Hallux rigidus

Borders Ref Help Toolkit
NHS Borders

Hallux Rigidus refers to degenerative changes in the big toe joint, which can cause limitation of movement, and a painful swollen joint. This condition affects 1 in 40 individuals over 50 years and is twice as common in females. Hallux rigidus can progress through four stages: one mild to four severe.  Pain is worse in flexible, soft soled shoes or when barefoot. 

Who to refer, who not to refer, how to refer

Who to refer:

  • Anyone regardless of age with pain in the big toes joints can be referred if self-management measures have failed.

Who not to refer:

  • Patients who are undergoing ongoing management for this condition with another service.

How to Refer:

Refer via SCI Gateway or ask patient to complete self-referral form here: podiatry-self-referral.docx (live.com)

Primary care management

General Advice

  • Provide patient leaflet – Hallux Rigidus: Information for Patients
  • Activity modification (as required)
  • Pain management
  • Advice on footwear – stiff, rocker soled style shoes can reduce movement at the painful 1st toe joint which reduces pain

Resources and links

National and local websites for further information

For patients:

NHS Borders Hallux Rigidus information leaflet: Hallux Rigidus:Information for Patients

Self-referral form for NHS Borders Podiatry: podiatry-self-referral.docx

Local service details

podiatryadmin@borders.scot.nhs.uk

Editorial Information

Last reviewed: 20/05/2024

Next review date: 20/05/2026

Author(s): Laura Bolan.

Author email(s): laura.bolan3@nhs.scot.