Dr. Mathew M. John - Podiatrist - Marietta
2790 Sandy Plains Rd
Marietta, GA 30066
Hallux Rigidus (Stiff Big Toe)
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Also visit www.foothealthfacts.org to learn more about what conditions are treated by podiatric foot & ankle surgeons.
Many patients ask:
What is the difference between a podiatrist and an orthopedist?
The short answer is that both podiatrists and orthopedists perform surgery on the foot and ankle. This is similar to neurosurgeons and orthopedists both performing back surgery or dermatologists and plastic surgeons both performing cosmetic surgery.
Yet there are some distinctions in choosing a podiatric surgeon for your foot and ankle care:
- While being the same 4 year length as osteopathic (DO) and allopathic (MD) medical school and covering the same basic and clinical sciences, the podiatric medical school curriculum provides additional intense focus on conditions of the foot, ankle and lower leg.
- Podiatric surgeons typically complete 3 years of intense residency training in complex foot and ankle surgery. General orthopedists who desire to pursue additional training in foot and ankle surgery typically complete a 1 year fellowship.
- As Fellows of the American College of Foot & Ankle Surgeons, podiatric surgeons remain among a group of the only physicians who are Board Certified in Foot Surgery and/or Reconstructive Rearfoot Surgery.
An unmovable big toe, known as Hallux Rigidus, is the most common form of arthritis in the foot.
Hallux Rigidus occurs as a result of wear-and-tear injuries, which wear down the articular cartilage, causing raw bone ends to 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 resulting stiff big toe can make walking painful and difficult.
- A bump, like a bunion or callus, that develops on the top of the foot.
- Pain in the joint when 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 joint.
Pain relievers and anti-inflammatory medications are often prescribed to reduce swelling and ease the pain. Note: Please consult your physician before taking any medications. Applying ice packs or soaking the foot in contrast baths (alternating cold and hot water) may also help reduce inflammation and control symptoms for a short period of time.
A stiff-soled shoe with a rocker or roller bottom design and possibly a steel shank or metal brace in the sole can help alleviate the symptoms. These types of shoes add greater support when walking and reduce the amount of bend in the big toe.
When damage is more severe, a surgical procedure may be performed to remove the bone spurs, as well as a portion of the foot bone, and allow the toe more room to bend.