What causes pain in the big toe?
Disease description:
My big toe has been hurting recently, and the pain worsens slightly when walking. I also notice some redness and swelling around the joint. Why is this happening?
Doctor's answer (1)
Dr. Chen Jian
Pain in the big toe can be caused by various factors. Below are some common causes along with brief explanations:
1. Trauma: Injuries caused by direct impact or stress fractures due to high-intensity loads are commonly seen in athletes, military personnel, or individuals who stand for prolonged periods.
2. Overuse: Long-term wearing of high heels or tight shoes can easily lead to overuse injuries or acquired hallux valgus deformity.
3. Paronychia: Infection caused by bacteria or fungi, presenting as localized redness, swelling, warmth, pain, and even pus formation.
4. Onychomycosis: A fungal infection that causes pain due to friction on the toe during walking.
5. Bunion (Bursitis): This is an inflammation affecting the joint at the base of the big toe, usually caused by wearing tight or ill-fitting shoes, genetic factors, or prolonged standing and walking, leading to discomfort in the big toe.
6. Gouty Arthritis: Frequently affects small joints; typical symptoms include burning, swelling, and pain in the toes.
7. Osteoarthritis: May be caused by overuse or joint degeneration.
8. Diabetic Foot: Peripheral nerve and vascular complications caused by diabetes lead to abnormal blood supply to the toes, resulting in pain and consequently pain in the big toe.
10. Footwear-related factors: Wearing tight or ill-fitting shoes can also trigger pain in the big toe.
If pain in the big toe persists, it is necessary to visit a qualified hospital for medical evaluation.
