Arthritis of the big toe—also known as hallux rigidus—can cause pain, swelling, and stiffness at the base of the toe, making walking and wearing shoes uncomfortable. When non-surgical treatments such as orthotics, footwear changes, or injections no longer offer relief, big toe replacement surgery (first metatarsophalangeal [MTP] joint replacement) may be recommended.

Mr. Turab Syed, a Consultant Orthopaedic Surgeon specialising in foot and ankle surgery, offers big toe replacement surgery at Kings Park Hospital in Stirling and The Lanarkshire Clinic in Hamilton. His patient-centred approach focuses on reducing pain, improving mobility, and ensuring a quick, safe recovery.

What is big toe replacement surgery?

Big toe replacement, or first MTP joint arthroplasty, involves replacing the damaged joint surfaces with specialised implants made of metal or ceramic. These implants replicate the natural motion of the joint while reducing friction and pain.

The procedure is typically recommended for:

• Arthritis of the big toe (hallux rigidus).
  
• Joint degeneration following injury or previous surgery.
  
• Pain and stiffness limiting daily activities or shoe wear.
  

By restoring joint movement and alignment, the procedure allows patients to walk comfortably again and improves overall foot function.

Who can benefit from big toe replacement?

You may be suitable for this procedure if you:

• Experience persistent pain at the base of the big toe.
  
• Have limited joint mobility affecting walking or standing.
  
• Find everyday footwear uncomfortable due to swelling or deformity.
  
• Have not improved with conservative treatments such as orthotics or injections.
  

Mr. Syed will perform a full clinical examination and imaging (such as X-rays) to confirm if a joint replacement is the best option for your condition.

Big toe replacement in Stirling & Hamilton: The procedure

Pre-operative preparation

Before surgery, Mr. Syed and his team ensure you are fully prepared by providing:

• A comprehensive consultation and review of your condition.
  
• X-rays or scans for precise surgical planning.
  
• Pre-operative checks, including blood tests and anaesthetic review.
  
• Guidance on fasting and medication adjustments prior to surgery.
  

The surgery itself

Big toe replacement is performed under regional or general anaesthesia. The key steps include:

• Making a small incision over the big toe joint.
  
• Removing damaged bone and cartilage from the joint surfaces.
  
• Inserting and securing custom-fit implants to restore joint alignment.
  
• Closing the incision with fine sutures and applying a sterile dressing.
  

The operation typically takes 45–60 minutes, and many patients return home the same day.

Where it’s performed

Mr. Syed carries out this surgery at:

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

Both hospitals are easily accessible for patients across Stirling, Lanarkshire, and nearby regions.

Recovery and aftercare

Recovery following big toe replacement surgery is generally straightforward, with milestones including:

• 0–2 weeks: Rest, elevation, and use of a protective shoe or boot.
  
• 2–6 weeks: Gradual return to walking with comfortable, supportive footwear.
  
• 6–12 weeks: Full weight-bearing and normal footwear resumed.
  

Physiotherapy is recommended to restore flexibility and strengthen the toe and foot muscles. Follow-up appointments help monitor healing and implant stability.

Risks and complications

While complications are rare, potential risks include:

• Infection or delayed wound healing.
  
• Implant loosening or wear over time.
  
• Nerve irritation or stiffness.
  
• Recurrence of pain if surrounding joints develop arthritis.
  

Mr. Syed uses advanced implant systems and precise surgical techniques to minimise risks and ensure long-term success.

Why choose Mr. Turab Syed in Stirling & Hamilton?

• Specialist in foot and ankle surgery, with fellowship-level training.
  
• Expertise in joint-preserving and replacement procedures tailored to each patient.
  
• Minimally invasive approach for reduced pain and faster recovery.
  
• Accessible, high-quality care at Kings Park Hospital and The Lanarkshire Clinic.
  

FAQs

Is big toe replacement painful?
Some mild pain or swelling is expected initially, but medication and elevation will keep you comfortable.

How long before I can walk normally again?
Most patients walk in protective footwear within 2 weeks and return to normal shoes by 8–10 weeks.

How long does the implant last?
Modern implants typically last 10–15 years or longer, depending on activity level and aftercare.

Will I still be able to wear normal shoes?
Yes, after recovery you should be able to wear most types of comfortable shoes without pain.

Book your consultation

If arthritis or stiffness in your big toe is affecting your mobility or comfort, big toe replacement surgery with Mr. Turab Syed could provide long-term relief.

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