Re: Hallux rigidus - injection v cheilectomy?
Well, the steroid injection doesn't hurt so much as the numbing injection before it...if he does one. If he doesnt do the numbing one, then, yes , the steroid shot is going to hurt - a lot.
As for other options, I've had cheilectomies on both big toes. First one, I was 56 and the latest one I was 65. So your age shouldn't have anything to do with it. There are other options, depending on the severity of the injury. Resurfacing or fusion. If any doc suggests joint replacement, get up immediately and run, not walk, out as fast as you can. They do not have a good track record.
Find the best sports med ortho who is foot and ankle board certified. Call your nearest pro football or basketball team, major college athletic department, or professional dance company and find otu who they use. Go to that person.