Arthritis of the Big Toe will present with pain, deformity and stiffness (Rigidus). Initially, a patient may notice pain on movement and a bony lump on the top of the toe. This lump is called an osteophyte and as it grows like a horn and it may limit the movement in the toe. Eventually the joint becomes stiff as its cartilage is worn away.
Over the counter analgesia, stiff soled shoes to restrict movement at the joint.
Historically patients were placed in plaster and not allowed to walk on the foot. Now surgical recovery is much better, internal screws and plates are used to hold the bone, negating the need for a plaster and the patient can walk in a special sandal on the day of surgery. Initial bulky dressings are removed at two weeks, sandal to be removed at six weeks.