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Published on: 11/18/2024

What Are the Possible Causes of Toe Pain

Toe pain can arise from various causes, including injuries, structural issues, infections, and underlying medical conditions.

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Explanation

Common Causes of Toe Pain:

  • Injuries: Trauma to the toe, such as fractures, sprains, or bruises, is a common cause of pain. Injuries can occur from stubbing the toe, dropping heavy objects on it, or participating in sports. Symptoms may include swelling, bruising, and difficulty moving the toe.
  • Bunions: A bunion is a bony bump that forms at the base of the big toe, causing it to angle toward the second toe. This condition can lead to pain, swelling, and difficulty wearing shoes. Bunions often develop due to genetic factors, improper footwear, or arthritis.
  • Gout: Gout is a type of arthritis caused by the buildup of uric acid crystals in the joints, often affecting the big toe. It can cause sudden, severe pain, redness, and swelling. Gout attacks can be triggered by certain foods, alcohol, and dehydration.
  • Ingrown Toenails: An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, leading to pain, redness, and swelling. This condition can be caused by improper nail trimming, tight footwear, or injury.
  • Morton's Neuroma: This condition involves the thickening of tissue around a nerve leading to the toes, often causing pain, burning, or tingling sensations in the ball of the foot and toes. It is commonly associated with wearing tight shoes or high heels.
  • Arthritis: Various forms of arthritis, including osteoarthritis and rheumatoid arthritis, can cause pain and stiffness in the toe joints. Symptoms may include swelling, tenderness, and reduced range of motion.
  • Infections: Infections, such as fungal infections (like athlete's foot) or bacterial infections, can lead to pain and discomfort in the toes. Symptoms may include redness, swelling, and discharge.

When to Seek Medical Attention:

If toe pain is severe, persistent, or accompanied by other concerning symptoms such as fever, swelling, or inability to bear weight, it is important to seek medical attention. A healthcare professional can perform a thorough evaluation, including physical examination and imaging studies, to determine the underlying cause and recommend appropriate treatment.

(References)

  • Andrews NA, Ray J, Dib A, Harrelson WM, Khurana A, Singh MS, Shah A. Diagnosis and conservative management of great toe pathologies: a review. Postgrad Med. 2021 May;133(4):409-420. doi: 10.1080/00325481.2021.1895587. Epub 2021 Apr 4. PMID: 33622169.

  • Ray J, Andrews NA, Dib A, Harrelson WM, Khurana A, Singh MS, Shah A. Management of acute lesser toe pain. Postgrad Med. 2021 Apr;133(3):320-329. doi: 10.1080/00325481.2021.1873581. Epub 2021 Jan 18. PMID: 33406375.

  • Becker BA, Childress MA. Common Foot Problems: Over-the-Counter Treatments and Home Care. Am Fam Physician. 2018 Sep 1;98(5):298-303. PMID: 30216025.

  • Cooper MT. Common Painful Foot and Ankle Conditions: A Review. JAMA. 2023 Dec 19;330(23):2285-2294. doi: 10.1001/jama.2023.23906. PMID: 38112812.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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