The Orthobullets Podcast Foundations⎪Foot & Ankle⎪Hallux Rigidus
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Aug 31, 2024 Dive into the world of Hallux Rigidus, a common foot ailment causing pain and limited movement at the big toe joint. Learn about the diagnostic methods and risk factors affecting individuals over 50. Explore its classifications and the various treatment options, from non-surgical to surgical, tailored to severity. Gain insight into effective management strategies to alleviate discomfort and improve mobility!
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Epidemiology And Risk Factors
- Hallux rigidus affects about 2.5% of patients over 50 and is the foot's most common OA site.
- It has a 2:1 female-to-male ratio and peaks in the 5th–6th decades.
Use Coughlin And Shurnas Grading
- Use the Coughlin and Shurnas grading: 0–IV based on ROM, pain, and radiographs.
- Grades guide treatment: early grades have normal radiographs or mild osteophytes; advanced grades have severe narrowing and stiffness.
Begin With Conservative Management
- Start nonoperative care for grade 0–1 with NSAIDs, activity modification, injections, and a Morton's extension orthotic.
- Expect good short- and midterm pain relief in low-grade disease.