Treatment with a spring for hallux rigidus

Introduction

The clinical picture of hallux rigidus is characterized by a progressive joint stiffening in the area of the metatarsophalangeal joint of the big toe due to long-term overloading or arthrosis of the joint. One of the therapeutic options for hallux rigidus is non-invasive treatment with the help of the hallux rigidus spring. It is usually preceded by surgical treatment of the joint.

Cause

A so-called hallux rigidus is caused by long-term joint wear, i.e. arthrosis in the metatarsophalangeal joint of the big toe. This leads to an increasing painful stiffening of the joint. Especially long-distance runners or very ambitious recreational athletes are often affected, as they expose their ankles to particular stress due to frequent rolling. In addition, both genetic factors and certain behavioral patterns are known to promote the development of a hallux rigidus. (see also Hallux rigidus, cheilectomy)

Symptoms

The increasing stiffness of the metatarsophalangeal joint of the big toe hinders the normal rolling movement of the foot, which is essential when walking. This causes severe pain. Since the rolling movement can only be insufficiently compensated, soon neither walking nor running will be possible without pain.

A hallux rigidus can also be recognized by a reduced dorsal extension (pulling the toes upwards), an inflammation of the joint with possible swelling and bony attachments to the existing foot bones (osteophytes). Osteophytes on the heads of the metatarsal bones are particularly common. Patients can no longer stand on their toes, climb stairs or walk uphill without symptoms. An x-ray generally confirms the diagnosis.

Diagnosis

As already mentioned, an X-ray of the foot is used to confirm the diagnosis of hallux rigidus. On this X-ray, the experienced physician will see a narrowed joint space and small attachments (osteophytes). In most cases, however, the typical symptoms of a hallux rigidus are already indicative: a thickening of the joint with redness and a slight to moderate overheating. Last but not least, the limitation of movement experienced by the patient must be mentioned. Often this is the reason for the visit to the doctor.