Rx template

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.

Style
Full-length, firm forefoot
Density map
Firm medial forefoot (≈55–60A); comfortable everywhere else

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

Morton's ExtensionThe core of the template; it limits painful dorsiflexion
MTP Reliefs 1-5A first-MTP relief when plantar tenderness coexists

Worth considering

Metatarsal PadCatches transfer load building under mets 2–3
Forefoot PostBalances the forefoot when a structural varus or valgus coexists

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.

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