Arthritis of the first metatarsalphalangeal joint (big toe joint) with limitation of motion

Symptoms

• Joint stiffness noted in extension of the first toe over the first metatarsal

• Sharp pain to the soft tissues surrounding the joint related to motion against the bone spurring surrounding the joint.

• Achy quality pain related to abnormal motion of the first metatarsalphalangeal joint.

Treatment

• Stiff soled shoe to decrease the extension bending forces occurring at the big toe joint

• Rocker style shoe to decrease abnormal bending pressures in the big toe joint

• Over the Counter or custom orthotic to control abnormal foot pronation

• Antinflammatory medication including ibuprofen or naproxen to decrease inflammation and pain

• Selective and limited use of cortisone injections to help decrease inflammation of the joint soft tissue

Surgical care based on the severity of the arthritis

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