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Disorders of the big toe

Information

Various disorders can affect the big toe joint including (but not exhausting);

  • Hallux Valgus.
  • Hallux Rigidus.
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​Hallux Valgus (Bunions)- A deformity where the 1st metatarsal deviates medially and the Hallux deviates towards the 2nd toe. Females are 9 times more likely to present with the condition than males, 23% of 18-25 year old’s and 35% of over 65’s develop bunions. Not all bunions become painful. Pressure from footwear can cause increasing pain and deformity. In some instances, the joint can develop arthritic change and become painful.​Hallux Rigidus refers to degenerative changes in the big toe joint, which can cause limitation of movement, and a painful swollen joint. This condition affects 1 in 40 individuals over 50 years and is twice as common in females. Hallux rigidus can progress through four stages: one mild to four severe

M.A. & L.S. 12-07-24

Who to refer:

Anyone regardless of age with pain in the big toes joints can be referred if self-management measures have failed.

Who not to refer:

Patients who are undergoing management for this condition with another service.