This term refers to a painful arthritic type process affecting the big toe joint. Patient will notice a restriction of joint range of motion, enlargement of the joint and palpable spurs or bony prominences around the area. In the early stages, patients might simply notice some swelling and warm with the pain. Left untreated this condition, like most arthritis type conditions, will progress and worsens. Early diagnosis and treatment will prevent worsening of the problem. Treatment options include, anti-inflammatory therapy, cortisone injections and stem cell therapy and very comfortable, but specific type of custom- made insert. In the most severe cases, where the joint is frozen from advanced damage or loss of the cartilage, a surgical debridement of the joint or fusion is most effective.