If you are noticing a pain in the top of your great toe joint and a reduction in the range of motion, then it is time to see a doctor and get examined. Often if treated in early stages, treatments that will preserve the natural joint can be performed. If, however, the joint space is gone and the cartilage is thin or absent, then surgery may be indicated. Your doctor may try using a special custom insole to restrict the range of motion of the great toe joint in order to alleviate symptoms. A total joint implant is used.
Implants come in many varieties.
The above implant represents a total silastic implant. These are flexible one-piece devices with a bending hinge. Other devices include metal and plastic two component implants that attempt to replace the anatomical nature of the joint. The implants are usually indicated in patients with degenerative joint disease. The surgeon will look at x-rays to determine the nature of the joint.