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Hallux Limitus & Hallux Rigidus

Hallux Limitus & Hallux Rigidus

What Causes Hallux Limitus and Hallux Rigidus of the big toe?

The Hallux is the big toe. It connects to the foot at the first metatarsal-phalangeal joint (MTP). If you have a problem with your gait, this joint is one of the first places to assess. It provides forward drive, it is key to maintaining balance and stabilizes your medial arch.

Hallux Limitus is best understood by the word limit. Your big toe should be able to flex from 65 –degrees to 90-degrees. If its mobility is limited or stiff, then you may have a problem with the biomechanics of your sesamoid bones which are pea-shaped bones in the ball of your foot. Cartilage at the MTP joint is often worn down. Hallux Limitus creates a biomechanical cascade that impacts your ankle, affects the knee, pelvis, and hips.

Hallux Rigidus is a more severe condition than Hallux Limitus. It is full blown arthritis of the big toe joint, the all-important MTP. Cartilage is destroyed and osteophytes form around the joint. As such, it needs to be treated as a disease that conventional treatments consider incurable. Hallux Rigidus also creates a biomechanical cascade that imbalances your body.

What are the symptoms of Hallux Limitus and Hallux Rigidus?

  • Decline in mobility of toe (Hallux Limitus)
  • Fixation of the toe (Hallux Rigidus)
  • An ache at the MTP joint of the big toe
  • Swelling
  • Difficulty walking uphill
  • Poor running or walking dynamics

Are Big Toe surgery and endless steroid treatments my only options to reduce my pain?

Dr. Greenberg’s team will perform a Comprehensive Kinetic Diagnosis. They will carefully examine your big toe, all adjacent foot joints, ligaments, ankle and knee to fully understand the impact of Hallux Limitus or Rigidus on your musculoskeletal system.

Depending on the severity of Hallux Rigidus or Hallux Limitus, the team may suggest alternative therapies plus Kinetic Regeneration Therapy (KRT). This may include Platelet Rich Plasma (PRP) Therapy or Stem Cell injections. It is always better to try to regenerate a joint system than to fuse or remove a joint surgically.

KRT uses the body’s natural healing processes to regenerate cartilage, tendons, ligaments and strengthen bone structures to remobilize joint systems and alleviate the symptoms of foot arthritis. After several KRT treatments over several weeks, pain often subsides as the joint returns to normal.

Kinetic Regeneration Therapy is a good choice for people who are looking for a non-invasive alternative to foot joint replacement surgery. KRT treatments have lower infection risks than surgeries, shorter recovery times and are opioid-free. Kinetic Regeneration Therapy treats you holistically, renews you physically and seeks to rekindle a feeling of wellness so you become a healthier and happier YOU with ankles that don’t ache.

If you or a loved one is looking for a new strategy to treat chronic aches and pains, fill out the form on this page to schedule an appointment or call Dr. Greenberg’s office today at 833-440-4325.


Any patient that enters the building will be screened by having their temperature taken, as well as, a questionnaire from Main Line Health. Once in the office, patients will be asked to wash their hands immediately and their temperature may be taken again. All patients will have a safe distance between them and patients will only be seen once per hour. The Greenberg Regenerative staff will be wearing masks and ensuring that all safety protocols and guidelines per Main Line Health and the CDC are being followed. At the end of the appointment, patient’s have the option to take a Greenberg Regenerative Medicine hand sanitizer to allow them to remain safe and healthy.