Hallux Rigidus - surgery options

For years i've had pain when walking anything more than a couple of miles due arthritis in both my big toe joints.  At rest no problem.  Given I enjoy hill walking it's annoying!   Saw a consultant who recommended toe joint replacements or fusion but I'm worried about the quality of the outcome versus where I am now.  I wonder if anyone out there has got any experience.  (particularly hikers! - actually any views gratefully received) thanks

Might another option be physical therapy, or a combo of cortisone shots and PT?

Hi Alrick, I think that fusion will be very restrictive, physio is a waste of time but will kepp an NHS worker in job, I suppose :-(, and cortisone injections are a short term fix. Curios about the toe joint replacement though. I think that is worth finding out more about as I really do not know enough about it.

I say, "Don't do it."  Unless you are in your 20's or 30's.  I had bunion pain for a couple of years so went for the surgery June 9.  I am still praying that I'll go back to the simple pain I had before the surgery, compared to the discomfort and hassle of this operation.  I still cannot fit into any normal shoe, and my foot still swells and is in pain.  I wish someone had told me not to do it.  I'm very athletic and haven't worked out in 12 weeks! Torture for me.

Joyce

Keep going- the pain does go eventually! I'm now 6 months post op and my feet have finally settled down. I'm back to walking and managed two three mile walks this weekend without my feet hurting at all. It's taken a very long time for my feet to settle and I was surprised at this but it does get better.

I had both feet done at once -aitken and scarf osteomy done by the NHS in Perth, Scotland. My toes were pinned rather than fused but I think it depends on how bad your toes are.

 

Thank you so much, Eileen.  That's encouraging. Unfortunately I only had one done and after all this, I doubt I'll have the other done unless it becomes painful. Good luck!