Clinical features
In the early stages there is pain on motion (dorsiflexion and/or plantar flexion), often with limitation
- symptoms will be aggravated by exercise levels and footwear (either unsupportive shoes, shoes with an increased heel or short shoes causing back pressure into the joint) (1)
- the range of movement gradually becomes more limited with osteophyte formation causing dorsal and medial prominence
- plantar pain may result secondary to involvement of the sesamoids can cause plantar pain
- loss of motion may result in increased load beneath the lesser metatarsals, hence discomfort
- there will often be classical changes of wear of the shoes of the patient
- deformation of the upper around the joint, reduced wear beneath the first MTPJ and a circular wearing pattern beneath the central metatarsals
Reference:
- Patel J. Hallux Rigidus. In: Treasure Island (FL): StatPearls Publishing; 2023 Nov 22.
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