Arthritis or deformity in the big toe joint (first metatarsophalangeal joint) can cause pain, stiffness, and difficulty walking. When conservative treatments such as medication, orthotics, or injections fail, big toe fusion surgery offers a reliable solution.

Mr. Turab Syed, an experienced Consultant Orthopaedic Surgeon specialising in foot and ankle surgery, performs big toe fusion at Kings Park Hospital in Stirling and The Lanarkshire Clinic in Hamilton. His approach focuses on pain relief, restoring alignment, and optimising long-term function.

What is big toe fusion surgery?

Big toe fusion, or first MTP joint arthrodesis, involves permanently joining the bones of the big toe joint using screws or plates. This eliminates movement at the arthritic joint, relieving pain while maintaining stability for walking.

It is commonly recommended for:

• Severe arthritis of the big toe.
  
• Hallux rigidus or joint deformity.
  
• Failed previous big toe surgeries.
  
• Pain interfering with daily activities and footwear use.
  

Who can benefit from big toe fusion surgery?

Ideal candidates include patients who:

• Experience persistent pain and stiffness in the big toe.
  
• Have difficulty walking or wearing regular shoes.
  
• Show joint deformity or instability.
  

Mr. Syed conducts a detailed assessment, including X-rays or CT scans, to confirm suitability for fusion surgery and plan the optimal approach.

Big toe fusion in Stirling & Hamilton: The procedure

Pre-operative preparation

Before surgery, Mr. Syed ensures patients are fully prepared, including:

• A consultation explaining the procedure and expected outcomes.
  
• X-rays or scans to guide surgical planning.
  
• Pre-operative checks such as blood tests and anaesthetic review.
  
• Instructions on fasting or medication adjustments prior to surgery.
  

The surgery itself

Big toe fusion is performed under regional or general anaesthesia. The procedure typically involves:

• Removing the damaged joint surfaces.
  
• Aligning the toe in the correct position.
  
• Fixing the bones together with screws or a small plate to allow fusion.
  
• Closing the incision and applying a protective dressing.
  

The operation usually takes 45–60 minutes, and most patients can go home the same day or the following day.

Where it’s performed

Mr. Syed performs this procedure at:

• Kings Park Hospital, Stirling (Polmaise Rd, FK7 9JH) – modern theatres and personalised recovery support.
  
• The Lanarkshire Clinic, Hamilton (Cadzow Avenue, ML3 0FT) – a private orthopaedic facility offering expert care.
  

Both hospitals are easily accessible for patients across Stirling, Lanarkshire, and surrounding areas.

Duration and post-op care

After surgery, immediate care includes:

• Immobilisation of the toe in a cast or protective boot.
  
• Pain management with prescribed medication.
  
• Elevation of the foot to reduce swelling.
  

Recovery and aftercare

Recovery following big toe fusion surgery generally follows these timelines:

• 0–2 weeks: Rest, elevation, and limited weight-bearing using crutches or supportive footwear.
  
• 2–6 weeks: Gradual increase in weight-bearing as comfort allows.
  
• 6–12 weeks: Full walking ability and return to normal footwear.
  

Physiotherapy may be recommended to maintain strength and flexibility in the foot and surrounding joints. Follow-up appointments ensure proper bone healing and alignment.

Risks and complications

As with all surgeries, risks exist but are uncommon:

• Infection.
  
• Delayed bone healing (non-union).
  
• Nerve irritation or numbness.
  
• Mild alteration in gait due to lack of toe joint movement.
  

Mr. Syed uses precise surgical techniques and careful post-op monitoring to minimise risks and ensure long-term success.

Why choose Mr. Turab Syed in Stirling & Hamilton?

• Specialist in foot and ankle surgery with extensive experience in joint fusion and reconstruction.
  
• Advanced techniques for pain relief and optimal alignment.
  
• Patient-focused care from consultation to full recovery.
  
• Accessible, high-quality facilities at Kings Park Hospital and The Lanarkshire Clinic.
  

FAQs

Is big toe fusion painful?
Some pain is expected initially but is managed with medication. Most patients experience significant long-term relief.

How long is recovery?
Bone fusion typically takes 6–12 weeks, with full functional recovery over 3–6 months.

Will I lose movement in my toe?
Yes, fusion eliminates movement in the joint, but this provides pain relief and stability for walking.

Can I walk normally after surgery?
Yes, most patients regain comfortable walking ability, with improved stability compared to pre-surgery.

Book your consultation

If arthritis or deformity in your big toe is affecting your mobility or comfort, big toe fusion surgery with Mr. Turab Syed could provide lasting relief.

Book a consultation today at Kings Park Hospital in Stirling or The Lanarkshire Clinic in Hamilton to discuss your personalised treatment options.