Great Toe Joint Arthritis Treatment

Great Toe Joint Arthritis Treatment: Learn how to start treating the arthritis in your big toe joint today. First inflammation, then long term healing!

4 Stage Assessment Of Great Toe Joint Arthritis:

These are the four general stages of how hallux limitus (decreased great toe motion) is assessed for conservative treatment.

Grade 1 : Functional Hallux Limitus.

  • This is primarily just pain with no bone developments.
  • The joint is irritated but has normal joint range of motion.
  • No X-ray changes.
  • Treatment will work in almost 100% of people.


Grade 2 : Mild Hallux Limitus

  • Slight decrease in joint range of motion, this is mostly due to soft tissue soreness.
  • Tight muscles with inflammation may be present.
  • Still no bone changes on X-ray.
  • Range of motion is decreased to approximately 50% of what it normally should be.
  • Treatment should still work in most cases, but should be pursued aggressively.


Grade 3 : Moderate Hallux Limitus

  • Motion is approximately 0-25% of what it normally should be.
  • Obvious bone changes are readily visible on X-ray.
  • Treatment should be aggressively pursued.
  • Physical therapy must be performed as well as home manipulation regularly.
  • Ice and ant-inflammation should used before and after exercise to prevent inflammation.
  • Surgical debridement of the bone may be considered at this point.

Grade 4 : Severe Hallux Limitus.

  • Almost no motion (Hallux Rigidus).
  • Joint motion is extremely painful, surgery may be needed.



Great Toe Joint Arthritis Treatment:

This consist of 3 stages to Big Toe Arthritis Pain Relief. This guide focuses primarily on osteoarthritis & traumatic arthritis. You should go see a podiatrist immediately at the first signs of gout in the big toe; you will need pain medication!

Skip To The Complete Toe Arthritis Guide.


1)Decrease The Inflammation:

This must be done for approximately 1-2 weeks until the pain decreases.

  • Cryotherapy: Ice the big toe joint for 15-20 minutes.
  • NSAIDs: Use an anti-inflammatory(Ibuprofen, Naproxen etc)  to decrease the inflammation. Do this under the supervision of your physician. Less inflammation means better healing.
  • Over The Counter Orthotics: Get a rigid pair for approximately $25 (I like Powersteps), this will greatly improve your foot stress! The best foot value you can possibly get! (Avoid the flimsy gel inserts, they don’t work!)


2)Start Correcting The Cause:

Do this for a couple months and see if the joint pain is getting better.

  • Weight Loss: I won’t say anything else!
  • Custom Orthotics:  If you have insurance, they can be more durable & offer better control.
  • Stretching of Hamstrings, Calves & Plantar Fascia: **This is the most important thing you can do**. This is the most important thing you can do to improve the pressure distribution while you walk & stand.
  • Physical Therapy: This will help along with the stretching.


3)See The Podiatrist:

Something made that pain appear in the first place and it is a good idea to get it checked out & find the root cause of it.

  • Biomechanical Consult: Evaluate your entire bio-mechanical structure. See if you arthritis is caused by tight muscles, knees, hips or back? Or maybe even problems that you didn’t know about like rheumatoid arthritis or psoriasis.
  • Surgical Consult: Only a small percentage of people ever end up needing this, usually in very advanced disease.