Turf Toe is a sprain to the large joint of the big toe. This most commonly happens when the big toe over-extends. Turf toe is divided into three different grades depending on the severity of the sprain:
- I – a mild sprain
- II – a severe sprain
- III – a toe dislocation
Mild to moderate turf toe is treated non-surgically with protection and rest. Grade III is best treated by surgically repairing the ligaments.
Hallux Rigidus, or a stiff big toe, is commonly caused by Turf Toe injuries. The hallmark of this condition is a slowly increasing bump on the top of the big toe joint with progressively decreasing range of motion. Hallux Rigidus has four clinical stages of variable motion and x-ray findings.
- Stage 1 – minor loss of range of motion
- Stage 2 – greater loss of range of motion, as well as cartilage
- Stage 3 – significant cartilage loss
- Stage 4 – severe loss of range of motion and cartilage loss
Early Hallux Rigidus is treated with shoe modifications (wider toe box) and rigid off the shelf inserts. Later stages are treated with spur excision, joint replacement, and sometimes even fusion of the great toe.
If you have any questions about Turf Toe or Hallux Rigidus, please post them in the comments section below.