Big Toe Arthritis (Hallux Rigidus)
Big toe arthritis often causes stiffness and a deep ache at the base of the toe, particularly during walking, running, or when pushing off the foot. Many patients notice a sharp jab when bending the toe, or swelling and discomfort that develops after a long day on their feet. Tight shoes or pressure over the joint can make symptoms worse.
Assessment at The London Ultrasound Clinic
Your appointment includes a hands-on assessment of the toe and foot, observing movement and gait to understand how the joint is affected. A high-resolution ultrasound scan allows us to evaluate the joint lining, inflammation, and arthritic changes, while also checking surrounding tendons that can sometimes mimic joint pain.
Conservative Management
Initial management often focuses on:
- Activity modification to reduce strain on the joint
- Advice on footwear and orthotics to offload pressure
- Targeted exercises to maintain toe and foot strength and flexibility
- Education about arthritis progression and symptom management
These measures can help reduce pain, improve function, and support gradual adaptation to daily activities.
Ultrasound-Guided Injection
When symptoms persist despite conservative care, an ultrasound-guided injection can be offered. Using local anaesthetic and steroid, the injection is placed precisely into the inflamed joint. This reduces pain, eases stiffness, and often allows patients to walk more comfortably and progress safely with rehabilitation exercises.
Recovery and Ongoing Care
Following assessment and any injection, your clinician will provide guidance on exercises, activity adjustments, and footwear choices to support long-term joint health. Many patients notice gradual improvement in pain and mobility over the following days and weeks, allowing everyday walking and activity to feel more comfortable and confident.
