Hallux Limitus

What is it?

Hallux limitus refers to a reduction to 60° or less in flexion of the first metatarso-phalangeal joint (big toe joint) due to exostoses (bony projection arising from any bone that develops from cartilage) or osteoarthritis around the joint.

Causes

• Excessive rolling in of the feet may increase the stresses on the joint and promote development of exostoses
• Osteoarthritis
• Trauma to the joint.

Signs and Symptoms

• Dull pain in and around the big toe joint that is increased by activity and decreased by rest.
• Bony prominences and soft tissue swelling around the toe joint
• Marked reduction when flexing the joint.

Treatment

• Foot orthoses to stabilise the joint and reduce the excessive rolling in of the feet
• Non-steroidal anti-inflammatory medications
• Surgery in severe cases