus. 

 

What is Hallux Rigidus? 

Hallux Rigidus It is a type of arthritis that affects the joint at the base of the big toe, causing pain and stiffness over time. The condition begins with restricted movement of the toe, as arthritis develops in the joints at the base of the big toe due to the wearing down of joint surfaces. As the condition progresses, the toe may become completely stiff, affecting daily movement and potentially causing difficulty in walking. Swelling and cartilage damage may also occur. This condition can affect people of all ages. 

  • What are the stages of Hallux Rigidus? 
  • Hallux Rigidus is classified into stages based on the extent of movement limitation in the big toe: 
  • Grade 0: 10–20% reduction in toe movement compared to the other foot. 
  • Grade 1: 20–50% reduction. 
  • Grade 2: 50–75% reduction. 

 

Grade 3: 75–100% reduction with significant movement difficulty. 

  • Grade 4: 75–100% reduction with severe pain during movement. 
  • What are the symptoms of Hallux Rigidus? 
  • Pain and stiffness in the big toe joint during walking or bending, often worsening with activity or in cold, damp weather. 
  • Swelling around the joint, making it difficult to wear shoes. 
  • A bony bump (similar to a bunion) develops on top of the joint. 
  • Reduced ability to move the toe upward or downward. 

 

In some cases, pain in the hip or knee is due to altered walking patterns. 

Difficulty wearing tight or high-heeled shoes. 

  • What causes Hallux Rigidus? 
  • Several factors may contribute to the development of Hallux Rigidus, including: 
  • Natural joint wear and tear due to aging, where constant pressure and motion lead to cartilage breakdown. 
  • Genetics, as some inherited foot shapes increase the risk. 
  • Previous injuries, such as sprains, fractures, or sports injuries involving the big toe. 
  • Structural abnormalities, such as unusually long or flat foot bones. 
  • Inflammatory conditions, including rheumatoid arthritis and gout. 

 

Excessive activity or tasks that put repeated pressure on the big toe. 

These factors can alter movement and increase joint stress, leading to degeneration. 

  • How is Hallux Rigidus managed? 
  • To manage Hallux Rigidus, consider the following options: 
  • Wearing comfortable, firm, and wide-toe box shoes to reduce joint pressure. 
  • Using orthotic inserts or pads to relieve stress and support foot motion. 
  • Taking pain relievers or anti-inflammatory medications to reduce pain and swelling. 
  • Receiving cortisone injections to decrease joint inflammation. 

 

Engaging in physical therapy to improve flexibility and strength. 

Surgical treatment, in advanced cases, may include removing damaged tissue or joint fusion. 

  • When should you see a doctor? 
  • Consult a doctor if: 
  • The pain persists despite rest or medication. 
  • You struggle to move your big toe or cannot bend it naturally. 
  • There is noticeable swelling, redness, or severe pain in the joint. 

 

Walking or doing daily activities becomes difficult due to stiffness or pain. 

 

Initial treatments, like shoe modifications or medications, are ineffective. 

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