Hallux Limitus & Rigidus
An arthritic or jammed first MTP joint that hurts through dorsiflexion. The strategy is simple: stop asking the joint for motion it no longer has, and give the patient a smooth way to roll past it.
The extension only works if it carries under the hallux, so full-length is required. A stiff medial forefoot over the flat printed base effectively becomes the rocker the joint can no longer be.
What you'll see
- Pain and stiffness at the 1st MTP with push-off
- Limited dorsiflexion, often with a dorsal exostosis
- Pain rolling through the big toe in gait
- Compensatory out-toeing or lateral column loading
- A history of turf toe or first-ray trauma in younger patients
The modifier package
Worth considering
Clinical note
For functional hallux limitus, where you want more first-ray plantarflexion rather than less motion, flip the extension to its reverse variant on the Morton's Extension page.
Every template is a starting prescription, not a constraint. Each parameter stays fully editable in Rx Studio before you send the order.