The first metatarsal toe osteoarthritis is a common arthritis, often caused by poor lifestyle habits, and its treatment is as follows: 1. Non-surgical treatment: Non-surgical treatment can relieve most of the symptoms caused by metatarsal toe deformity, such as replacing shoes, using orthotics or using simple padded spacers can reduce symptoms and achieve the purpose of slowing down the pressure, such as wearing shoes with wide sloping shoulders can reduce lateral pressure; 2. Surgical treatment. Non-surgical treatment cannot correct the deformity. Patients with deformities, especially stiff deformities, need surgical treatment. Such patients need a professional doctor to assess their condition before giving reasonable treatment.