NeuromaPain to the great joint secondary to degenerative arthritis is a very common problem. This is a condition often referred to as hallux limitus or hallux rigidus. This condition is a disorder of the joint located at the base of the big toe. It causes pain and stiffness in the big toe, and with time it gets increasingly more painful and debilitating. “Hallux” refers to the big toe, while “limitus” or “rigidus” refers to the lack of motion at the joint. This condition is a progressive condition, great toe motion decreases as time goes on. In its earlier stage, motion of the big toe is only somewhat limited however as the problem advances the range of motion gradually decreases until potentially reaching the end stage of “rigidus” which is virtually no motion. Symptoms involve pain and stiffness in the great toe joint, pain aggravated by cold, damp weather and difficulty with certain activities such as walking, running, skiing, kneeling, squatting and hiking. Often the joint will become swollen and occasionally red around the joint. The swelling and redness can come and go periodically. As the disorder gets more severe often there is pain at rest and even wearing shoes is quite difficult, especially for women in dress shoes. The physicians at our offices are very experienced in treating this condition. Treatments can range from OTC orthotics, custom orthotics, injections, physical therapy and surgery. In advanced cases a partial joint replacement is required therefore we encourage patients to come in sooner than later for an evaluation. There are many options for surgical intervention of this condition and it is imperative to get a proper diagnosis and consult with one of our surgeons.