Pain at the Base of the Middle Toes

Pain at the Base of the Middle Toes

The Pain at the Base of the Middle Toes can either be from your big toe, the big toe joint, the lesser toes or the lesser toe joints. This guide illustrates what are the most likely causes of the pain at the base of the toes.




1)Pain at the Base of your 2nd, 3rd and 4th Toes

Pain at the base on the second, third of fourth toes is usually due to a few common causes which I will list from most common:


Pain at the Base of the Middle Toes
Pain at the base of the middles toes is usually referred to as ball of the foot pain or metatarsalgia.

A) Pain in the actual toe or toe joint

Second toe pain is one of the most common sites of foot pain because anatomically this is the site of the longest and most rigid bone in the forefoot.

It is the most common site for ball of the foot pain because as you can see in the X-ray, the 2ndmetatarsal is the longest of the metatarsals and as you lean forward on your forefoot, most of the weight will be absorbed into the second toe joint leading to pain.

Thus, the second toe joint is the most likely spot for ball of the foot pain, stressfractures, corns, calluses, pre-dislocation syndrome and crossing toes.

B)Pain in the joint originating from the ball of the foot rather than the second toe.

If the pain is more at the base of the joint of the toe (where the toe comes out of your foot), then you must consider for the possibility of ball of the problems rather than just toe itself.

It is probably difficult to diagnose this by yourself, but try and feet around at the bottom of your foot to see if the pain is coming more from this region rather than the actual toe itself.




Ball of the Foot Pain Causes:


2)Pain at the Base of your Big Toe

If the pain you are experiencing is at the base of your big toe then you may have the following conditions which I will list from most common to least common:




For more on the Pain at the Base of the Middle Toes:

Hammer Toes



About the author

The Modern Podiatrist (Foot and Ankle Specialist Doctor):Today's podiatrist is required to undergo rigorous medical training that licenses them as physicians with equivalent legal standing to the MD and DO degree (These are physician recognized licenses most common only in the USA). Although admittedly the training does differ between the three degrees. The differences are listed below.In Michigan Podiatrists are trained and authorized to perform surgery in the foot and ankle up to the tibial tubercle below the knee.All our podiatrists and foot doctors have undergone rigorous training including a 4 undergraduate college degree, writing the medical school entrance exam (MCAT), followed by a 4 year medical school degree (DPM - Doctor of Podiatric Medicine),Once podiatrists in the USA complete the rigorous 4 year medical school courses, they are required to complete a minimum of 3 years of a surgical and non-surgical residency program. Some podiatrists and foot doctors then choose to go on to further fellowship training specializing in various forms of specialty such as diabetic surgery or reconstructive foot and ankle surgery.The training is not over yet! Each podiatrist must be judged by a governing body where they submit their surgical cases and are reviewed regularly to ensure excellent results. This is a career long evaluation with board qualifications and certifications every few years.So have faith that today's podiatrist is your best choice for your foot and ankle problems! We are able to approach you foot and ankle problems from a non-surgery perspective, but that when necessary we can provide you with the treatment that you need!All articles written by this account are considered to be for educational purposes only. It is impossible for us to truly assess your condition and the advice we give here is meant to give you a basis to then follow up with your podiatrist and foot doctor later.If you have any questions at all, or there is anything that we can help you with, please feel free to contact our office or email us. Podiatrists provide medically necessary treatment which should be covered by valid insurance plans, we are not a cosmetic or elective medical specialty.