Hallux rigidus, also known as big toe arthritis, is a condition that causes stiffness, pain, and swelling in the joint at the base of the big toe. It occurs when the cartilage in the joint deteriorates, leading to bone-on-bone friction. This condition can severely impact a person’s ability to walk comfortably, making simple activities like standing or climbing stairs challenging. Mr. Ziad Harb, an experienced orthopaedic consultant in Surrey, offers tailored treatments for hallux rigidus, using the latest techniques to relieve pain and restore function. In this guide, we will discuss the causes, symptoms, treatments, and recovery process for hallux rigidus, as well as why Mr. Harb is the right choice for your care.

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What is Hallux Rigidus (Big Toe Arthritis)?

Hallux rigidus is a form of osteoarthritis that affects the metatarsophalangeal (MTP) joint in the big toe. The MTP joint connects the base of the big toe to the foot, and as the cartilage in this joint wears away, the bones rub together, causing pain, swelling, and limited movement. This condition is commonly seen in middle-aged and older adults but can also develop in younger individuals due to injury or repetitive stress on the joint.

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Causes and Risk Factors

Several factors can contribute to the development of hallux rigidus, including:

• Age: The risk of developing arthritis increases with age.
• Genetics: A family history of arthritis or foot problems can increase the likelihood of developing hallux rigidus.
• Injury: Previous injuries, such as fractures or sprains in the big toe, can lead to arthritis over time.
• Overuse: Repetitive movements, especially in athletes or those who stand for long periods, can contribute to the development of arthritis in the big toe.
• Abnormal Foot Structure: Conditions like bunions, flat feet, or high arches can increase the risk of hallux rigidus.

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Symptoms of Hallux Rigidus

The symptoms of hallux rigidus can vary depending on the severity of the condition, but common signs include:

• Pain: A dull ache or sharp pain at the base of the big toe, which may worsen with activity.
• Stiffness: Difficulty bending the big toe, especially when walking, running, or climbing stairs.
• Swelling and Inflammation: Swelling at the joint, which may become worse after prolonged use.
• Bone Spurs: Bony growths that form around the joint as the condition progresses, causing visible lumps.

If you experience persistent pain or difficulty moving your big toe, it’s important to seek medical advice from an experienced consultant like Mr. Harb.

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Treatment for Hallux Rigidus in Surrey

Treatment for hallux rigidus depends on the severity of the condition and the level of pain and dysfunction experienced by the patient. Mr. Harb offers a range of treatment options, including non-surgical and surgical approaches.

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Non-surgical treatments
In the early stages of hallux rigidus, non-surgical treatments may be effective in managing symptoms and improving function. These treatments include:

• Footwear modifications: Wearing shoes with a stiff sole to limit the movement of the big toe and reduce pain.
• Orthotic devices: Custom-made insoles or shoe inserts that provide additional support and cushioning for the foot.
• Anti-inflammatory medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections to reduce pain and swelling.
• Physical therapy: Exercises designed to improve the flexibility and strength of the foot and big toe joint.

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Surgical treatments
If conservative treatments do not provide sufficient relief, surgical intervention may be necessary. The goal of surgery is to relieve pain, improve mobility, and prevent the condition from worsening. Mr. Harb offers several surgical options for hallux rigidus, including:

• Cheilectomy: A procedure to remove bone spurs and damaged tissue from the joint, helping to improve movement and reduce pain.
• Joint fusion (Arthrodesis): In more advanced cases, the affected joint may be fused to eliminate pain and provide stability. This procedure is typically recommended for patients with severe arthritis or joint degeneration.
• Joint replacement: In some cases, joint replacement surgery may be considered to replace the damaged MTP joint with an artificial implant, offering pain relief and restoring function.

Mr. Harb performs these surgeries at leading hospitals in Surrey, such as Nuffield Health Guildford Hospital and Runnymede Hospital in Chertsey, both of which offer state-of-the-art facilities and comprehensive post-operative care.

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Hallux Rigidus Surgery in Surrey: The Procedure

Pre-operative preparation
Before undergoing surgery for hallux rigidus, Mr. Harb will conduct a thorough evaluation, including:

• A detailed consultation to discuss your medical history, symptoms, and treatment goals.
• Imaging tests (X-rays or MRI) to assess the severity of the condition and determine the most appropriate surgical approach.
• Instructions on preparing for surgery, including fasting and adjusting any medications.

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The surgery/procedure itself
The type of surgery performed will depend on the severity of the condition and the treatment plan developed by Mr. Harb. Most procedures are done under local anaesthesia or, in some cases, general anaesthesia. The surgery typically lasts 1-2 hours, and the specific steps will vary depending on the technique used:

• Cheilectomy: Involves removing bone spurs and any damaged cartilage to increase the range of motion in the joint.
• Joint fusion: The bones in the affected joint are fused together to eliminate movement and reduce pain.
• Joint replacement: An artificial implant is placed in the joint to replace the damaged cartilage and restore function.

After surgery, patients typically stay in the hospital for 1-2 days for recovery and pain management. Mr. Harb will provide detailed instructions for post-surgical care to ensure a smooth recovery.

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Recovery and Aftercare

Recovery from hallux rigidus surgery varies depending on the procedure performed. The general recovery timeline is as follows:

• First Few Days: Rest, elevation, and ice to reduce swelling and promote healing. Pain management with prescribed medications.
• First Few Weeks: Gradual increase in mobility, with the use of a special shoe or boot to protect the foot.
• 4-6 Weeks: Physical therapy to improve the strength and flexibility of the foot and big toe.
• 3-6 Months: Full recovery, with most patients resuming regular activities after this period.

It’s important to follow Mr. Harb’s aftercare instructions and attend follow-up appointments to monitor your progress and ensure the best possible outcome.

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Risks and Complications

As with any surgery, hallux rigidus surgery carries some risks, although these are rare. Possible complications include:

• Infection at the surgical site.
• Blood clots, particularly after joint fusion procedures.
• Stiffness or limited range of motion in the toe after surgery.
• Recurrence of pain or arthritis.

Mr. Harb uses the latest surgical techniques to minimize these risks and ensures that his patients receive comprehensive post-operative care for the best possible outcome.

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Why choose Mr. Ziad Harb in Surrey?

Mr. Ziad Harb is a highly skilled orthopaedic consultant with extensive experience in treating hallux rigidus and other foot and ankle conditions. He is committed to providing personalized care, using advanced, minimally invasive techniques to promote faster recovery and improved outcomes. Patients benefit from:

• Access to world-class facilities, including Nuffield Health Guildford Hospital and Runnymede Hospital.
• A tailored treatment approach that considers your unique symptoms and lifestyle.
• Compassionate, patient-focused care to ensure comfort and confidence throughout the treatment process.

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FAQs

What causes hallux rigidus?
Hallux rigidus is caused by the degeneration of cartilage in the big toe joint, which leads to pain, stiffness, and inflammation. It may result from wear and tear over time, injury, or genetic factors.

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How can I manage hallux rigidus without surgery?
In the early stages, hallux rigidus can often be managed with conservative treatments, such as wearing special shoes, using orthotics, and taking anti-inflammatory medications.

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What is the recovery time for hallux rigidus surgery?
Recovery time varies depending on the type of surgery performed, but most patients can expect to return to normal activities within 3-6 months. Mr. Harb will guide you through the recovery process with a personalized plan.

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Will hallux rigidus surgery eliminate all pain?
While surgery can significantly reduce pain and improve joint function, some patients may experience mild discomfort or stiffness post-surgery. Mr. Harb will work closely with you to ensure optimal outcomes.

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Contact us today to learn more about how Mr. Ziad Harb can help you find relief from hallux rigidus and improve your quality of life.