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Stiff big toe (hallux rigidus)

Also called: Hallux rigidus, stiff big toe, big toe arthritis

Arthritis in the big toe joint, making it stiff and painful, especially when pushing off to walk.

Worse withWalking, running, squatting
HelpStiff-soled shoes, rocker soles
SurgeryFor severe pain

Overview

A bony bump may form on top of the joint.

Symptoms

Common signs:

  • Stiff, painful big toe
  • Big toe pain

Less common

  • Bump on top of the joint

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayA hot, red, swollen toe (could be gout).
See a doctor soonPain affecting walking.

Causes

Wear and tear, injury.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Older age
  • Past toe injury

Possible complications

Diagnosis

A clinician examines.

The exam

Toe motion check.

Tests

Tests, if needed:

  • X-ray:

Treatment

Limit bending of the toe.

Self-care

  • Wear stiff-soled or rocker-bottom shoes
  • Avoid high heels
  • Ice after activity

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
Pain and swellingAsk first if you have kidney, stomach, or heart problems.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Injections or surgery for severe cases.

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an orthopedist (bone and joint doctor).

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Manageable.

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Stiff big toe (hallux rigidus)

Sources

Last updated 2026-11-12.