Orthopedics Leg, Foot & Ankle Hallux Limitus Signs and Symptoms By Catherine Moyer, DPM Updated on August 11, 2022 Medically reviewed by Stuart Hershman, MD Print Hallux limitus literally means stiff big toe joint. It is a condition that is characterized by a decreased range of motion and pain at the big toe joint (first metatarsophalangeal joint). Over time, the limited range of motion can result in arthritis of the big toe joint. The decreased range of motion that causes hallux limitus is a common occurrence — but it is not often recognized until the big toe becomes painful. PhotoAlto / Jana Hernette / Brand X Pictures / Getty Images Signs and Symptoms Pain at the big toe joint, made worse by athletic activity or walking A bony enlargement or bump at the top of the big toe (metatarsophalangeal) joint Decreased range of motion of the big toe joint — seen as an inability to flex the big toe about 65 degrees upward while standing Bone spurs and joint space narrowing at the big toe joint, seen on X-ray A callus on the side of the big toe Limping With each step, a certain amount of flexibility of the big toe joint is required. This allows the foot to properly absorb and transfer body weight as the feet hit the ground. When foot flexibility is compromised, other joints of the body can feel the effects. Successful treatment of hallux limitus and hallux rigidus can reduce back pain symptoms. Causes Hallux limitus is most often caused by wear and tear, or in some cases is associated with abnormal foot anatomy. An elevated first metatarsal bone, such as is seen in flat feet, will hinder proper range of motion of the great toe. An abnormal length of either the second metatarsal bone or first metatarsal bone can also cause hallux limitus. The classic example of an abnormal metatarsal length is Morton's toe. A Morton's toe is another name for a second toe that is longer than the big toe. This type of foot is more prone to the discomfort of hallux limitus. Other Causes Acute trauma to the big toe joint, such as a fracture Injury to the big toe joint — such as turf toe, which can occur during sports Inflammatory conditions, such as rheumatoid arthritis, psoriatic arthritis, or gout The reduced range of motion associated with hallux limitus can progress to a more severe loss of range of motion, known as hallux rigidus. Hallux rigidus is the result of either chronic or acute joint damage that leads to the metatarsophalangeal joint becoming stiff. Treatment Once a diagnosis of hallux limitus or hallux rigidus has been made, possible treatment options include: Rest, Ice, Compression, and Elevation (RICE) of the affected limb Stretching of the big toe Orthotics or arch supports with special modifications to take the stress off the big toe. These can be prescribed by a foot and ankle specialist. Special shoe styles such as stiff-soled shoes or styles with rocker soles which are seen with certain toning shoes. These styles help to decrease motion at the big toe joint. Over-the-counter pads which are added to the inside of the shoe Surgery, if conservative measures fail to improve symptoms. Surgery involves procedures to either restore range of motion to some degree or fuse the joint completely to prevent any motion. 4 Common Conditions That Affect Your Toes 4 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Valero J, Moreno M, Gallart J, et al. A new surgical procedure for hallux limitus treatment: Double-V osteotomy on the base of the proximal phalanx of the hallux. Medicine (Baltimore). 2017;96(39):e8127. doi:10.1097/MD.0000000000008127 American Academy of Orthopaedic Surgeons. Stiff big toe (hallus rigidus). American College of Foot and Ankle Surgeons. Hallux rigidus. Cusack J, Shtofmakher G, Kilfoil RL, Vu S. Improved step length symmetry and decreased low back pain with the use of a rocking-soled shoe in a patient with unilateral hallux rigidus. BMJ Case Rep. 2014;2014. doi:10.1136/bcr-2014-206408 By Catherine Moyer, DPM Catherine Moyer, DPM, is a podiatrist experienced in the diagnosis, treatment, and prevention of disorders of the foot and ankle. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit