Hallux Rigidus

Conveniently located to serve Portland, Lake Oswego, & West Linn

Boutique Podiatry Oregon Institute of Foot Care Lake Oswego
Tired legs massage, flat feet massage. Posture correction, Physical therapy.

What Is Stiff Big Toe, Big Toe Joint Arthritis, Hallux Rigidus?

Dr. Manson offers specialized hallux rigidus surgery that can offer a permanent solution to common toe pain. Hallux rigidus, sometimes called stiff big toe or big toe joint arthritis, is when you have big toe pain in the joint where your big toe (the hallux) meets your foot. This pain at the base of the big toe is the most common site of arthritis in the foot. This joint is called the metatarsophalangeal, or MTP joint. It’s important because it has to bend every time you take a step. If the joint starts to stiffen, walking and even standing can become painful and difficult.
In the MTP joint, as in any joint, the ends of the bones are covered by a smooth articular cartilage. If wear-and-tear or injury damage the articular cartilage, the raw bone ends can rub together. A bone spur, or overgrowth, may develop on the top of the bone. This overgrowth can prevent the toe from bending as much as it needs to when you walk. The result is a stiff big toe, or hallux rigidus.
Hallux rigidus usually develops in adults between the ages of 30 and 60 years. It usually results from how your foot functions or an injury to the toe that damages the articular cartilage.

What Are The Symptoms Of Hallux Rigidus (stiff big toe)?

Common symptoms that you might notice include:

Pain in the joint where your big toe meets your foot. Pain might be most noticeable when you are active, especially as you push-off on the toes when you walk.


Stiffness in the big toe and an inability to bend it up or down.


Swelling around the MTP joint.


A bump, like a bunion or callus, that develops on the top of the foot.

Painful and inflamed foot around the big toe area.

Are There Diagnostic Tests For Hallux Rigidus?

Generally, X-rays of your feet and a physical exam are the only tests required. Dr. Manson completes X-rays and the exam in-office during your diagnostic appointment. By supporting the muscular imbalance of the foot, we may be able to slow the progression of the Hallux Rigidus deformity. Custom orthotics are used to reduce pain and slow or stop the progression of the bunion deformity. Orthotics will not correct the Hallux Rigidus, but can help reduce your pain and help get you back to the activities you’re missing out on.
Yoga stretching at home girl stretches big toe pull stretch exercises woman doing hamstring warm up at home on fitness mat training stretching legs wearing mala bracelet. Panoramic crop.

Is There A Non-Surgical Treatment Approach?

If your Hallux Rigidus is not painful or you catch it early in its development, a non-surgical or conservative treatment plan may be effective. This usually includes good supportive shoes with the addition of custom orthotics – a custom made arch support worn in your shoes. The orthotics will provide support to the structures of the foot (bones, muscles, and ligaments) and will balance your feet while walking. Specific adjustments are made to the custom orthotics when treating hallux rigidus based on the severity of the condition.

OIFC Hallux Rigidus Surgery


No visible scar from the top of foot


Minimal pain post-operatively


Walking on foot in a surgical shoe from day 1


No cast or crutches required


Most people back in regular shoes at 2-3 weeks

Related Procedures

X-ray and the same foot. Hallux varus condition

Hallux Rigidus Surgery

Closeup beautiful young asian woman applying cream and lotion onto foot dry on bed, beauty asia girl moisturizer and treatment cosmetic onto toes and heel, skincare cosmetic and healthy concept.

Heel Pain

Podiatrist treating feet during procedure

Hammertoe Surgery

Therapist giving traditional thai foot massage to a woman in spa

Arch Pain

Female is holding her ankle out of pain at home.


At Oregon Institute of Foot Care, we care about healthy, happy, beautiful feet. We strive to provide personalized foot care and achieve the outcomes, both functionally and cosmetically, that our patients desire. What sets OIFC apart is our dedication to providing the highest quality care available, utilizing the latest medical techniques and technologies, educating patients to make well-informed health care decisions, and restoring foot and ankle function as quickly and beautifully as possible. Our mission is to give you healthy, happy, beautiful feet.


Man running in tennis shoes close up of feet
Close up shot of runner's shoes

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