Surgery to remove bone spurs from the base of the big toe, treating hallux rigidus (stiff big toe)
A cheilectomy is a surgical procedure to remove bone spurs from the base of the big toe. It is commonly performed to treat hallux rigidus, a form of arthritis that causes stiffness, pain and reduced movement in the big toe joint.
At Fairfield Independent Hospital in St Helens, you can access private cheilectomy foot surgery with experienced consultant orthopaedic surgeons. If pain in your big toe is affecting your mobility, stopping you from exercising, or causing daily comfort, specialist assessment and timely treatment can help relieve symptoms and improve joint function.
This page explains what cheilectomy surgery involves, what causes bone spurs, what recovery is like, and how to arrange a consultation at our private hospital in St Helens.
Bone spurs, also known as osteophytes, are small bony growths that develop along the edges of joints. In the big toe, they are usually caused by wear and tear within the joint, most commonly due to osteoarthritis.
Over time, cartilage in the joint can thin and become damaged. As the body attempts to repair itself, extra bone may form around the joint margins. This can lead to:
Hallux rigidus – which means “stiff big toe” – is the condition most commonly associated with bone spur formation in this area. It may develop gradually and worsen over time.
Certain factors can increase the likelihood of developing bone spurs in the big toe, including:
If left untreated, symptoms can become more limiting, affecting walking, exercise and overall quality of life.
A cheilectomy is a surgical procedure designed to remove bone spurs and any damaged tissue from the big toe joint. The goal is to relieve pain and improve joint mobility while preserving the natural joint.
During the procedure:
Cheilectomy is usually performed as a day-case procedure, meaning you can return home on the same day. It is typically carried out under local anaesthetic with sedation, or sometimes general anaesthetic, depending on your individual circumstances and medical history.
This operation is generally recommended for patients with mild to moderate hallux rigidus. In more advanced cases of arthritis, alternative surgical options may be discussed. Your consultant will explain the most appropriate treatment based on the condition of your joint.
One of the advantages of cheilectomy is that it preserves joint structure. Should arthritis progress in the future, other surgical procedures can still be considered if needed.
The cost of cheilectomy surgery at Fairfield Independent Hospital in St Helens depends on several factors, including your individual clinical needs, the type of anaesthetic used, and whether additional investigations are required.
During your consultation, your consultant will confirm whether surgery is appropriate and outline the recommended treatment plan. You will then receive clear, transparent information about the associated costs before proceeding.
If you are self-funding, the hospital team can explain available payment options. If you have private medical insurance, you are advised to check your level of cover with your insurer before booking treatment.
Fairfield Independent Hospital is committed to providing clear pricing information so you can make informed decisions about your care.
Choosing private treatment means you can be seen quickly by an experienced consultant orthopaedic surgeon, without unnecessary delays. At Fairfield Independent Hospital, your care is consultant-led from your first appointment through to surgery and follow-up.
Cheilectomy is most often recommended when conservative treatments — such as footwear modification, pain relief medication, physiotherapy or steroid injections — have not provided sufficient relief. The aim of surgery is to remove the bony overgrowth (bone spur) at the top of the big toe joint. This helps reduce pain, improve movement and prevent the joint from locking during walking.
At your initial consultation, your consultant will:
If surgery is recommended, you will receive clear information about the procedure, recovery and aftercare, allowing you to make a fully informed decision about your treatment.
Recovery after cheilectomy is usually straightforward, although healing times can vary from person to person.
Immediately after surgery, your foot will be bandaged, and you may be advised to wear a special post-operative shoe to protect the area. You will usually be able to walk carefully on your heel shortly after the procedure.
In the first few weeks, it is important to:
Swelling is common in the early stages and can persist for several weeks. Most patients can return to comfortable footwear within a few weeks, although tight or high-heeled shoes should be avoided until healing is complete.
Many people return to desk-based work within two to three weeks, depending on comfort levels. More physically demanding roles may require a longer recovery period.
Your consultant will monitor your progress and advise when you can safely resume activities such as driving, exercise and sports. The aim of surgery is long-term pain relief and improved joint movement, allowing you to return to normal daily activities with greater comfort.
When you choose to go private with Fairfield Independent Hospital in St Helens, you can expect:
Fairfield Independent Hospital has a strong reputation for delivering high-quality private healthcare in a professional and welcoming environment. You will be cared for by experienced orthopaedic consultants and supported by dedicated nursing staff focused on your safety, comfort and recovery.
From your first appointment through to follow-up care, your treatment journey is designed around your individual needs.
If you are experiencing pain or stiffness in your big toe and would like specialist assessment, booking a private consultation is straightforward.
To book a consultation to discuss cheilectomy with an orthopaedic surgeon near you, give us a call and one of our advisers will help you find an appointment time that suits you.
Reception: 01744 739 311
Mon - Sun: 8am to 8pm
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