Print This Page     Close Window Consult Request Guidelines for Hallux Rigidus (1st MTP arthritis/pain)     Hallux Rigidus (1st MTP arthritis/pain) Suggested Pre-Referral Evaluation and Management Guidelines 1) Stiff soled shoes 2) Wider toe box shoes 3) Carbon Fiber insole (orthotic) Suggested Additional Test/Management Prior to Specialty Visit None Patient Education/Information (includes preps) 1) Joint replacements for the 1st MTP (great toe) are not successful and will not be performed. 2) A cheilectomy (removal of the "bump") or fusion can be performed to alleviate the pain. Appointment Timeframe within 6 weeks How to Get Results to Consultant UMHS Patients: See CareWeb External Patients: Patients must obtain and hand carry hardcopy radiographic studies (MRI/CT/X-rays) Clinic Contact Information Physicians: 800-962-3555 Patients: 734-998-6541 Clinic Location Sites Ann Arbor - South Main Orthopedics UM Consulting Physician Anish Raj Kadakia, M.D. Revised on: 09/24/2009