A cheilectomy removes the bony spur on top of an arthritic big toe joint, freeing up movement and easing pain when you push off. It suits earlier-grade arthritis where the joint is worth preserving, and is usually a day-case operation.
When is big toe cheilectomy considered?
Cheilectomy is considered when big toe arthritis is still early or moderate, pain is mainly caused by a bony spur on top of the joint, and enough cartilage remains to preserve movement.
Can I avoid surgery?
What happens during the procedure
The joint is exposed through a small incision on top of the big toe
The painful bony spur is removed
The surgeon checks and improves the arc of movement
The wound is closed and dressed; most patients go home the same day
Recovery timeline
- First 2 weeks — keep the foot elevated and protect the wound
- 2–6 weeks — walking increases in a stiff-soled shoe as swelling allows
- Around 6 weeks — most patients are back in comfortable footwear
- Around 3 months — return to higher-impact activity if comfort and movement allow
Risks & complications
Risks include infection, stiffness, nerve irritation, persistent swelling and progression of the arthritis over time. If the joint is already badly worn, fusion may be a more reliable option than cheilectomy.
Costs & insurance
Self-pay consultations are £250 (new) and £175 (follow-up). The procedure price is confirmed after your consultation. We are recognised by all the main insurers including Bupa, AXA Health, Vitality, Aviva and Cigna.
Questions & answers
No. Cheilectomy preserves the joint and removes the blocking spur. Fusion permanently stiffens the joint and is used for more advanced arthritis.
It can relieve symptoms and improve movement, but it does not remove the underlying arthritis, which can progress over time.
Most people can weight-bear in a protective shoe soon after surgery, but swelling and comfort guide how quickly walking builds.
The best candidates have pain mainly at the top of the joint and still have enough joint surface left to make preserving movement worthwhile.
