Pain in the toe can arise due to abnormalities or injury to any of the structures in the toe, including skin, nerves, bones, blood vessels, and soft tissues. Toe pain is a fairly common symptom, since our feet are constantly exposed to injury by walking, running, or other athletic activity, and moving around. Some types of toe pain can be accompanied by numbness, burning, warmth, or other symptoms.
In most cases, the toe pain is located under the big toe. The big toe seems to suffer at most even though it is the bigger, which some patients understand as the strongest one, too. There are several reasons you might suffer from pain under the big toe. Let us list you the most common among them:
Most bones in the human body are connected to each other at joints. But there are a few bones that are not connected to any X-ray showing a medial sesamoid fracture in a young woman with high arches. other bone. Instead, they are connected only to tendons or are embedded in muscle. These are the sesamoids. A good example is the kneecap (patella), which is the largest sesamoid. Two other very small sesamoids, each about the size of a kernel of corn, are found in the underside of the forefoot near the big toe, one on the outer side of the foot and the other closer to the middle of the foot. Sesamoids act like pulleys. They provide a smooth surface over which the tendons slide, thus increasing the ability of the tendons to transmit muscle forces. The sesamoids in the forefoot also assist with weightbearing and help elevate the bones of the big toe. Like other bones, sesamoids can break (fracture). In addition, the tendons surrounding the sesamoids can become irritated or inflamed. This is called sesamoiditis and is a form of tendinitis. It is common among ballet dancers, runners and professional athletes.
Treatment for sesamoiditis usually is nonoperative. However, if conservative measures fail, your physician may recommend surgery to remove the sesamoid bone.In most cases the treatment types involves: aspirin or ibuprofen, resting, special exercises, soft-soled, low-heeled shoes, injection of a steroid medication to reduce swelling.
A bunion describes a large bump over the big toe joint that is associated with a common foot condition known as hallux valgus. Besides a bump appearing, hallux valgus causes a shift in the big toe position, causing it to drift toward the lesser toes over time. The usual result is a widened forefoot and a red, irritated bump on the side of the big toe joint. While most bunions are due to faulty foot biomechanics, conditions such as rheumatoid arthritis can lead to a bunion deformity. All physical attributes are usually inefficient and probably, the main effective way to get rid of the bunion is the surgery. If you are scared of it, you will be offered to wear special shoes to minimize the pain under the big toe.
Hallux limitus is a condition that limits the joint range of motion at the big toe joint. In order for the feet to efficiently distribute pressure as we walk, a certain degree of flexibility is needed at the big toe joint. When the big toe joint locks up during gait, arthritis can develop in that joint, further limiting the range of motion. Hallux limitus may result in a bunion, or a bump on the top side of the big toe joint.
The most common form of arthritis that affects the big toe joint is osteoarthritis, caused by wear-and-tear—with typical symptoms of joint pain and stiffness. Osteoarthritis at the big toe joint may develop from problems with foot structure and functioning, resulting in excess wear-and-tear. Trauma such as a fracture or dislocation of the big toe can also result in osteoarthritis. Other, less common types of arthritis that affect the big toe include rheumatoid arthritis and psoriatic arthritis.
Metatarsalgia, also known as stone bruise, is a type of pain and inflammation that occurs in a part of the foot known as the metatarsal (ball of foot). It often occurs in the metatarsal heads – where the three middle toes meet the ball of the foot. It is a common problem which can affect the bones and joints of the metatarsals.