Soreness inside the great toe or hallux joint that is painful while walking is usually frequently as a result of osteoarthritis and it is commonly given the term more generally called hallux rigidus if the joint is really stiff or hallux limitus if its not so inflexible. Hallux rigidus is uncomfortable while walking, so if the joint is really painful while resting, it may more likely be gout than a hallux rigidus. Considering the hallux rigidus, when we are walking and the heel starts to lift up off the ground, the big toe joint really should move for that motion to occur. If that motion has limitations or there exists a painful osteoarthritis in the joint, then this is not going to be as effortless simply to walk. It is logical when this joint is painful if walking, then a practical approach to manage the discomfort on motion would be to control exactly how much the hallux joint moves.
There are several strategies to try this. One easy way that Podiatry practitioners use is with felt padding that may be put on the foot beneath the big toe and front foot or strapping may be helpful to tape the joint. These two tend to be excellent temporary measures, however impracticable for the long run. If you require a foot support for some other reasons, we have an extension that the Podiatrist could add on the front edge of the foot orthotic that is called a Morton’s extension which can be used to stiffen up the hallux joint by restricting bending or flexion of the foot. One other way is to use a carbon fibre insole plate which typically are under 1.5mm thick to enable them to fit very easily into the footwear and are very firm. These kinds of carbon fibre plates are often used to treat hallux rigidus and other conditions such as turf toe that require to restrict the movements with the joint. The research data is that they are fairly efficient at reducing the pain in the joint in these kinds of problems. One other way to take care of the pain from the osteoarthritis and hallux rigidus would be to simply use shoes which are much more rigid across the ball of the foot. The more flexible the sole of a shoe is, the greater that the great toe or hallux joint will bend and the more likely it is to be uncomfortable when walking. There are a few shoes, particularly the Hoka athletic shoes, that contain a rocker and extra padding built into them which are especially beneficial at that. The effect from the rocker in these types of footwear is that the big toe does not have to move just as much as the feet rocks forward over the rocker. A pedorthist or footwear tech could add a rocker to numerous different types of shoes to obtain the same task.
If you have hallux rigidus or osteoarthritis of the big toe joint, you can also find options in the short term to manage the pain and alternatives on the longer term to control the movement of the big toe joint that it is much less uncomfortable.