Tuesday, 19 December 2023 00:00

Causes of Big Toe Pain

Big toe pain can stem from various conditions, ranging from common to more severe. One prevalent cause is arthritis, specifically hallux rigidus, which tends to affect older individuals, particularly women. Ingrown toenails are another common culprit, often occurring due to improper nail trimming or wearing tight shoes. Gout, characterized by the accumulation of uric acid in joints, frequently targets the big toe joint, leading to crystallization and pain. Athletes may experience turf toe, an injury resulting from repetitive bending or jamming of the big toe, especially prevalent on artificial turf. Sesamoiditis, marked by inflammation of tendons surrounding the sesamoid bones below the big toe, is frequently seen in runners and ballet dancers. Fractures of the toe, generally caused by accidental trauma or repetitive pressure, can also cause significant discomfort. Bunions, a deformity of the joint, force the big toe to protrude and can worsen due to wearing ill-fitting shoes. Other potential causes of big toe pain include nail infections, Raynaud's disease, Morton's neuroma, and rheumatoid arthritis. The appropriate treatment depends on the specific condition causing the pain. If you have pain in your big toe, it is suggested that you schedule an appointment with a chiropodist for a proper diagnosis and care.

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 Emily Yu, B.Sc from Uptown Foot Care Clinic. Our specialist 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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