Big Toe Joint, Hammer Toe & Bunionette Problems:
Shooting Pain in Big Toe [Causes, Symptoms & Best Treatment]
Shooting pain in the big toe is usually caused by nerve irritation and pain caused during the day. Learn the 100% best way to get the pain feeling better!
- Big toe joint pain can be improved with a few simple treatment changes.
- We are foot doctors & we see this problem get better almost every day.
- The goal is to solve this problem without medication or surgery if possible.
So, let’s GO!
- The associated photos are pictures of bunions.
- There are multiple stages of bunions ranging from minimal dislocation, to severe dislocation, to severe dislocation with arthritis.
- It is important to note that the sesamoid bones dislocate from the big toe joint, and that it bunion itself is more of a dislocation injury than a arthritic injury.
- Although we frequently see bunions that also have arthritis, and is much more likely.
Please click on the gallery to read description! Feel free to share pictures.
- Shooting pain in the big toe joint is secondary to nerve irritation.
- There are numerous different causes of big toe joint shooting pain: these include bunion pain, arthritis, tendon ligament and joint capsule injury.
- If these structures are agitated than the nerves will be agitated.
- Nerves will cause sharp, shooting and tingling pain in the big toe joint.
- We have detailed a great treatment guide for you for your shooting, sharp, tingling big toe joint pain.
Most Common Causes:
- The bunion is a dislocation of a joint called your first metatarsal phalangeal joint.
- This is more common in women than men, it is most common in the age range of 30 to 50 years old.
- This is associated with unsupportive shoes, standing all day and flexibility.
- Men are more likely to get big toe joint arthritis.
- This is probably one of the most common big toe joint pain causes.
- Click on the above link for all the treatment, diagnosis and causes of bunion pain.
- Gout is a very common cause of big toe joint pain.
- Is gout is known as the Kings disease, as it has to do with the buildup of DNA products called purines.
- If your body is not able to keep up with metabolizing these, they will lead to the buildup of uric acid within the joints.
- The big toe joint is the most common in 90% of cases.
- This is most commonly when you wake up in the morning and your pain is 10 out of 10.
- This is definitely one where you want your podiatrist helping you treat it!
- Hallux limitus refers to the inability to bend your big toe joint upwards.
- This usually precedes advanced arthritis, it is the start of destruction of your cartilage in the big toe joint.
- This is usually the start of big toe joint arthritis.
- Click on the above link for everything you want to know about the condition!
- Hallux rigidus refers to advanced arthritis inside the big toe joint.
- This is one of the most common conditions in the big toe joint behind bunions.
- This is more likely to happen in men than in women.
- This has to do with continued pressure on the big toe joint and poor flexibility throughout the ankle.
- This does not mean that you automatically need to do surgery to treat the condition.
- There are many treatments to relieve the pain and keep you walking pain-free, these include great shoes great orthotics and in some cases surgery.
- This is the inflammation of two bones underneath your big toe joint.
- This is a very difficult name to say! Thus it does not get the credit that it deserves.
- People very high arched feet are very likely to get this condition.
- We see this quite a bit in basketball players that push off with their big toe joint to jump.
- Sesamoiditis refers to the inflammation of the two bones called sesamoids.
- These boats can also be broken, sprained or just inflamed.
- Turf toe refers to the stretching of the ligaments of the big toe joint.
- This is one of the most common foot injuries while playing sports. This happens to athletes that are running full speed and try to stop very quickly and band across their big toe joint.
- This is very common in athletes such as soccer or football players.
- There are many stages and many different treatments for this condition.
- A broken toe is very common,sometimes it can be broken without significant force.
- In most cases it is very obvious when you broke your big toe joint.
- This is deathly something you want to see a podiatrist for, as it can have long-term consequences and get you off work long-term.
- If left untreated, it is very common to lead towards cartilage or destruction and potentially arthritis of the big toe joint.
- Click the above link to find out what you need to do and if you should see your podiatrist.
- There are many different causes of a swollen big toe joint, some of them are listed on this page.
- This is also very common in people that have fluid retention and swollen ankles.
- There are many many causes for this.
- If it is only in one foot but not the other, it likely has to do with an injury.
- The above link will show you even more causes.
- A dislocated toe is the function of two major causes.
- With bunions we do see this very commonly, especially on x-ray. It could be a major cause for the big bump on your big toe joint
- One is a very severe bunion, that can lead to dislocation of the big toe joint.
- The second cause is significant trauma likely to fracture or tearing of the league of the big toe joint
- Hallux varus is a condition where your big toe joint bends inward, this is the opposite of a bunion for me.
- This is most common in people who have had bunion correction surgery.
- It is also common people that have nerve disorders or spasticity potentially.
- This is not the most common cause of big toe joint pain.
- The flexor hallucis tendon is along tendon that extends from the tip of your big toe joint along the bottom.
- This tendon is responsible for bending your big toe downward.
- If you spend a lot of time pushing off the ground, this may be very sore.
- This is a very large powerful and important tendon.
- In some sports such as dancing and for ballerinas, is very important and frequently injured muscle.
- Foot arthritis is usually caused by repetitive injury, or destruction of the cartilage within the joint.
- This is very very common inside the big toe joint, here is a picture of what it looks like.
- This is a very common condition that we see very regularly.
- Click on the link above to see what big toe joint arthritis looks.
Best Bunion Relief Infographic:
Big Toe Joint Injury or Surgery Treatment:
- If you think you might have severe turf toe, a severe tear or sprain, a broken big toe joint or broken big toe, or you have just had surgery: this guide may be able to help you!
- Just make sure to check with your podiatrist because a severe injury will require imaging, bio-mechanical evaluation and a good discussion to prevent anything from going more wrong.
- For surgery purposes make sure to discuss with your podiatrist To see what is recommended, as every surgery is unique and there are pros and cons to all treatment methods.
Big Toe Joint Fracture, Sprain or Surgery Products:
- If you have a traumatic injury such as a broken bone or ligament tear, these products may be able to help you.
- The best way to do this is of course to see your podiatrist and get evaluated with an x-ray, ultrasound and potentially even an MRI or CT scan.
- If you are unable to do so it may benefit you to be in a cast, fractured boot, or even keep the weight off of it with a rolling knee scooter or other protective devices.
- We as podiatrists frequently take patients off work for very long period of time when they suffer a traumatic injury, unfortunately there is no other way around us in labor jobs.
- If you have a sit down job there are ways to get people back to work quicker, but this can be very difficult otherwise.
- Just remember these injuries can take a very long time specifically 2 to 3 months or more to come back from if you’re going to be on your feet all day. There is a long recovery time and healing time in most cases.
Big Toe Joint Injury & Surgery Immobilization:
- There are pros and cons to using a boot to treat your big toe joint injury. If you are immobilized too long the cons are that you will gradually become stiff and overworked to your other leg. The Pros are that you injured heel will hopefully have a chance to gradually heal!
- Our favorite fracture boots and their supplies:
Big Toe Arthritis and Hallux Rigidus:
- One of the best treatment options for a stiff big toe is a stiff orthotic.
- The big toe can become arthritic, and what causes the pain is the bone grinding on a joint that cannot move.
- Getting a rigid carbon insole, can make a very big difference in preventing the bend of the big toe joint.
- Out of the big toe joint products in the next table, the carbon insole is one worth looking at for relieving big toe joint bed.
- A good over-the-counter orthotic can provide a similar result, and we would otherwise prefer those.
Offloading and Scooter Treatment:
- If you cannot use your foot, and it further needs to be immobilized: we have found success with offloading the scooters in these products.
- Crutches can be difficult long term, whereas scooters can really help you get around and to work if you have a sit down job in this been okay-ed with your podiatrist.
- These are our favorite knee scooters and walking devices:
Best Big Toe Joint Products:
- There are usually two phases to treating big toe joint pain
- The two phases of treatment include controlling the acute inflammation with protection, and correcting the bio-mechanics which led to the problem in the first place.
- If the tendons, joint and ligaments are inflamed, they are almost frozen in place and cannot function properly.
- Inflammation can mean damage as well, in this most likely needs to be protected as the big toe joint is a heavily relied upon weight-bearing joint. So consider discussing with your podiatrist the need for and offloading surgical shoe or boot.
- Once the inflammation is decreased, we need to correct the bio-mechanical causes to ensure that they can never become over worked and inflamed again!
- The key with an injury or surgery is to keep it protected initially, and when the bone and tendon heels, to get moving before stiffness can set in.
Best Bunion Specific Products:
- There are no perfect bunion treatment products.
- Most people end up disappointed after spending a lot of money on bunion pads, bunion gel pads, expensive bunion correctors and bunion splints!
- The truth is a bunion is a biomechanical injury, it is because the foot is flattening out and ankle is flattening out causing the pain.
- Having a gel pad on the big toe has very little chance of fixing the deformity, although it can stop the rubbing and relieve a lot of the pain.
- This is why people sometimes where the splints and correctors, it holds the toe straighter so that the tissue and were’s and have left pain.
Big Toe Joint Inflammation Control:
Massage & Ice Products:
- Ice is the an excellent option that can be safe for almost everyone.
- There is some debate whether icing is worth doing, but for chronic pain this can help limit the need for medications and keep your options open.
- This works great for your arch, less for the ball of the foot.
- The more muscle and ligament tissue there is, the better ice will work there.
Menthol Based Gels:
- Biofreeze is one of our favorites.
- This can work well as a cream or gel option for your big toe joint pain.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- This can be very effective for bottom of the heel and Achilles tendon sore regions.
- These can work great for loosening your muscles.
- This is not to be uses directly onto you foot, but to help take pressure off of the front of the foot.
- This allows less tightness and pressure on the ball of your foot.
- This is very effective for the arch, the gastrocnemius or calf muscle and for the hamstring and thigh muscles.
- This also works very well for the gluteus muscles if you are having butt cheek or hip pain.
Remove the Big Toe Joint Pressure:
- The key is to prevent future pain and to keep pressure off of the big toe joint.
- This means keeping you active while keeping stress off of your big toe joint. This will prevent future bunions, sesamoiditis, turf toe and even big toe joint arthritis!
- 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.
- The best way to ensure that your big toe joint, hammertoes and foot and ankle ligaments are not overworked is to support them.
- The best way to support them is to use great orthotics and great shoes.
- Some people may also need to rely on supportive ankle braces and other supportive modalities.
Best Big Toe Joint & Flat Foot Shoes:
- Getting a great supportive pair of shoes will make sure that there is no further pressure onto the ball of your foot and the big toe joint region.
- This is especially important if you have plantar fasciitis, heel spur pain or Achilles tendonitis.
- Consider shoes combined with a good supportive orthotic for best pain relief!
- We have found shoes and orthotics to be one of the most effective ways to reduce bunion and hammer toe pain.
- The following link will show you what our favorites are.
Best Big Toe Joint & Flat Foot Orthotics:
- These are our recommended orthotics for offloading the big toe joint.
- Custom orthotics can work very well, but they should not be a first line of treatment. Custom orthotics can cost a lot of money, over the counter orthotics can be a great introduction to foot control and to prevent pronation.
- There are different types of orthotics for different types of shoes.
- Women’s shoes usually need a less bulky orthotic, but allow for less correction of your big toe joint and ball of the foot pain.
- A full length orthotic requires a running shoe, boot or comfortable walking/dress shoe.
- We recommend doing everything you can to get a good supportive shoe that can fit a full length orthotic. This will get you the best results for your bunion, hammer toes and bunionette.
- This is the best way to maximize your orthotics for great results.
Best Full Length Orthotics:
- These will only work in wider shoes or a good supportive running shoe.
- This will not work in sandals, flats or most women’s dress shoes.
Best Dress Shoe Orthotics:
- These are a great choice for dress orthotics.
Best 3/4 Length Orthotics:
- These are great options for women’s dress shoes and thinner shoes.
- These are not the most supportive pair of orthotics.
Get A Great Dynamic Stretch:
- The goal of getting a great stretch is to improve your ankle flexibility and prevent ball of the foot pain and big toe joint pressure.
- It is possible to stretch on your own, but these products can also really help!
- This will take pressure off of the ball of your foot.
- We personally prefer this method of stretching.
Get A Great Static Stretch:
- These devices are great for stretching while you are resting.
- This will also help take pressure off of the ball of your foot.
- This works great for plantar fasciitis, but can also make your ankle more flexible to remove pressure from the ball of your foot!
- It can be used while watching TV or at night time.
Big Toe Joint, Hammer Toe & Bunionette Problems: