Toe Arthritis & MTP Fusion
WHAT IS TOE ARTHRITIS?
Toe arthritis commonly affects the metatarsophalangeal (MTP) joint—the joint at the base of the big toe. It occurs when the cartilage within the joint wears down over time, leading to pain, stiffness, and limited movement.
This condition, often referred to as “hallux rigidus,” can make walking, bending the toe, and even wearing certain shoes uncomfortable. Over time, bone spurs may develop, further restricting motion and increasing pain.These conditions can develop from muscle imbalance, improper footwear, genetics, or injury. Over time, they may lead to pain, corns, calluses, and difficulty wearing shoes comfortably.
HOW IS TOE ARTHRITIS TREATED?
Treatment depends on the severity of arthritis and your lifestyle needs. Dr. Mike Sims uses a step-by-step approach, beginning with conservative care whenever possible.
Non-Surgical Treatment Options
Activity modification
Anti-inflammatory medications
Stiff-soled or rocker-bottom footwear
Custom orthotics
Padding or shoe modifications
Cortisone injections
For many patients, these treatments can reduce pain and improve daily function.
When non-surgical treatments are no longer effective, surgical options may be recommended. One of the most reliable solutions for advanced arthritis of the big toe is MTP joint fusion.
Minimally Invasive Surgical Options May Include:
Cheilectomy (Bone Spur Removal)
Removal of bone spurs and inflamed tissue to improve motion in earlier stages of arthritis.
Cartilage Restoration Procedures
In select cases, techniques may be used to preserve or improve joint surfaces.
MTP Joint Fusion (Arthrodesis)
The joint surfaces are fused together to eliminate painful motion. This procedure provides long-term pain relief and stability, especially in advanced arthritis.
1st Metatarsal Shortening Osteotomy
In certain patients, small incisions are used to shorten the 1st metatarsal and decompressing the arthritic joint. This decrease pain.
Common Questions:
Will a 1st MTP fusion cause me to limp?
A small number of people may notice a small alteration in the way they walk. However most people describe no difference.
I am concerned a 1st MTP fusion will limit my activity and my life. Will it?
Recent evidence shows that it’s quite the opposite. Even in younger people, after a first MTP fusion people are able to be more active and with less pain (when compared prior to surgery).
