What causes pain in the big toe?
Disease description:
I have flat feet, and my big toe often hurts, especially after walking for a long time. What causes the pain in my big toe?
Doctor's answer (1)
Dr. Chen Jian
Pain in the big toe can be caused by various factors:
1. Trauma: Such as crush injuries or impact injuries, which may lead to soft tissue damage in the big toe, causing localized swelling and pain.
2. Hallux valgus: This is a common foot deformity that causes the big toe to deviate outward. After pressure from shoes or socks, it may cause poor local blood circulation, resulting in pain.
3. Gout: Due to abnormal purine metabolism in the body, excess uric acid accumulates in the toe joints and surrounding soft tissues, triggering inflammation and causing symptoms such as pain, redness, swelling, and warmth.
4. Arthritis: Including types such as osteoarthritis and rheumatoid arthritis, which can affect the joints of the big toe, leading to pain, swelling, and restricted movement.
5. Fracture or injury of the metatarsal head: Trauma such as falling, sprains, or being struck by heavy objects may cause fractures or soft tissue injuries in the big toe, resulting in pain.
6. Flat feet or high arches: Abnormal foot structure may alter foot biomechanics, causing the big toe to bear extra pressure, thus leading to pain.
7. Overuse or sports injuries: Prolonged standing, walking, or participation in physical activities such as running and soccer may place excessive pressure on the big toe, causing pain.
8. Improper footwear: Wearing shoes that are too tight or too loose, or shoes with poorly designed toe boxes, may compress the big toe and cause pain.
