Hallux rigidus is a condition that typically affects the joint between the first long bone of the foot and the big toe. It is called the metatarsophalangeal joint, or MTP for short. Pressure on the bones, ligaments, and tendons of the MTP joint caused by wearing ill-fitting shoes or standing for long periods of time can result in inflammation. The big toe becomes stiff and painful, making it difficult to walk with a normal gait. A faulty distribution of body weight further aggravates the joint and can lead to the destruction of the cartilage. The big toe will hurt when it is moved up and down and sometimes a bone spur will form on the end of the first metatarsal bone. Alterations to footwear, such as avoiding high heels and wearing shoes with a roomier toe box, can bring some relief, but will not stop the progression of the hallux rigidus. It is wise to treat it early for better results. If the stiffness in the big toe does not go away after a few days, please seek the guidance of a podiatrist, who may prescribe both medication and custom orthotics. In more advanced cases, surgery may be an option. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Lubrina Bryant of District Podiatry, PLLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Washington, D.C . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.