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Often, the injury occurs when someone or something falls on the back of the calf while that leg's knee and tips of the toes are touching the ground. The toe is hyperextended and thus the joint is injured. Additionally, athletic shoes with very flexible soles combined with cleats that "grab" the turf will cause overextension of the big toe.
Because the big toe is more important for weight-bearing, balance, walking, and running, breaks to the big toe are more likely to be problematic. [8] [10] If the big toe is stubbed and breaks, it usually breaks the distal (outermost) bone. A crushing injury can break both big-toe bones. [10]
In such situations, the toe is strained against the front of the shoe and results in an abnormal twist. [7] Relieving pain, pressure, changing shoe wear or wearing a type of shoe insert is adequate for most people. Gout often presents with pain and tenderness at the base of the big toe. Generally women are more prone to gout after menopause.
Hallux rigidus or stiff big toe is degenerative arthritis and stiffness due to bone spurs that affects the metatarsophalangeal joints (MTP) at the base of the hallux (big toe). Hallux flexus was initially described by Davies-Colley [ 1 ] in 1887 as a plantar flexed posture of phalanx relative to the metatarsal head.
A bunion, also known as hallux valgus, is a deformity of the MTP joint connecting the big toe to the foot. [2] The big toe often bends towards the other toes and the joint becomes red and painful. [2] The onset of bunions is typically gradual. [2] Complications may include bursitis or arthritis. [2] The exact cause is unclear. [1]
The sesamoid bones act as a fulcrum for the flexor tendons, the tendons which bend the big toe downward. Symptoms include inflammation and pain. Sometimes a sesamoid bone is fractured. This can be difficult to pick up on X-ray, so a bone scan or MRI is a better alternative. [1]
Morton's toe is the condition of having a first metatarsal bone that is shorter than the second metatarsal (see diagram). It is a type of brachymetatarsia. [1] This condition is the result of a premature closing of the first metatarsal's growth plate, resulting in a short big toe, giving the second toe the appearance of being long compared to the first toe.
High-heeled, tight, or narrow shoes can make pain worse. This is common in runners, particularly of long distance. The ball of the foot takes a lot of weight over the years and if running on pavement or running in ill-fitting running shoes, the odds of developing Morton's neuroma increase. Changing to shoes that give the toes more room can help.
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