Treatment depends on the cause and severity: Icing and over-the-counter (OTC) pain medication can relieve swelling and pain, but in severe cases, orthotics, physical therapy, or even surgery may be needed to restore loss of function.

First-line treatment options for big toe osteoarthritis is self-management. This includes the use of foot orthoses, shock absorbing soles and comfortable shoes with rocker soles. Shoes with rocker soles can support the feet which may alleviate pain in the big toe.

There are many ways to manage osteoarthritis, such as using nonsteroidal anti-inflammatory drugs (NSAIDs) or taking over-the-counter (OTC) medications, such as acetaminophen (paracetamol). There are also other treatments that a person can try, such as weight loss, exercise, or surgery if necessary.