Howard Waxman, DPM

(440) 546-5656

(440) 571-5515

COMPREHENSIVE CARE FOR arthritic large toe joints

Arthritis of the 1st Metatarso-phalangeal Joint (Hallux Limitus/Rigidus)

Hallux rigidus is a disorder of the joint located at the base of the big toe. Symptoms include pain and stiffness in the joint, and with time it gets increasingly harder to bend the toe.  ‘Hallux” refers to the big toe, and “rigidus” indicates that the toe is rigid and cannot move. Hallux rigidus is commonly referred as degenerative arthritis of the big toe.


Hallux Limitus/Rigidus occurs most often in adults 30 years and older. It may result from previous injury or abnormal foot mechanics that increases pressure on the joint. Hallux Limitus is the disease in its earlier stages and Hallux Rigidus describes the later stages. Other causes may include metabolic bone diseases such as chronic gout and hereditary factors.


  • Stiffness in the big toe with an inability to move the large toe up and down.
  • Swelling around the joint
  • An enlargement that develops over the joint.
  • Pain in the toe joint especially as you push-off on the toes when walking.


  • Pain relievers and/or anti-inflammatory medications
  • Steroid injections
  • Custom orthotics
  • Surgical correction

You don't have to live with big toe pain.  Call our office today to schedule an appointment.