Hallux limitus, also known as osteoarthritis of the big toe joint is a common condition affecting adults. The first MP joint (great toe joint) stiffens to the point that its ability to bend upwards is significantly reduced and painful. This stiffness, accompanied by swelling and pain around the joint, interferes with normal activity, causing difficulty in walking and other physical activities. If not treated, the first MP joint will become increasingly painful, deformed and rigid. Risk factors for the development of hallux limitus include previous trauma to the joint, ill-fitting shoes, hereditary predisposition, flat feet, autoimmune diseases, and gout. Treatment will almost always begin with conservative measures and progress to surgical intervention, if necessary.