Bunions vs Hallux Rigidus: Understanding the Difference in Foot Pain

Close-up of foot showing hallux valgus deformity with bunion on big toe, concept of orthopedic foot condition and podiatry care.

Every step you take depends on the strength and flexibility of your feet. When big toe pain flares up, even simple tasks like walking can become uncomfortable. Bunions and hallux rigidus are two common causes of this pain, but each requires a different approach to care.

Union County Orthopaedic Group has been a trusted part of the Union County community for more than 50 years. The team includes 10 physicians and six ancillary providers who specialize in orthopedic care, sports medicine, and podiatryIrene K. Labib, DPM, MS, FACFAS, a board-certified foot and ankle surgeon, treats both children and adults using advanced techniques for long-lasting results.

Bunion vs Hallux Rigidus Symptoms

Though bunions and hallux rigidus both affect the big toe joint, they cause different types of discomfort. Recognizing these signs can help you find relief sooner:

  • Bump location: Bunions create a bump on the side of the big toe joint, while hallux rigidus forms bone spurs on top.
  • Toe position: Bunions angle the big toe toward the second toe; hallux rigidus keeps the toe straight but stiff.
  • Type of pain: Bunions hurt when rubbing against shoes. Hallux rigidus pain worsens when bending the toe.
  • Shoe fit: Narrow shoes can irritate bunions. Hallux rigidus makes pushing off during walking difficult.

Spotting these patterns early helps you seek treatment before the pain worsens.

Bunion vs Hallux Rigidus Treatment

Managing big toe pain begins with identifying the specific condition you have. Both can improve with simple changes before surgery becomes necessary:

  • Footwear adjustments: Choose supportive shoes with wide toe boxes to ease joint pressure.
  • Orthotics and padding: Inserts or padding relieve friction and support better foot alignment.
  • Stretching and therapy: Calf stretches and physical therapy exercises can improve flexibility and function.
  • Medication and injections: Anti-inflammatory medications or cortisone shots may ease pain.

When conservative methods no longer help, surgical options may restore comfort. Bunion surgery realigns the bones, while hallux rigidus surgery can involve removing bone spurs, joint fusion, or replacement. Your doctor will guide you toward the best plan for your lifestyle.

Step Into Relief with Union County Orthopaedic Group

Whether you’re dealing with bunions or hallux rigidus, expert care can make every step easier. Union County Orthopaedic Group serves patients across Union, Linden, and Clark, NJ, with same-day appointments, on-site diagnostics, and physical therapy. Call (908) 486‑1111 to schedule an appointment with our experienced foot and ankle team.

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“Very pleasant. Takes time to answer questions and explains things clearly.”
–Robert, Patient*

Our Locations

Linden Office

Monday-Friday: 8am-4:30pm
Urgent care 3pm-6pm

Clark Office

Monday-Thursday 8am-4:30pm

Union Office

Monday: 8am-6pm

Thursday: 8am-4:30pm

OrthoNJ Physical Therapy Union

Monday, Wednesday, Friday 7am-3pm,
Tuesday, Thursday 10am-6pm

OrthoNJ Physical Therapy Clark

Monday, Wednesday & Friday: 7am-3pm

Tuesday, Thursday: 10am-6pm

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