Podiatrist (Foot and Ankle Specialist) Questions Toe pain

Right below my big toe hurts when putting on my shoes. What should be done?

On the top of my foot, right below my big toe hurts when I put on my shoes. It doesn't hurt at any other time and I am walking just fine. What is this and what can I do?

8 Answers

First, check the size of the shoe. Second, go see a podiatrist to have a biomechanical evaluation.
You need to go to a podiatrist to find out why your big toe hurts. There are many possible causes such as a bone block in the toe (hallux limited), ganglion cyst, bone spurs, tendinitis, etc.
You need to go to a podiatrist to find out why your big toe hurts. There are many possible causes such as a bone block in the toe (hallux limited), ganglion cyst, bone spurs, tendinitis, etc.
Probably Sessamoiditis, which would require foot surgery! But padding should be applied at first.
I would suggest to you, you should check inside of your shoes to make sure there is no nail or wire inside of the shoes.
Get an X-ray to make sure there is nothing under the skin on the bone, i.e., bone spur, which can form leading to pain under the nail, especially when shoes applied which cause more pressure. Lots of treatment options available for this common complaint. Stop being in pain.
This could represent many things. Starting from superficial to deep, the questions that must be asked include is there any changes of the overlying skin to include callus, skin rash or eruption. This can cause focal sensitivity with outward pressure. Immediately deep to the skin resides the extensor tendon to the great toe. If this becomes prominent it can produce
local irritation and sensitivity and tendinitis. In the surrounding soft tissue are the neurovascular bundles. Local pressure can produce nerve irritation and neuritis. Finally deep to this are the structures of bone and joint. Local bone spurs and degenerative arthritis can cause focal tenderness, but this would also most commonly occur with activity. I would suggest that if symptoms become increasingly worse to include involvement in activity or increasing pain you would be best served having evaluation by medical provider. If it is found that this is being impacted by a singular shoe or a certain style of shoe then these should be avoided.
Your condition could be a number of things. I would need to examine your foot to get a clear picture of what is going on. Most commonly at the big toe joint I see bunions (hallux valgus) or arthritis (hallux limitus), both which have specific treatment protocols.

Thank you and have a great day.