Hallux rigidus is a big toe joint that does not move. Invariably this is due to osteoarthritis in the joint that has progressed to the stage that the joint hardly moves. Hallux rigidus makes not only the joint painful, but as the joint is not moving properly, other joints get forced to move at a time when they should not be moving. These compensation in other joints can also be painful. The big toe joint is so important for forward motion as this is the joint that the body pivots forward over the foot when the foot is in the ground. The treatment for hallux rigidus is to somehow restore that motion, which in a joint with osteoarthritis is not really possible. The only options are to add some sort of rocker to the shoe, so the foot can pivot forward over the rocker and not need to use the joint. The other option for hallux rigidus is surgical, in which the joint is either fused or replaced with a spacer so there is still some movement.

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