Big toe arthritis, also known as hallux rigidus, is a condition that can cause significant discomfort and limitation in mobility. In the initial stage of big toe arthritis, patients may experience mild pain when bending the great toe joint. This discomfort might start as a dull ache, but pain may gradually intensify as the joint warms up. Some individuals may notice slight warmth and swelling after physical activity. As the condition progresses, the range of motion in the affected joint decreases due to cartilage loss. In advanced stages, the joint may become nearly immobile. Bone spurs and calcifications around the joint cause it to appear bulkier, leading to discomfort when wearing shoes. Some patients may experience a burning sensation, numbness, or tingling in the toe due to pressure on skin nerves between bone spurs and shoe wear. Definitive diagnosis of big toe arthritis requires standing X-rays of the feet. While X-rays don't directly show cartilage, they reveal narrowing or loss of joint space, bone spurs, and bone erosions, all indicative of arthritis. If you're experiencing persistent toe pain or suspect big toe arthritis, it is suggested that you make an appointment with a podiatrist for an accurate diagnosis and appropriate treatment plan. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Joseph D. Ruffo, DPM, PC of New York. 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 one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.