Foot Pain Behind Big Toe

Foot Pain Behind Big Toe is usually caused by Bunions, Gout, Hallux limitus and rigidus as well as many more. Learn what to do below!

Why Do I Have Big Toe Joint Pain?

Pain in your big toe can ruin your day for sure. The big toe joint is actually called the metatarsal phalangeal joint (MTPJ for short).

This is the joint that connects the big toe to the first metatarsal bone of the forefoot. Even though the joints of the toes are small, they take a lot of weight. With running they can take three times the weight of your body. This is much different than the knee or the hip joint which is very big.

When the big toe joint is hurting you are in for a tough day. Your first metatarsal phalangeal joint takes about 50% of the pressure off the front of your foot running and walking.

These are the most common problems that could be causing your pain.

Most Likely Causes:

Throbbing bit toe pain at night
A bunion is a dislocation of the big toe joint.

A bunion is basically a dislocation of the first metatarsal phalangeal joint. This is medically known as hallux valgus. This is probably the most common cause of big toe joint pain.

A bunion is caused by the big toe joint buckling out, it is usually not a bony growth or tumor. Although this can deftly be associated with arthritis that can also cause this. The extra bone growth is usually known as hallux rigidness.

The problem with a bunion is that your big toe joint which is usually supposed to take off 50% of your foot pressure, no longer does this and puts pressure on different areas of your foot. This essentially leads to a faulty and not properly working foot.

There are many corrections to bunions, and they do not all have to include surgery.

This is advanced arthritis of the big toe joint. This is caused by destruction of the cartilage within the big toe joint.

Osteoarthritis of the big toe joint results from wear and tear or a prior accident or injury. Sometimes there are fancy explanations for this such as rheumatoid arthritis or psoriatic arthritis, but this is within a less than 5% chance of what is causing your pain.

The symptoms of big toe joint arthritis include stiffness swelling and and grinding sensation. If you try been the big toe joint with your fingers, it likely doesn’t been very much an upward direction. It only been straight down.

If this becomes really advanced you will have significant spur formation on top of your big toe joint.

This is a hyperextension injury of the big toe joint.

turf toe is basically a sprain of your big toe joint upward direction. It is usually caused wall running and stopping to quickly in your foot flipping over your big toe while it is planted.

It is very similar to sesamoiditis and your pain is at the bottom of your big toe joint.

This is most common in sports such as football and soccer.

Running on hard surfaces and with athletic shoes can contribute to this injury.

Click on the link above to find out exactly how to take care of this problem.

gout on top of the foot
Gout will just show up suddenly one morning and cause terrible pain.

gout is different from the other injuries because it is not a biomechanical injury to your big toe joint. Gout is a metabolic condition that is due to the chemistry within your body.

People have heard the term gout before a lot, but they don’t really know what it means.

Gout is usually caused by the buildup of uric acid, this is crystals that form most commonly in your big toe joint. Based on what we see, gout builds up in the big toe joint 90% of the time although it is common in other joints as well. It looks like a white cottage cheese like substance.

Sesamoids are the small bones under the big toe joint.

there are two tiny bones underneath your big toe joint. Most people become terrified when they see these on x-rays and think that their broken bones, they are not. They are very similar to the patella on your knee, it is a accessory bone that helps your muscles function better.

These bones are usually injured during a sports such as jumping, ballet and basketball. Lots of up-and-down motion on the front of your foot can you retake these bones.

Sometimes your system when bones can even be broken.

If you feel like you sprain your big toe joint, click on the link above to find out exactly what’s going on. A Sprain big toe joint is very similar to turf toe.

Other Less Common Causes of Big Toe Joint Pain:

Skin or Toenail Issues of the Big Toe:
  1. Toenail is detaching.
  2. Bleeding Big Toenail.
  3. Ingrown Toenail.
  4. Ganglion Cyst on the Big Toe
  5. Bruise Underneath the Big Toenail.
  6. All other Toenail Disorders.
  7. Big Toe and Toenail Cancer.
Associated Conditions to foot pain behind the big toe:
  1. Flat Foot.
  2. Hammer Toe Deformities.

Common Causes of  Foot Pain Behind Big Toe

Foot pain behind the big toe depends on an a couple important variables, is the big toe straight or angled toward the second toe? Is the pain extreme and hot or gradually onsetting and underneath the base of the big toe.

If the toe is curved in and the pain is gradual, then you most likely have a bunion. As the toe bends in the big toe jams against the foot bones improperly and this leads to a great deal of inflammation and foot jamming. If the pain is extreme and onsets one morning without any prior injury, then you most likely have gout.

If the big toe is straight and you usually spend a good deal of time on your feet, then you most likely have hallux limitus or hallux rigidus. This is the when the big toe jams back against the rest of the foot in a straight fashion and causes osteoarthritis.

If the pain is at the base of the big toe joint and you spend alot of time on your feet, then you most likely have sesamoiditis. Sesamoiditis usually results in tibial sesamoid pain and can be treated through our treatment guide very precisely.

There are also a number of generic bumps and sprains that can result in soft tissue problem. Click on the links above to follow through in treating these aches and pain.

Treatment Options for Foot Pain Behind the Big Toe:

Big Toe Joint Fusion:

  • This is usually a final stage treatment option for bunions and hallux rigidus. This usually involves locking up the joint so that it can’t move.

Ganglion Cyst Treatment:

  • If you have a big soft lump forming from the big toe

Hallux Varus Surgery:

  • If your toe is bending inward, this may be your procedure of choice.

Big Toe Joint Replacement:

  • Big toe joint replacement surgery is not always the best option. While this surgery works great, the complications can be higher.

Taping for Turf Toe: