Pain under the base of the big toe may be caused by two small bones, called sesamoids. They sit beneath the end of the long bone that connects to the big toe. The tiny bones help the big toe move and absorb pressure as the foot pushes off the ground. In some cases, a sesamoid bone is fractured or shifts from its usual position. Dancers, certain athletes, and runners face a higher risk because their activities place repeated pressure on the front of the foot. High arches, bunions, and frequent wearing of high-heeled shoes can also increase strain in this area.
Pain from sesamoiditis is usually centered under the big-toe joint and can develop gradually. It may become sharper when walking, running, or bending the big toe upward. Walking barefoot can be painful because there is little protection beneath the sore area. Wearing thin-soled and high-heeled shoes can also make symptoms worse. The skin near the joint may appear red, warm, or swollen. These signs can resemble a fracture, arthritis, or gout. Continuing to place pressure on the area can limit movement and make a patient change how the foot meets the ground.
A podiatrist can examine the painful area, check big-toe movement, and evaluate the way pressure moves through the foot. X-rays can help identify a fracture, arthritis, or a change in the position of a sesamoid bone. An MRI scan or another imaging test can provide more detail when the source of pain remains unclear. A podiatrist can provide offloading pads, prescribe custom orthotics, or recommend shoes with thick soles and lower heels. A podiatrist also may suggest taping, a brace, or a walking boot to limit painful movement while healing. Surgery is rarely considered, but it can be an option for severe damage that does not improve with other care. If you have symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact Carrie Frame, DPM of West Virginia Foot & Ankle. Our doctor 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 contact our office located in Charleston, WV . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
