Mr Stuart A Metcalfe BSc(Hons), MPhil, FRCPod(S)
CONSULTANT PODIATRIC SURGEON
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FELLOW ROYAL COLLEGE OF PODIATRY
Big toe joint pain
The big toe joint receives a great deal of mechanical stress over our lives which can lead to osteoarthritis within the joint. It can also be affected by many other diseases such as gout, infection, avascular necrosis and other less common conditions. Mr Metcalfe is an expert in forefoot disorders and will help establish the exact cause of your big toe joint pain through careful history, examination and clinical tests. Once the precise cause of your pain is know he will discuss the range of treatment options available and help direct you to the most suitable treatment for you.
Treatment options will depend on the cause of your big toe joint pain. We offer a complete range of diagnostic and treatment option from conservative management through to state of the art surgical solutions. Mr Metcalfe will discuss with you which options are appropriate and fully explain what is involved with each.
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Frequently Asked Questions
What happens at my initial consultation?
Mr Metcalfe will put you at ease while he listens to you explaining your symptoms. This will allow him to gain a good understanding of the clinical history. He will ask you about your general health, hobbies and work to ensure he has a complete picture of your foot problem.
Will I be given a diagnosis on the day of my first appointment?
Mr Metcalfe will vey likely be able to give you a pretty clear idea of the cause of your big toe joint pain at the first appointment although it is usual to be sent for additional tests such as x-ray, MRI or other tests to confirm the initial clinical diagnosis.
Why might I need to have an x-ray or other test?
Imaging with x-rays and or MRI is often required not only to confirm the clinical diagnosis but can also provide essential information on the degree of any damage within the big toe joint. This information can be essential in deciding which treatment will offer you the best outcome.
Can you give me some examples of conditions which might affect the big toe joint?
Here is a list of some condition which can cause your big toe joint to become painful
1 Osteoarthritis (also sometimes called hallux limitus / rigidus)
2 Sesamoiditis
3 Capsulitis
4 Synovitis
5 Avascular necrosis
6 Gout
7 Infection
8 Fracture
9 Rheumatoid / Psoriatic arthritis
10 Tumours
How experienced is Mr Metcalfe in treating big toe joint problems?
Mr Metcalfe is a Consultant Podiatric Surgeon who specialises in the diagnosis and management of forefoot conditions. He qualified in 1990 and is a Surgical Fellow of the Royal College of Podiatry.
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