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According to the American Orthopaedic Foot & Ankle Society, hallux rigidus is the most common cause of arthritis pain at the base of the big toe. Hydrocortisone injections are only available on prescription. They're usually given by a specially trained doctor in a GP's surgery or hospital clinic. The Moberg procedure is indicated in a select group of patients who require dorsiflexion of the big toe, for example runners and dancers. It may also be carried out in conjunction with or after a cheilectomy. As discussed above this occurs due to offloading of weight from the big toe and transferring it to the other metatarsal bones starting with the 2nd. There can be multiple pain generators and it is the duty of the doctor to find the culprit. Anything less is a disservice to the patient. Being told you have bursitis or tight hip flexors are fancy ways to describe your pain. They are not answers to why you have pain in the first place. Fortunately for our patients, the doctors at Functional Pain Relief work relentlessly to give you the answers you deserve and tailor a specific treatment plan to get you better.

Yoga is another great activity that is extremely beneficial in maintaining hip-health. Finding a studio that aligns with your goals and you enjoy going to is a good first step. Yoga allows you to safely move your body through motions and poses you wouldn’t typically do during a workout. And again, the amount of stress on your hip is much lower than running or lifting weights.The most common side effect is intense pain and swelling in the joint where the injection was given. This usually gets better after a day or two.

As the arthritis becomes more severe and any deformity becomes fixed, adjacent joints will also become involved and become arthritic. Hydrocortisone is a type of medicine known as a steroid (or corticosteroid). Corticosteroids are not the same as anabolic steroids.

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The surgery was very straightforward. A day case, so home the same day. And my recovery has been good, the swelling has gone down, and I only took pain relief for a few days and although I had a couple of early days when it was sore, it is a pretty bearable experience. But I did underestimate how much care I would need to take in the early days post op. I had thought that I’d be able to get into work (with my 90 min commute) maybe 2 or 3 weeks post op. That 4/6 weeks mainly off your foot, really is off your foot. And that to get the best outcome you need to really listen and follow the instructions of Mr Malik. It’s an investment to try and protect the joint and although it’s been frustrating watching people go out for long walks and grab that blue sky and sunshine whilst I sit at home with the foot elevated, the surgery would be a waste of time if I didn’t take the after care seriously. And after waiting all this time to have the operation, I’m going to do everything I can to ensure it’s a success. So 2.5 weeks post op, all good so far. What advice would you give to future patients with a similar problem? The wound is not usually painful, but you'll be given painkillers to take if you feel any discomfort after the operation. With hydrocortisone injections, the medicine is placed directly into the painful or swollen joint. It does not travel through the rest of your body. That means, it's less likely to cause side effects.

Hallux rigidus is occasionally confused with a bunion, or hallux valgus, as it is often associated, as part of the degenerative process (wear and tear), with new bone formation over the big toe. However, the bone bump is normally over the toe joint, not on the side as in bunion/hallux valgus deformity. The thinning/wear and tear of the joint may cause the toe to lean towards the other toes, further confusing this with hallux valgus deformity. What is the cause of hallux rigidus? I am now booked in to have the right foot operated. What was the most challenging part of having your operation? If you have very little or no relief from these non-surgical treatments, your Foot & Ankle Practitioner may suggest you consider surgery if you are fit and well enough.The aspiration may also help your symptoms. It might be done in your GP surgery or you may be referred to the hospital. You may be able to have a hydrocortisone injection into the same joint up to 4 times in a year. The number of injections you need depends on the area being treated and how strong the dose is. Although some people may have a stiff big toe without pain, the main presenting complaint is pain and stiffness. This can be a problem in certain occupations such as tiling or carpet laying where kneeling causes pain as the big toe is required to bend. It can also interfere with exercise such as yoga or pilates or even push ups - essentially any activity that requires movement of the big toe. Having a stiff big toe changes the way one loads the foot and can also give rise to pain in other areas of the foot and lower limb. I think also when you live a busy life like me with children, a full time busy job in London with a long commute and a hectic social life, there are just too many reasons why it isn’t convenient in the diary and you can’t find time to recuperate. What did you think after your first consultation? If you have arthritis, this type of treatment is only used when just a few joints are affected. Usually, no more than 3 joints are injected at a time.