Tuesday, 01 April 2025 00:00

Causes of Pain in the Big Toe

Big toe pain can stem from various causes, including injuries, structural issues, and inflammatory conditions. Sudden trauma, such as turf toe, occurs when the joint is hyperextended, leading to ligament sprains. Chronic conditions like osteoarthritis and gout can result in joint stiffness, swelling, and pain due to cartilage degeneration or uric acid crystal buildup. Bunions, caused by joint misalignment, often worsen over time, creating discomfort and difficulty wearing certain footwear. Lesser-known conditions like sesamoiditis, involving inflammation of small bones under the big toe, can cause pain when walking. Fractures and sprains are also common sources of toe pain, often resulting from high-impact activities or accidents. A chiropodist can assess the underlying cause of your big toe pain and recommend footwear modifications, orthotics, or methods to reduce pain and restore function. If you are experiencing pain in your big toe, it is suggested that you schedule an appointment with a chiropodist for professional advice.

Toe pain is common and can have a variety of causes. Causes can range from a broken toe to an ingrown toenail. Many types of toe pain can be corrected, but any toe pain that inhibits your activities for an extended period should be discussed with a chiropodist. If you suffer from toe pain, please consult with Paul A. Scotti, D.Ch from West Toronto Foot & Ankle Clinic Inc. . Our chiropodist can help you maintain the health of your feet.

Common Causes of Toe Pain 

  • Trauma or fracture
  • Cuts, sores, or bruises
  • Rheumatoid arthritis
  • Gout
  • Turf Toe
  • Morton’s neuroma
  • Blisters
  • Corns
  • Bunions
  • Hammertoes
  • Ingrown toenails
  • Plantar warts
  • Athlete’s Foot

Symptoms of Toe Pain

  • Toe deformity
  • Burning
  • Numbness
  • Toenail deformity
  • Wart or ulcer
  • Swelling
  • Redness

When to See a Chiropodist

  • Bleeding or severe swelling
  • Trauma, such as a broken bone
  • Discoloration or extreme swelling
  • Inability to bear weight
  • Persistent pain
  • Wounds that won’t heal

Diagnosis of Toe Pain

A chiropodist can conduct a thorough examination of the painful toe or toes in order to determine the best course of treatment. The exam may include assessing the tenderness of the area, taking an X-ray or other diagnostic test, or assessing your gait and range of motion. A discussion of what led to the advanced pain issue may follow. Included will likely be a health history, as well as a list of medications you are taking and other previous injuries you may have sustained.

Treatment for Toe Pain

With such a wide range of possible causes for toe pain, treatment can be varied in scope and length. Sometimes, the chiropodist will recommend lifestyle and activity changes. In cases of trauma or other injuries, X-rays or imaging tests will likely be used to determine the severity of the problem, particularly if any bones have been broken. Treatment may also include injections of pain-relief medication or anti-inflammatory drugs. Certain injuries will require the splinting, bracing, or wrapping of injured toes. Orthotics or special shoes may be prescribed in cases of bone deformities and gait issues. Removal of warts, calluses, and corns may be needed. In other cases, such as with patients who have diabetes or rheumatoid arthritis, ongoing treatment may be required to avoid more serious problems. 

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