Pain in the Small Toes
Causes, Symptoms & Best Home Treatment
Pain in the small toes can be very correctable. Top causes are: #1) Hammer Toes, #2) Neuroma or nerve pain, #3) Plantar plate pain & MORE. Learn to FIX IT!
Ball of the Foot Pain
Why Do I Have Foot Pain Near Small Toe Video
Pain Bottom of the Foot Near Small Toe Causes:
Ball of the Foot Pain Pictures & Photo Gallery
- Metatarsalgia: which means generalized foot pain without a specific cause.
- Second toe capsulitis: this is the inflammation of the second toe joint capsule.
- Capsulitis is related to hammertoe formation, and can lead to a plantar plate tear. There is some overlap between these three disorders. As they get worse tearing and ligament damage can occur.
- Morton’s neuroma: this is the damage and inflammation to the nerves between and underneath the metatarsal joints.
- Fat pad atrophy of the ball of the foot: this is the loss of cushioning in the ball the foot.
- Plantar Plate Tear: A plantar plate tear is ripping of the ligaments holding the toe together.
So, click on the photo gallery to see the specific causes of your ball of the foot pain!
Top 6 Causes of Ball of the Foot Pain:
Capsulitis:
- This is inflammation of the joints in the ball of the foot.
- This presents as an aching pain that gets worse with increased standing and activity.
- This most commonly occurs at the second metatarsal phalangeal joint. It is due to overuse and injury to the capsule and tendons.
Metatarsalgia:
- This is generalized pain in the ball of the foot. This is due to biomechanics overloading the front of the foot.
- This is a term used to cover all of the ball of the foot problems.
- Treating this condition should make most of the ball of the foot problems feel better.
Morton’s Neuroma:
- This is an aching, burning, and throbbing pain in between the 3rd and 4th MPJ joints.
- This can result secondary to a nerve impingement in the bulb foot.
- This is a pervasive problem that we see frequently.
Metatarsal Stress Fracture:
- This pain appears in runners or people who put a lot of pressure on their feet.
- This almost always happens after a period of inactivity, followed by heavy-duty training or work for a few days or weeks.
- Stress fractures occur as there is too much pressure and repetitive loading of the metatarsal bones.
- This is a widespread problem that can take 6 to 8 weeks to get better with the correct treatment.
Plantar Plate Pain:
- The plantar plate is a structure that holds the bottom of the metatarsal phalangeal joints together.
- This may become stretched out in tears over time.
- This can eventually lead to crossover toes, especially the second toe crossing over the big toe.
- This causes pain at the bottom of the second metatarsal phalangeal joint, the third metatarsal phalangeal joint, and the fourth metatarsal joint.
Hammertoe Pain:
- A hammertoe is the curvature or contractor of the toes.
- This happens due to an imbalance of the tendons anchoring into the toe.
- There are three types of hammertoes.
- These are called hammertoe, the claw toe, and the mallet toe.
Causes:
- Pain in your small toes is usually due to a condition known as hammer toes, this is when your toes become arched like claws. Hammer toes can be reversible if they are still flexible or bend-able, but once they become rigid and you cannot bend them then more extreme measures must be taken.
- Black or bleeding toenails can occur due to stubbing the toe and blood filling underneath the nail. This will lead to pain due to the buildup of pressure under the nail. There is a chance that the toe may be broken, so there are a couple ways to find out if the toe is just swollen and bruised or broken.
- Corns and calluses will likely develop on the top and the bottom of the toes if the hammertoes are left to become rigid and are not treated for a period of time. A blister could also develop if you put your rigid hammertoes through a good amount of trauma such as a long run.
- Predislocation syndrome is related to crossing toes and it is due to the rupture of the deep transverse intermetatarsal ligament either becoming stretched or tearing altogether.
Pain in the Small Toes:
Most Likely:
- Hammer Toes
- Black or Blood under the Toenail
- Broken Toe
- Swollen Toe
- Foot Corn
- Foot Blisters
- Callus Foot Pain
- Predislocation Syndrome
- Crossing Toes
- Foot Arthritis
- Long Second Toe.
Ball of the foot:
- Capsulitis
- Metatarsalgia
- Morton’s Neuralgia
- Metatarsal stress fracture
- Sesamoiditis
- Predislocation Syndrome
- Turf Toe
- Flexor Tendonitis
- Dislocated Toe
5th Toe:
- Tailors bunion
- Cavus Foot
- Swollen Toe
- Jones Fracture
- Peroneus Brevis Tendinitis
Associated Conditions
- Flat Foot – This is at the center for almost all foot problems- it is related to being overweight, not stretching for many years and it will eventually always lead to many problems in the feet, especially pain in the small toes.
Ball of the Foot Pain Treatment Infographic

Ball of the Foot Home Treatment:
- Consider taping, orthotics, and great shoes as a combination to fix your foot problem.
- Products are not always necessary to fix your problem.
- The key is correcting the biomechanical problems that are leading to forefoot overload.
- Foot overload means too much pressure in the ball of the foot.
- Generally, something called ankle joint equinus can lead to too much pressure in the ball of your foot. This means your ankle is not flexible enough to move up and down.
- Ball of the foot pain treatment consists of two phases, first is control inflammation, next is to control bio-mechanics.
Remove Control Inflammation:
Massage & Ice Products:
- The metal ball is one of my personal favorites.
- This works great for your arch, less for the ball of the foot.
- These can help relax the arch or heel ligaments, leading to less pressure in the ball of the foot.
- Pills, creams, and ice will never completely fix your problem alone. What they will do is reduce the pressure on the area.






Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- Consider using these as options when resting on the couch or going to sleep at night.








Massage Sticks:
- These can work great for loosening your muscles.
- This is means for your hamstring and calf muscles. This can loosen the ankle tightness, putting pressure on the ball of your foot.
- This allows less tightness and pressure on the ball of your foot.






Ball of the Foot Stress Relief.
- The key is to prevent future pain.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- This means proper cushion, proper stability, and pressure relief from the front of your foot.
- This will relieve pressure from your big toe, your 2nd toe, your Morton’s neuroma, your plantar plate, hammertoes and joint capsules.
Best Metatarsalgia Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the ball of your foot.
- This is especially important if you have metatarsalgia, Morton’s neuroma, 2nd metatarsal overload syndrome, and capsulitis!
- Consider shoes combined with a good supportive orthotic for the best pain relief!
- The following link will show you what our favorites are.
Best Ball of the Foot Insoles:
- These are our recommended orthotics & insoles.
- There are different types of different shoes.
- Women’s shoes usually need a less bulky orthotic but allow for less correction.
- A full-length orthotic requires a running shoe, boot, or comfortable walking/dress shoe.
Best Full-Length Orthotics:
- Full-length orthotics are the most recommended type for the ball of the foot pain.
- Be aware that if they are too uncomfortable, it might be worth starting with a less corrective pair.
- Eventually, you can then work your way up to these.








Best Dress Shoe Orthotics:
- These are a stronger option for shoes with tight dress shoes.
- Just be aware that less corrective orthotics & tight shoes are usually not a good combination.






Best 3/4 Length Orthotics:
- These may be a good option for the ball of the foot if the full-length orthotics are too tight or too uncomfortable.


Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- Personally, I have the stationary block set up in my kitchen to stretch every day multiple times while getting my coffee!
- This will take pressure off of the ball of your foot.








Step Smart: Trusted Foot & Ankle Solutions
Relief starts with the right information.
Ball of the Foot Pain
Why Choose Balance Foot & Ankle Specialist in Howell and Bloomfield Hills?
Our experienced podiatric surgeons combine precision, care, and innovation to deliver successful outcomes in flatfoot reconstruction. With modern facilities, patient education, and compassionate care, we’ve become the trusted choice for foot and ankle surgery in Southeast Michigan. We’re committed to restoring your stride—comfortably and confidently.

FAQ: Understanding and Treating Pain in the Small Toes
Pain in the small toes can be caused by pressure from ill-fitting shoes, repetitive stress, minor trauma, arthritis, bunions, hammertoes, or nerve-related conditions like neuropathy. Flat feet and abnormal gait can also contribute to pain by altering toe alignment.
Yes, tight or narrow shoes often squeeze the toes, causing corns, calluses, blisters, or nerve irritation in the pinky toe. Continuous pressure can lead to chronic pain or deformities like tailor’s bunion.
Absolutely. Tight or unsupportive shoes can aggravate tendons and joints near the big toe.
Common conditions include tailor’s bunion (bunionette), hammertoes, corns, calluses, Morton’s neuroma, nerve entrapment, arthritis, and small toe fractures or dislocations.
A stress fracture typically causes localized, sharp pain with swelling, especially during walking. Nerve issues like neuroma or tarsal tunnel syndrome may cause burning, tingling, or numbness. A podiatrist can diagnose the root cause with imaging and exams.
If the pain persists for more than a week, worsens with activity, interferes with walking, or shows signs of deformity or discoloration, it’s best to consult a foot and ankle specialist for a proper diagnosis and treatment plan.
Yes, bunions and hammertoes often affect toe alignment and pressure distribution, leading to pain in adjacent toes. Hammertoes, in particular, cause the toes to bend abnormally, creating friction and discomfort in footwear.
Treatment may include custom orthotics, shoe modifications, physical therapy, toe splints, padding, anti-inflammatory medications, corticosteroid injections, or surgery in severe cases.