Pain in the joint of the big toe, termed hallux rigidus, is a form of osteoarthritis caused by the wearing away of cartilage between the base of the big toe and the first metatarsal bone of the foot. This condition often affects runners, as the big toe takes the brunt of the continual pounding with each step. Hallux rigidus often develops in runners between the ages of 30 and 60. Some possible causes include having flat feet or overpronation, which is when the foot rolls inward 15 percent or more with each step. Overtraining, a stubbed toe, gout, a toe deformity, or genetics may also play a role in the development of hallux rigidus. Limited mobility and stiffness in the big toe joint are early symptoms of this disorder. In addition, a runner may experience pain and swelling on top of the big toe. Changing to footwear with a larger toe box and stiffer sole can help relieve the pressure on the big toe. Certain medications may also help. A podiatrist can examine the toe, determine the cause of the joint pain, and offer appropriate treatment solutions. It is suggested that you make an appointment today.  

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Arnold Tarpley, Jr. of Tarpley Foot and Ankle Center. Dr. Tarpley can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact one of our offices located in Uniontown, and Connellsville, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.