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Shooting pain in toes

24 Jun 18

If the patient really wants to live, doctors are powerless.

Shooting pains in legs.

Causes . This condition is popularly known as sciatica . The pain, which begins in the back and then shoots down to the legs, may be accompanied by a tingling or crawling sensation. In addition, there may be increased abnormal sensitivity of the skin of the legs, when even a light touch causes a sensation of pain. Sometimes patients feel weakness in the muscles of the thighs and legs. Coughing, sneezing and exercise worsen the condition.

Sciatica occurs when the sciatic nerve or part of it becomes compressed for any reason. True sciatica is a disease that depends on anatomical causes, that is, on structural changes. Most often it develops from a displaced or ruptured intervertebral disc . In this case, the displaced disc presses on the sciatic nerve; or the compression occurs from an anatomical narrowing of the spinal canal, which causes compression of the nerve roots.

Narrowing of the spinal canal usually affects people over 50 years of age. Sciatica can also be caused by spindylolisthesis (a defect in which the vertebrae are displaced from their normal location), a tumor, or a fracture of the spine.

Even if you experience shooting pains in the back of your legs, this is not necessarily true sciatica. 90% of patients suffering from shooting pains in the legs experience them for other reasons. Pain may occur due to swelling of the surrounding tissue along the sciatic nerve, which may cause transient irritation.

The disease is often caused by the profession and personal habits of the patient, says Dr. Abraham. “A person who sits in one place for a long time, such as a truck driver, or repeats the same movements year after year, such as a bricklayer or mechanic, may get sciatica. I have observed and treated several men who were in the habit of carrying a wallet in their back pocket and whose work required them to sit for long periods of time during the day. The wallet, through the soft tissue of the buttock, compressed the sciatic nerve and thereby caused pain. As soon as the wallet was transferred to another pocket, the pain went away.

What to do . Doctors say that if you have had one minor episode of such pain, then you do not need medical help. But if the pain, having arisen, continues for several days, then you need to see a doctor.

If the painful condition goes away in 7-10 days, then further treatment . If the pain does not subside, then you need consultations with specialists - an orthopedic surgeon, a physiotherapist, a neurologist and a neurosurgeon - to find out the specific cause of the disease. The examination in most cases includes an x-ray, computed tomography, scan or lumbar puncture (lumbar puncture). In a small percentage of cases, an anatomical cause is found, such as a slipped or ruptured disc or narrowing of the spinal canal, in which case surgery will likely be required.

But in the vast majority of cases, there are no miraculous healing methods. The patient has to change his lifestyle or give up at least some habits, for example, sit less, move more. Dr Abraham suggests the best exercises are stretching, yoga and swimming. In the simplest cases, just move your wallet from the back pocket of your trousers to the inside pocket of your jacket!

What are the causes of toe pain?

Pain in the toes bothers many people. Medical statistics are relentless. According to her data, the number of young people who turn to doctors with this problem has increased sharply in recent decades.

Toes, like other joints, hurt for a reason. Why does this unpleasant symptom occur? Typically, there are several reasons:

  • arthritis;
  • arthrosis;
  • blood flow disturbance;
  • bursitis;
  • neuroma, fasciitis;
  • diseases of the spine, hernia in the lumbar region;
  • injuries.
  • Chronic or acute inflammation of the joint manifests itself not only during the day, but also at night, which begins to manifest itself at 3-4 hours. Arthritis is a consequence of one of the systemic diseases, such as:

  • rheumatism;
  • lupus erythematosus;
  • psoriasis;
  • metabolic disease;
  • autoimmune pathologies.
  • A person is able to independently determine the specifics of the disease if he listens to his body. For example, with psoriatic arthritis, the most common problem is the big toe. True gout, which primarily affects the stronger sex, has the same symptom.

    A degenerative process that results in the destruction of cartilage on the surface of the joint. In addition to pain, this disease is characterized by crunching in the joints even with the slightest movement, stiffness after a night's rest, and painful seals along the edges of the joint space.

    Daily pain, numbness, loss of mobility. What other symptoms are typical for numerous toe diseases?

    Women are more likely to suffer from arthrosis of the big toe. A long-term habit of wearing high-heeled shoes with narrow toes is to blame. As a result, the joint becomes deformed, loses sensitivity and mobility, and the finger becomes bent. If the disease is advanced, the finger finally loses its motor function, and you can only “put it back in place” with the help of your hands. The inflammation spreads further to cover the second and third toes. Foot deformation occurs. Arthrosis in an advanced stage is practically untreatable.

    One of the symptoms is loss of sensation, characteristic pain when moving the toes. Impaired blood flow and inflamed nerve endings make themselves known at night when the feet begin to “burn.” A person feels a burning sensation and discomfort in the toes.

    Painful sensations cover the base of the fingers. This neurotic disease is often inherent in the fairer sex. The reason is injuries, wearing uncomfortable shoes. As a result of a pinched nerve, traumatic neuritis develops. Numerous injuries and physical activity aggravate the situation. When walking, painful sensations arise that cover all the fingers. They spread to the foot and calf.

    Impaired blood circulation can result from diseases such as atherosclerosis of the arteries of the legs, endarteritis. The lack of oxygen and nutrients that the tissues and joints of the legs receive less of causes pain, numbness, and paleness of the skin. The fingers become cold, lose mobility and sensitivity. Nails crack, break, hair falls out on legs. With endarteritis, a person suffers from intermittent claudication. After taking a few steps, he suddenly feels a sharp pain in his foot, toes, numbness, and heaviness. Symptoms also disappear suddenly and reappear after a short period of time. Coldness in the lower extremities is also characteristic of this disease. The cause of atherosclerosis of the arteries is the deposition of cholesterol plaques on the walls of blood vessels. The lumens of blood vessels become narrower and shrink. Spasm and pain occur in the lower extremities, which remain cold even in the warm season.

    The inflammatory process, which covers the periarticular cavities, is characteristic of the big toe. As a result of excessive accumulation of joint fluid, the toe begins to swell, body temperature rises, and the skin becomes inflamed and red. When pressed, the pain intensifies. Chronic bursitis is especially dangerous when it affects other joints. Nausea, fever, headaches and joint pain are its signs. Complete treatment will help save precious time and prevent the disease from reaching a critical stage requiring surgical intervention.

    It is characterized as a purulent-necrotic process. Originating in the bones, it affects the bone marrow and adjacent tissues. The cause of this disease is an infection that causes suppuration. As a rule, the disease develops against the background of injuries and fractures. The inflammatory process manifests itself with a critical increase in body temperature, headache, vomiting, loss of consciousness, sharp pain in the toes and feet. Timely treatment is necessary. In its advanced form, the disease does not manifest itself as aggressively. The pain subsides, the skin remains red, and fistulas and suppuration may appear at the site of injury. Gradually, the joints become deformed and lose motor function.

    Excessive stress on the foot and toe muscles can lead to hammertoe deformity. As a result, the fingers seem to tighten, the joints protrude, and bone calluses form. The person experiences pain. Wearing shoes is uncomfortable. Constant friction leads to ulcers. Motor function is limited.

    The variety of causes of excruciating pain in the toes requires a mandatory full medical examination. Only a doctor, based on the results of the necessary studies, can make a final diagnosis and prescribe adequate treatment. If you experience symptoms that cause concern, you should make an appointment with your GP. The doctor, having determined the specifics of the disease, will give a referral to a rheumatologist, surgeon, dermatologist or neurologist. Traditional medicine for combating pain in the toes has proven itself positively. But they should be used only as an auxiliary treatment.

    To avoid problems, you should follow simple rules:

  • shoes for everyday wear should be spacious, comfortable, and low-heeled;
  • the materials from which the shoes are made must allow the skin to breathe;
  • provide daily care and foot hygiene;
  • treat your own legs, feet, fingers with care, avoiding injuries and bruises;
  • massage, the use of relaxing baths, creams, oils will be an excellent preventive measure.
  • Careful, attentive attitude towards your own body, care and care are the best companions for excellent well-being and general health.

    Pain in toes - causes, nature, treatment

  • gout;
  • arthritis;
  • arthrosis;
  • bursitis;
  • tendonitis;
  • toe injuries;
  • osteomyelitis;
  • ingrown nail;
  • hallux valgus;
  • clubfoot;
  • hammertoe deformity;
  • calluses;
  • Morton's neuroma;
  • diabetes;
  • circulatory failure;
  • dermatological diseases.
  • Acute pain in the toes due to gout

    Gout is a disease caused by a disorder of purine metabolism. It is characterized by an increase in the amount of uric acid in the blood, and deposits of its salts (urates) in the joint tissues.

  • alcohol abuse;
  • errors in the diet in the form of a large number of meat or fatty dishes;
  • abuse of coffee, cocoa or strong tea;
  • intensive bath procedures.
  • Another characteristic symptom of gout is tophi, which look like foci of pathological compactions located in the subcutaneous tissue. They are usually localized above the affected joints, on the extensor surfaces of the legs and thighs, on the ears, on the Achilles tendons or on the forehead.

    Pain in the joints of the toes due to arthritis

    Arthritis is a chronic or acute inflammation of the joint and surrounding tissues. This pathology is one of the manifestations of any systemic connective tissue disease:

    Isolated lesions of the toes in arthritis are quite rare. Most often, in such patients, the inflammatory process spreads to other joints. In addition, arthritis is very characterized by symmetrical pain, that is, damage to the same joints on both legs.

    1. Limitation of movements in the joint.

    2. Changes in its shape.

    3. Unnatural crunching noise under load.

    Pain in the joints of the toes with arthrosis

    Osteoarthritis is a degenerative-dystrophic disease of the joint that develops as a result of the destruction of cartilage tissue on the articular surface. With this pathology, pain initially occurs periodically, only after physical activity, and quickly disappears with rest. But as the disease progresses, the intensity of the pain increases; it does not disappear after rest, and may appear at night.

  • morning stiffness;
  • painful compactions at the edges of the joint space;
  • restriction of movements in the joint;
  • characteristic crunching sound when moving.
  • Pain in the big toe due to bursitis

    Inflammation of the joint capsule of the big toe with the accumulation of fluid (exudate) in its cavity is called bursitis. This pathology is characterized by swelling, pain, redness and heat in the area of ​​the thumb.

    Pain in big toes due to tendonitis

    Tendonitis is a whole group of inflammatory tendon lesions. In the event that the process affects not only the tendon, but also the surrounding membranes, they speak of the occurrence of tenosynovitis. The ligamentous apparatus of the big toe is susceptible to this disease due to its high traumatic nature. In addition, inflammation of the foot ligaments can cause pain not only in the big toe, but also in the rest of the toes.

    The main symptoms of tendinitis are:

  • pain in toes when walking;
  • relative painlessness with passive movements;
  • pain when palpating along the inflamed tendons;
  • increased temperature and redness of the skin over the area of ​​inflammation;
  • determination of crepitus (crunching) when moving.
  • Among toe injuries, fractures of the phalangeal bones are the most common. This is due to the fact that the phalanges of the fingers are poorly protected from external influences, and these bones themselves are small in diameter and do not have significant strength. Most often, the terminal phalanges of the 1st and 2nd toes are susceptible to fractures, since they protrude significantly forward compared to the rest.

  • pain at the fracture site when palpated;
  • significant swelling;
  • pain when putting stress on the injured finger;
  • pain with passive finger movements;
  • bruises on the lateral and dorsal surfaces.
  • Pain and lameness from a fracture persist for a long time. A characteristic symptom is that to reduce pain, a person usually tries to shift the weight to the heel. Often the nail bed is also damaged, which subsequently serves as a site for infection.

    Osteomyelitis is a purulent-necrotic process that occurs in the bone and bone marrow, affecting the surrounding soft tissue. The cause of this pathology is the penetration of microflora into the body that produces pus. Often, osteomyelitis in the toes develops as a complication of various bone pathologies, for example, with open fractures.

    The patient's condition is greatly deteriorating, which is due to increasing intoxication of the body. This disease also manifests itself with the following symptoms:

    In the first few days, severe pain appears in the foot, which can spread to the lower leg. Painful contractures develop in the affected bones and joints. Active movement of the toes is impossible, and passive movement is severely limited. Edema in the muscles and soft tissues of the foot and leg quickly increases. The skin over the affected area becomes purple in color and is very tense. Often a pronounced venous pattern appears on it.

    The cause of pain in the toes may be a rotating nail. The big toe is most susceptible to this pathology. The development of this disorder is provoked by wearing uncomfortable shoes, as well as cutting nails too short.

    Pain in the big toe joint due to valgus deformity

    Hallux valgus is a curvature of the metatarsophalangeal joint in which the big toe deviates towards its neighbors. The main reason for the development of this disorder is flat feet and weakness of the tendon-ligamentous apparatus. Additional factors that contribute to the occurrence of hallux valgus, and therefore an increase in pain, are wearing narrow shoes or shoes with excessively high heels.

    Incorrect foot position

    In such cases, the occurrence of pain in the toes is associated with disorders of the musculoskeletal system in the form of clubfoot of varying severity. Due to improper positioning of the foot when walking, the load on it is unevenly distributed. The thumb is gradually pushed outward and upward, displacing the rest along with it.

    Hammertoe deformity

    The development of hammertoes is associated with flattening of the foot and increased pressure on it. Most often this occurs with flat feet.

    The growths of dead cells that form dense hardenings on the skin are called calluses. In most cases, such growths occur on the balls of the toes, on the heels or on the lateral surfaces of the big toe. Often such hardening has a long base in the form of a root penetrating deeply into the tissue. Calluses are usually painless at rest, but have a pronounced pain intensity with exercise, walking and pressure on the affected area.

    Pain under the toes due to Morton's neuroma

    Morton's neuroma, or plantar fasciitis, is an inflammation of the foot's own ligaments. The cause of pain in this disease is too much pressure on the nerves that run along the arch of the foot. Women are susceptible to this pathology much more often than men, due to chronic microtrauma of the feet when wearing high-heeled shoes.

    One of the common symptoms of diabetes is changes in sensation and pain in the toes that appear when walking. Also, with diabetes, a burning sensation in the feet is often observed, mainly at night. The cause of these conditions is poor circulation in the lower extremities and damage to nerve endings.

    Vascular diseases

    Pain in the toes may be a manifestation of damage to the arterial vessels of the lower extremities. Common symptoms for such diseases are:

    1. Whitening of toes.

    2. Pain during exercise.

    Endarteritis is an inflammatory lesion of arterial vessels, which most often occurs in the lower extremities. A characteristic symptom of this disease is the so-called “intermittent claudication.” When walking begins, movements are relatively easy for the patient, but then pain, numbness and heaviness rapidly increase in the legs. All these symptoms disappear after a short rest, but appear again after the next few steps. In addition, endarteritis, as well as atherosclerotic lesions of the arteries of the lower extremities, is characterized by a frequent feeling of cold in the legs. Patients also often complain of cramps in the muscles of the legs.

    Atherosclerosis of the arteries

    The cause of pain in the toes may be atherosclerosis of the arteries of the lower extremities. This pathology occurs when cholesterol plaques are deposited on the inner surface of the walls of blood vessels.

    Pain between the toes in dermatological pathologies

    Pain in the toes, especially in the spaces between them, may be a consequence of dermatological diseases. Most often these are massive fungal infections of the feet.

  • itching and burning on the skin of the foot;
  • redness of the nails and changes in their shape;
  • swelling of the fingertips;
  • discoloration of the skin.
  • Establishing the correct diagnosis and prescribing therapy is best left to a specialist. If you experience pain in your toes, you should consult a traumatologist, rheumatologist or dermatologist. The best measures you can take on your own are:

  • wearing comfortable, wide shoes with low heels;
  • strict adherence to foot hygiene;
  • preventing injuries and damage to the toes;
  • periodic preventive measures in the form of foot baths or foot massage.
  • Which doctor should I contact if I have pain in my toes?

    Pain in the toes is caused by a wide range of different diseases, and therefore this symptom turns out to be a reason to contact various medical specialists whose competence includes the diagnosis and treatment of the disease that provoked them. Thus, the answer to the question of which doctor to contact for pain in the toes depends on what kind of disease the person is supposed to have. And the assumption of the disease is based not only on pain in the toes, but also on the basis of other existing symptoms. Thus, it is obvious that the choice of doctor to consult in a particular case of toe pain depends on other symptoms the person has. Below we will indicate which doctors of specialties you should contact depending on the accompanying symptoms.

    What tests and examinations can a doctor prescribe for pain in your toes?

    Since pain in the toes is provoked by various pathologies, in each case, for this symptom, the doctor can prescribe various tests and examinations, which he chooses depending on the suspected disease. Accordingly, the list of examinations will always depend on the presumptive diagnosis, which is made by the doctor based on other symptoms the person has, in addition to pain. Therefore, below we will indicate what tests and examinations a doctor can prescribe for pain in the toes, depending on what other symptoms it is combined with.

  • General blood test (sign up);
  • Biochemical blood test (to sign up) (uric acid, total protein, protein fractions, seromucoid, fibrin, sialic acids, haptoglobin, bilirubin (to sign up) , urea, creatinine, cholesterol, AST, ALT, amylase);
  • X-ray of joints (sign up);
  • Puncture of inflamed joints with microscopic examination and bacteriological culture (record) of the joint fluid;
  • Puncture of tophi with microscopic examination of the contents;
  • Kidney ultrasound (sign up).
  • If gout is suspected, the doctor usually prescribes all of the above tests, as they are necessary to confirm the suspected diagnosis. The most important tests for diagnosing gout are determining the concentration of uric acid in the blood, identifying crystals of uric acid salts in the joint fluid and the contents of tophi. Ultrasound of the kidneys may reveal urate stones. On x-rays, changes characteristic of gout become visible only five years after the onset of painful attacks in the joints.

  • Blood test for rheumatoid factor (sign up) and C-reactive protein;
  • Biochemical blood test (total protein, protein fractions, seromucoid, sialic acids);
  • Blood test for the concentration of immunoglobulins IgG, IgA (sign up);
  • Blood test for circulating immune complexes (CIC);
  • Magnifying X-ray of the foot (sign up) ;
  • Ultrasound of the foot (sign up);
  • Tomography (computer and magnetic resonance imaging) of the foot;
  • Foot thermography;
  • Scintigraphy of the foot;
  • Puncture of the joints (sign up) of the hand with analysis of intra-articular fluid.
  • First of all, if arthritis is suspected, blood tests are prescribed (general, biochemical, C-reactive protein, rheumatoid factor, CIC, immunoglobulins), as this is necessary to confirm the inflammatory nature of the disease. So, if the blood tests are normal, then we are not talking about arthritis, and the doctor will have to additionally talk in detail and examine the patient again in order to make another presumptive diagnosis.

  • General blood analysis;
  • Blood test for C-reactive protein and rheumatoid factor;
  • X-ray of the foot;
  • Ultrasound of the foot;
  • Computed tomography of the foot;
  • Magnetic resonance imaging of the foot (sign up).
  • First of all, to exclude possible arthritis, the doctor prescribes a complete blood count and a blood test for C-reactive protein and rheumatoid factor. If all tests are normal, then we are talking about arthrosis, and to diagnose it, the doctor first of all prescribes x-rays and ultrasound. If technically possible, it is better to replace x-rays with computed tomography, as it allows you to obtain more data. As a rule, after an ultrasound and x-ray/tomography, the examination is not continued, since the results of these examinations are sufficient for an accurate diagnosis. But if arthrosis has led to severe deformation of the joints of the toes, inflammation of the joint capsule, ligaments or tendons, or there is a need for surgery, then magnetic resonance imaging is additionally prescribed.

    Usually, X-rays and ultrasound are prescribed first. X-rays can detect bone deformations, and ultrasound can detect the neuroma itself. That is why the optimal method for diagnosing Morton's neuroma is ultrasound. Tomography is rarely prescribed, since although it allows identifying neuromas, its information content is lower than that of ultrasound.

  • Determination of blood glucose concentration (sign up) on an empty stomach;
  • Determination of glucose in urine;
  • Determination of the level of glycosylated hemoglobin in the blood;
  • Determination of the level of C-peptide and insulin in the blood;
  • Glucose tolerance test (sign up);
  • Ultrasound of the kidneys;
  • Rheoencephalography (sign up);
  • Rheovasography (record) of leg vessels.
  • To diagnose diabetes, a test for glucose levels in the blood and urine and a glucose tolerance test are required, the results of which are sufficient to make a diagnosis. Other analyzes can be neglected if they cannot be performed, since they are considered additional. Thus, the level of C-peptide in the blood makes it possible to distinguish between the first and second types of diabetes (but this can be done without tests), and the concentration of glycosylated hemoglobin makes it possible to assess the risk of complications. If the doctor suspects the presence of complications of diabetes (and with pain in the toes, their likelihood is high), then an ultrasound of the kidneys, rheoencephalography of the brain and rheovasography of the vessels of the legs are prescribed.

  • Listening to heart sounds with a stethoscope (sign up);
  • Blood pressure measurement (sign up);
  • Determination of pulsation of leg arteries with hands;
  • Biochemical blood test (cholesterol, triglycerides, high and low density lipoproteins);
  • Arteriography of blood vessels;
  • Angiography (magnetic resonance or multislice tomographic method) (sign up);
  • Ultrasound of vessels of the extremities (sign up);
  • Dopplerography of the vessels of the extremities (sign up);
  • Rheovasography of the extremities (to assess blood flow speed);
  • Thermography;
  • Capillaroscopy (sign up);
  • Functional tests (sign up) (thermometric, Goldflam, Shamova, perinephric or paravertebral blockade of the lumbar ganglia).
  • First, the doctor measures pressure, listens to heart sounds, determines the pulsation of the arteries of the legs, after which he necessarily prescribes ultrasound, Dopplerography, arteriography and rheovasography of the vessels of the lower extremities. In practice, in most cases, these studies are quite sufficient to make a diagnosis and distinguish between endarteritis and atherosclerosis, but in case of doubt, the doctor may additionally prescribe other tests from the above. Thus, to confirm atherosclerosis, angiography is prescribed, and endarteritis - thermography, capillaroscopy and functional tests.

  • Dermatoscopy (sign up);
  • Examination of the affected areas under a Wood's lamp;
  • Determination of skin pH;
  • Microscopy of skin and nail scrapings;
  • Sowing scrapings from skin and nails onto nutrient media.
  • Usually, the doctor first prescribes dermatoscopy, examination under a Wood's lamp, and microscopy of scrapings from the skin and nails, since these studies make it possible to make a diagnosis in most cases. However, if it was not possible to make an accurate diagnosis, the doctor prescribes sowing scrapings from the skin and fungus on nutrient media to determine the causative agent of the fungal infection and make a diagnosis.

    Pain in toes: causes of unpleasant symptoms

    Pain in the toes, if severe enough, can prevent a person from leading a normal lifestyle. The causes of this symptom vary from completely harmless conditions, with proper treatment, to pathologies that directly threaten human life.

    The list of diseases characterized by this symptom is as follows:

    Pain localized in the big toe of the right foot may indicate gout; increased discomfort when walking may indicate a disease of the interdigital nerve.

    Arthritis of the toes is the general name for lesions of the interphalangeal joints of the feet. Independent forms of arthritis that may cause pain in the toes include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Septic arthritis
  • Acute gouty arthritis
  • Post-traumatic arthritis.
  • In addition, arthritis can be a symptom of a number of pathologies that are diverse in nature (hepatitis, chlamydia, Lyme disease, psoriasis, etc.). In this case, a person may not pay attention to the pain in the toes, since it is overshadowed by other, more pronounced symptoms.

    People at risk for arthritis include:

  • Those who are on their feet for a long time
  • Having increased body weight
  • Elderly
  • Those who have had a finger injury or surgery
  • Having hereditary pathologies of bones and joints
  • Wearing uncomfortable shoes that constrict the toes, which leads to their unnatural position and, in the long term, to deformation of the joints. As a rule, women who wear high-heeled shoes with narrow toes suffer.
  • Rheumatoid arthritis is an autoimmune disease characterized by damage to connective tissue and leading, among other things, to deformation of small joints. This condition is characterized by:

    • Spread of discomfort in all fingers of the limb
    • Paroxysmal: a significant increase in the severity of the disease at night or early in the morning
    • High intensity of pain at the time of attack and when pressing on the balls of the feet.
    • Particularly prominent is juvenile rheumatoid arthritis, which is diagnosed in children under 16 years of age and which in all its forms is characterized by a systemic inflammatory process.

      Septic arthritis is infectious in nature - fungal or bacterial (staphylococci or streptococci). Such lesions of small joints are rare: the pathogen is carried along with the bloodstream, and the joints of the knee and hip are usually affected. The disease has the following symptoms:

      • Localization in one affected joint
      • Increased discomfort when walking
      • Restriction of movement of the affected toe.
      • The chronic form of septic arthritis is caused by the bacteria Mycobacterium tuberculosis (tuberculosis bacillus) or the fungus Candida albicans (the causative agent of candidiasis).

        Post-traumatic arthritis

        This pathology is a consequence of some kind of trauma. As a result, monoarthritis (inflammation of one joint) usually develops.

        Osteoarthrosis (arthrosis, osteoarthritis) is an inflammatory disease of the joints in which degenerative changes occur in cartilage tissue. The nature of pain in the toes with this disease changes with its progression:

      • The initial stage of osteoarthritis is characterized by mild pain that occurs when walking and, in general, with any significant load on the affected joint.
      • The second stage is characterized by noticeable pain with increasing load, often accompanied by a dry crunch due to bone friction
      • For the third stage - acute, passing only at rest, accompanied by significant deformation of the joint and limitation of mobility.

      Acute arthritis or polyarthritis is one of the stages through which the development of gout occurs, a disease caused by deposits of uric acid salts (urates) in the tissues of the body. The nature of finger pain with gout is as follows:

    • Pressing pain of high or moderate intensity
    • Pain in the big toe, less often - localization in another joint
    • The occurrence of attacks at night or early in the morning and improvement during the day.
    • In everyday life, this pathology is often confused with arthrosis of the big toe. It should be remembered that progressive gout is characterized by the formation of tophi - small yellowish subcutaneous nodules (granulomas).

      The so-called pseudogout (pyrophosphate arthropathy) - a pronounced type of chondrocalcinosis - has other causes (deposits of calcium pyrophosphate Ca2P2O7). Its symptoms are generally the same, but the intensity of pain is usually lower. In rare cases, there is no pain at all with this disease.

      Morton's neuroma is a benign tumor of the interdigital nerve of the foot. With this disease the following are observed:

    • Severe, sometimes sharp or shooting pain in the toes with accompanying burning or tingling
    • Increased pain and simultaneous loss of sensation in the fingers when walking with shoes on and the disappearance or reduction of these symptoms after removing them.
    • Pain in the toes in diabetes mellitus is an integral part of the diabetic osteoarthropathy syndrome (Charcot foot) that develops in the absence of adequate treatment, in which the following are observed:

    • Osteoporosis and osteolysis, leading to foot deformation, and ultimately to the formation of trophic ulcers and gangrene, which first causes severe pain when walking, and then completely robs the patient of the ability to move independently
    • Increased discomfort at night.
    • Obliterating atherosclerosis of the vessels of the lower extremities is a disease of the arteries of the legs, characterized by the deposition of cholesterol in them and the proliferation of connective tissue, leading to blockage of blood vessels.

      As the disease progresses, when walking, severe pain occurs in the legs, including in the fingers, which causes the development of so-called intermittent claudication (Charcot's syndrome) - a special gait of a person suffering from atherosclerosis and endarteritis, in which he is forced to stop after walking a short distance.

      Obliterating endarteritis is a pathology of the blood vessels of the legs, characterized by their narrowing, impaired blood supply and resulting tissue necrosis. The pain is:

    • It can be burning, aggravated by exposure to heat and lowering the limb (erythromelalgia syndrome or Mitchell syndrome)
    • It has a sharp, sometimes unbearable character, spreading throughout the affected limb; it is especially strong in the foot, including the toes, and in the lower leg (neurological syndrome)
    • Charcot's syndrome appears.
    • Onychocryptosis (ingrown toenail) is an inflammatory disease in which the nail plate grows into the skin due to trauma, onychomycosis (fungal infection of the nails) or wearing too tight shoes. Pain with this pathology:

    • Localized along the lateral edge of the nail plate
    • Described as strong and persistent
    • It intensifies with any pressure on the nail, whether it is pressure or a consequence of wearing shoes.
    • Skin callus as a source of pain in the big toe

      Quite acute pain occurs when the wet skin callus that appears as a result of a finger injury is irritated. It usually occurs on the outside of the big toe.

      Mechanical factors

      Pain in the toes of the right or left foot (primarily the big toes) can be caused by wearing uncomfortable shoes.

      A recent finger injury, depending on its severity, leads to various pain sensations, provided that the nerve endings are preserved.

      Depending on the pathology of the patient, he may need consultation:

      Regardless of what causes the condition in which your toes hurt, you should not neglect the opportunity to receive qualified medical care.

      Why do my toes hurt?

      Pain that occurs in the toes, as in any other location, brings great discomfort to a person. It can be dull, aching, throbbing or sharp, depending on the cause of its occurrence. Usually, toes hurt due to diseases such as:

      Also, severe pain in the toes can be caused by ingrown nails, improper trimming and filing of which leads to a piece of the nail plate cutting into the skin, causing suppuration and other inflammatory processes. As a result, the toes become very swollen and painful, making it difficult for the patient to walk and lead a normal life. Those who in such cases do not seek medical help in time risk being left without a finger altogether, since an ingrown nail can lead to gangrene.

      Toes hurt: reasons

      Depending on the type of arthritis, different toes hurt. With the reactive and psoriatic form of this disease, pain and inflammation occur in the big toes, as well as with gout. Rheumatoid causes pain and inflammation in various combinations and variations in the other four. Despite the fact that arthritis spreads to different fingers, any type of this disease is characterized by an inflammatory rhythm of pain that occurs at 3-4 am.

      People call arthrosis of the big toe gout, but in reality it has nothing to do with it. Of course, gout also affects and hurts the toes, but it occurs much less frequently, and mainly in men. Arthrosis mostly affects women who wear high-heeled shoes with narrow toes. These shoes press and tilt the big toes inward towards the second toe. As a result of the deviation, small cartilaginous growths begin to protrude and gradually become deformed. They are what keep the big toes in a straight position and, when wearing the right shoes, prevent them from bending.

      Over time, not only the cartilage deforms, but also the entire joint - it becomes wider than required, and movement in it is sharply limited. With advanced arthrosis, the toes become swollen and painful due to incorrect positioning; returning them to their natural position is almost impossible. On top of this, crooked big toes put pressure on the next ones, which leads to a combined deformation of the entire foot.

      Another reason why toes hurt is Morton's neuroma or, as it is also called, plantar fasciitis. The disease causes increased pressure and pinching of the nerve endings at the base of the toes (second, third and fourth). Pain sensations appear in this area, which gradually intensify and become unbearable when walking and carrying heavy objects; the pain can radiate to the remaining fingers and towards the calves.

      Diabetes causes problems with blood vessels and hyperactivity of nerve endings, which causes numbness in the foot as a whole. When walking, the joints of the toes hurt, and there is often a burning sensation in the feet, even at rest.

      Diseases of the arteries of the legs (atherosclerosis or obliterating endarteritis) can also be the reasons why the toes hurt. These diseases are accompanied by noticeable pallor and dryness of all or some fingers, as well as brittle nails and hair loss on the legs.

      My toes hurt: what to do?

      If you experience pain in your toes, you should immediately contact an experienced specialist. Depending on the cause of the pain, the following doctors can help in such cases:

      If a patient has pain in the joints of his toes, doctors, first of all, recommend reducing the load on them. Then, depending on the cause, medication or surgery may be prescribed.

      When pain is caused by vascular diseases or metabolic disorders, it is necessary to eradicate the root cause of the disease. Limiting the consumption of carbohydrates and animal fats is necessary for those who have pain in their toes due to atherosclerosis. It is also important to control body weight for those whose primary cause of symptoms is diabetes.

      If pain is provoked by gout, the patient is strongly advised to limit the consumption of alcoholic beverages, meat and fatty foods, coffee, cocoa, strong black and green tea, and also to exclude bath procedures during treatment.

      For those who have pain in their toes due to ingrown toenails, the direct route is to the podiatry or surgery department. It is very difficult to cure a nail in advanced cases on your own; you need to know many nuances and have special tools with you. It is important to observe the rules of personal hygiene: thoroughly wash your feet with soap several times a day, wear clean socks made of natural fabric, and also exclude shoes that restrict the movement of your feet from your wardrobe.

      Fractures or severe injuries to the toes, which also cause pain, especially in the first few hours after the incident, require immediate medical attention.

      Whatever the reason why your toes hurt, only a doctor after a thorough examination can tell you what to do and what methods can be used to get rid of it. Self-medication in such cases is not worth it - without knowing the exact diagnosis and using the wrong treatment, you can only aggravate an already painful condition.

      Numbness of the toes - causes, diagnosis, treatment

      Numbness is usually a temporary loss of sensation in the skin, which is accompanied by tingling, burning or crawling. Persistent numbness of the toes is a symptom that characterizes disorders of the blood supply and innervation, therefore it is a signal of trouble in the upper parts of the body, possibly requiring immediate medical attention.

      Vertebrologists at the Doctor Ignatiev Clinic in Kyiv often observe numbness in the toes in patients with varying degrees of degenerative changes in the spine. As a rule, this is not the only symptom, but often numbness begins as a single manifestation long before the onset of the main clinical picture. In any case, persistent numbness of the toes is a cause for concern and an immediate visit to an experienced specialist, whose appointment is possible after an appointment.

      Causes of numbness in toes

    • Osteochondrosis of the lumbar spinal column - 90% of cases of numbness of the toes are associated with this diagnosis, and most often the symptom manifests itself with protrusions and herniations of intervertebral discs;
    • Oncological pathologies of the spine and peripheral nerves;
    • Spinal tuberculosis;
    • Diabetes mellitus, other metabolic and hormonal disorders;
    • Leg tunnel syndrome occurs when a nerve trunk, for example, the popliteal nerve, is compressed while in an uncomfortable position or the same type of work associated with the contraction of a certain group of muscles, which, when spasming, compress the nerve fibers.
    • Raynaud's disease is a spastic reaction of small arteries due to disturbances in the nervous regulation of their activity;
    • Multiple sclerosis with damage to the central and peripheral nervous system;
    • Neuritis, arthritis, micro-strokes and other pathologies.

    Diagnosis of numbness of the toes requires mandatory clarification of the cause of this condition. For this, various instrumental techniques are used - radiography of the spine, ultrasound of blood vessels, computer and nuclear magnetic resonance imaging and others.

    Pain in the foot and toes

    Treatment for numbness in toes

    Any therapeutic measures should be aimed, first of all, at eliminating the causative factor of the disease, one of the manifestations of which is numbness of the toes . It is necessary to restore the patency of the vessels supplying the lower extremities and release the nerve fibers from the compressed state. The following methods are used for this:

  • Drug therapy - anti-inflammatory drugs, painkillers, muscle relaxants, drugs to improve peripheral blood supply, vitamins, mineral complexes, chondroprotectors - all of them help eliminate swelling and muscle spasm, restore trophism of the pathological area and the entire lower limb.
  • Infectious and oncological pathologies, metabolic and hormonal disorders require specific therapy aimed at the source of all disorders that arise;
  • Among local influences, great importance is attached to manual therapy, therapeutic exercises, and physiotherapy - thanks to their long-term and systematic effects, favorable conditions are created for removing muscle and joint blocks, restoring blood flow, strengthening muscle tissue with good nutrition and innervation of the lower extremities.
  • Non-traditional methods - acupuncture, treatment with leeches, stone therapy, moxotherapy and others - help consolidate the success of other methods of treatment.

    Doctors at the Kyiv “Clinic of Doctor Ignatiev” try to make the most of all their capabilities to restore normal sensitivity of the skin of the legs, as well as eliminate other disorders that most often occur with lumbar osteochondrosis and its complications. It is important to start treatment in a timely manner - this is the only way for patients to quickly achieve recovery.

    Do your toes hurt?

    The cause of pain in the toes can be various diseases, which we will consider in this article.

    Different types of arthritis cause pain in specific toes. Thus, reactive and psoriatic arthritis most often affects the thumb. Rheumatoid arthritis is more common in other toes. As a rule, with arthritis, pain intensifies at certain times of the day. This often happens at night, around 3-4 o'clock.

    The cause of pain in the big toe can be arthrosis, popularly mistakenly called gout. In women, arthrosis develops as a result of wearing shoes with a narrow toe. Due to flat feet or the special structure of the foot, the big toe bone is constantly rubbed by shoes and gradually becomes deformed. Then the entire joint becomes deformed, it increases in size, and its mobility is significantly reduced. If arthrosis is not treated properly, the big toe joint will become fixed in the wrong position, and it will be almost impossible to return it to its normal state.

    Excessive rubbing of the thumb can also cause a disease such as bursitis . With bursitis, the periarticular mucous membrane becomes inflamed, redness and swelling of the joint is observed, and every touch of the finger brings acute pain.

    Toes can also hurt due to vascular disease, in particular the arteries of the legs. With this disease, the toes become white and pain occurs. Symptoms of the disease are often observed when the legs become cold or during physical activity, such as running, climbing or descending stairs, and sometimes just walking.

    Morton's neuroma (interdigital neuroma) causes burning and shooting pain at the base of the toes, as well as numbness. The pain may radiate to other fingers or the calf muscle and go away after removing shoes, but sometimes the pain occurs even at night.

    Morton's neuroma is thought to be the result of a thickening of the plantar nerve: the surrounding ligaments and bones begin to put excessive pressure on the nerve, which causes pain. The cause of these disorders may be transverse flat feet or wearing tight shoes and high heels. It is no coincidence that Morton's neuroma is much more common in women than in men.

    It is not uncommon for people with diabetes to complain of numbness in the feet and toes, pain in the toes when walking, as well as a burning sensation in the feet, which sometimes gets noticeably worse at night. These symptoms may be the result of increased nerve activity or vascular disease.

    With a disease such as an ingrown nail, the nail plate grows into the tissue of the finger, which leads to suppuration and excessive growth of soft tissue. As a rule, an ingrown toenail occurs on the big toe due to improper nail cutting, wearing too tight shoes, fungal diseases, etc. Symptoms of an ingrown toenail are constant pain, redness, swelling and discharge of pus in the ingrown area.

    When skin cells die, hard spots may appear on the heels, big toes, and balls of the feet, causing pain. Some hardenings have a so-called core - a root deeply embedded in the skin.

    We hope this article helped you find the reason why your toes hurt and take the necessary measures to eliminate it. Be healthy!

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