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The response to the question below was authored by Marc Mitnick DPM

Sharp severe pain in big toe when I point my foot down

by Stephanie
(Denver, CO)

I am 38 year old healthy, active female. About 3 weeks ago, I woke up, stretched and almost jumped out of my skin from pain...the top of my big toe down the entire side of my toe felt like someone had injected me with burning acid. Ever since, I cannot point my foot down such as when putting on pants or socks or point my toes without excruciating pain. It doesn't hurt to bend it, touch it, etc. I have no other pain anywhere in my foot and have no issues walking, wearing shoes, etc. It is limited only to the downward motion of my foot. I went to my orthopedist today and he was stumped...did xrays which showed some soft tissue swelling but no fractures and no pain in any other places. I was off the table with pain when he pointed my foot down. There was no injury, no change in activity, no new shoes, etc. He mentioned gout but doubted that was it (not exactly sure why). He ordered an MRI but I'm hoping that I can avoid that due to the costs. I also started on a prescription anti-inflammatory. I am desperate for a diagnosis!!


RESPONSE

Hi Stephanie,

I too am stumped which is not a good way to start off this discussion. What we do know is that your pain only occurs when you perform a specific motion with your foot, which seems to be bending the
toe downwards. This tells me you are stretching something which then sets off the pain. If the pain is as excruciating as you state, then I would suspect it is a nerve that is being stretched and causing this much pain. The only other option would be a tendon being stretched, however, if the source was from a tendon I would think the tendon would continue to be sore even after it was "stretched" and would bother you to some extent even if you did not bend the foot and toe downward.
An MRI may or may not be of benefit, but before you do that you might want to consider a round of anti-inflammatory medication (which you are doing), but in addition I would have the toe immobilized in an effort to calm down whatever might be inflamed and causing the pain. If after a period of perhaps 3-4 weeks of this regimen, the pain is still present, then you might want to entertain an MRI.
As a side note, it does not sound like gout to me either. In gout, the big toe joint would be red and swollen, the toe would hurt regardless of what you were doing and of course in your case, it only happens when you move your foot and toe in a certain position. Secondly, gout is rare in women and tends to occur in post menopausal women when it does occur.

Marc Mitnick DPM
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Feb 16, 2020
Rating
starstarstarstarstar 		56 year old
by: ED

Thanks for all of the posts on here. I was going crazy when this first started about 2 months ago. It's the top of my right big toe right at the cuticle. It only happens when I tilt my foot downward with my leg straight. It doesn't happen with my knee bent. It doesnt hurt to touch, it doesn't hurt to wiggle my toes with my foot at 90 degrees. It doesnt hurt to walk. However,it's a very sharp burning pain when I stand up and put long pants on. WOW!!

The other morning it was 10 degrees and I was outside long enough for my feet to get rather cold. My toe felt like it was on fire for 2 hours. I know that's somewhat normal when your feet get REALLY cold but it was only my toe that had the pain and was much longer recovery than normal.

I will keep an eye on here to see if anyone gets a definitive cause. Sure feels like a nerve issue to me.
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The cuticle area of the nail that you describe is where the long extensor tendon (the tendon that bends your toes upwards) actually ends. This might indicate a strain on the tendon itself when you point your foot down. It would not explain, however, why your toe was on "fire" when you were outside in the cold weather; to me that would be more of a vascular issue.

I do not know how old you are, or anything for that matter about you, but you might want to consider having the toe looked at by a footspecialist.

Marc Mitnick DPM
Dec 16, 2019
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starstarstarstarstar 		This has finally gone
by: Julie

I had this too. I used lots of different creams then my dad told me to use a foot cream for dry skin as it had cured his. To my amazement I used the one I had in my cupboard (Avon Foot works beautiful (heel softening cream!) and it eased it to the point that I could point my foot down and the pain was not excruciating. i used it every day morning and night with the stretching exercises and everyday it was better until somedays i forgot about it all together. It would then come back but only slightly because i went back to the cream. Then i decided to try something else along side the cream which was Ole Gewynnau Muscle Oil. ( I got this on eBay or Amazon) It is for strains tired muscles and I felt there was a connection to a tenderness I had around the calf and shin area. I used this all over the foot and leg with the cream and it seems to be pretty much gone. I still get the odd very slight twinge and put the cream and liniment on again after a bath but I am totally pain free. I hope this helps others here. All the best Julie
Nov 14, 2019
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starstarstar 		Halluces- nation
by: Gem

See stars when I stretch my big toe, i.e., halluxcination. Read through a couple of dozen comments of others with same issue and the doctor and find that nerve entrapment of the superficial nerve seems like the most likely diagnosis. But as for what treatment, I find this page painfully lacking. Go to a podiatrist is an unsatisfying answer. What the doctor will likely recommend is what I was looking for.

One comment suggested soaking in warm water and gently stretching. One possibility is cortisone shot. If a nerve, not tendon problem are these the only 2 solutions? Or are there a few other possible Tx's
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As pointed out in this thread, there are a few different causes for "pain in the big toe as a result of pointing your foot down". Different causes for this type of pain will have different treatment options.
That is why a medical professional needs to make a proper diagnosis and then offer treatment options.
Marc Mitnick DPM
Oct 21, 2019
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starstarstarstarstar 		So many of us, this deserves further investigation
by: Sunny

Re: Derek, Not Active Sept 2018
Sep 26, 2018. "It feels like I am stretching the skin and it is about to split, but only when I extend my leg and point my toes"

Ditto, definitely like skin splitting but no marks/redness. I work either standing at a kiosk or stand/sitting on a checkout 5 hrs a day,(age 56yrs). I also get a sort of granular type feeling during the sharp burning nerve type pain that goes through toes and top of foot. Had damage to back of neck nerves a few years ago. Also, could the disappearance (in UK at least) of 1/2 shoe sizes be a factor (so shoe is either too small or too large)?
So many of us with same problem must be worth further investigation by someone?
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The cause of this type of foot pain in not from one particular source. There are a few things that can cause this type of pain. Read through this post as I have mentioned possible causes for this type of pain.

In most cases you will need medical intervention if the problem does not resolve itself in a short period of time. See a foot specialist and let he or she narrow down the source of the pain.

Marc Mitnick DPM
Aug 26, 2019
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starstarstarstar 		Nerve Pain in Big Tow
by: Philip

Yes - just to say I have the same problem and this is the first discussion of it I have found. Problem in left big toe when pointing my foot downwards. I can also produce the pain/shock if I rub the nerves that come down my foot to my toe as well. Left side of toe is also numb. Also starting to get it in my right toe, but no pressure point on that foot that I can find. Podiatrist at a loss as to cause of nerve issue, so is sending me for an ultrasound on the left.
Jun 15, 2019
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starstarstarstarstar 		symptoms like other - has it in my left big toe and now it is in my right big toe
by: Mark

I had the exact same symptoms as everyone else. One day my left big toe was absolute agony when pointing my foot downwards. I could replicate the pain if I rubbed my finger across the leaders/nerves that come down my foot to my toe as well as a pond and needles sensation. It took about 4 months to go away but has left the side of my big toe numb. I now have it in my right big toe! I have had it for 2 months and it is still so painful! Everything is identical and I’m guessing I will just have to wait until it goes again!

Can anyone help with what it might be?
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Sounds like a nerve entrapment of one of the superficial nerves that comes down your foot. You can either wait it out or perhaps consult with a podiatrist in your area.

Marc Mitnick DPM
Jun 12, 2019
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starstarstarstarstar 		Severe needle piercing pain in big toe when pointed down.
by: Washington

I also have severe pain in my big toe when I point it downward.
The first time it happened, I was putting on pants and pointed my toe and it felt like I came down on a needle. Help! This is dreadful.
Is anyone else diabetic? I have type 2 diabetes and am wondering if it’s related. Thanks
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As a diabetic you should always be concerned with changes in your feet. It probably is not related since it occurs when you physically move your foot in a certain direction.
If you have any concerns you should see a podiatrist in your area.

Marc Mitnick DPM
Jun 04, 2019
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starstarstarstarstar 		Same, but extended leg only
by: Michael

I have the same issue, intense "tearing" or needle-sharp pain along the left (inner) upper side of my big toe on my right foot, but only when my foot is straight with my shin AND my leg is fully extended. For this reason I was thinking it was tendon related? It just started happening a few weeks ago. No obvious external signs, and does not hurt when touched normally. Wish I could pinpoint more precisely anything that could've associated with it starting. I get moderate exercise including walking but don't do stretching or yoga type exercises.
May 18, 2019
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starstarstarstarstar 		Numbness on the left big toe
by: Philip

Mine started last year and it's been very worrisome, I also feel numbness on the side of my toe now, it seems some tissues are damaged, a dr told me it is gout but I doubt it, still hoping to get the remedy
May 17, 2019
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starstarstarstarstar 		Any updates?
by: RJ

Still having this issue. Any suggestions or updates on causes?
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In previous posts I have mentioned potential causes of pain when the big toe is pointed down. So....there is no one answer.
For that reason, if this type of pain really bothers you, consider seeing a foot specialist who will be able to narrow down the source of your particular pain and then offer a remedy.

Marc Mitnick DPM
May 09, 2019
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starstarstarstar 		Same boat!
by: Jonathan

Holy cow. I am also in this situation. If I stretch for a while it seems to go away for a few days, but then comes right back up again sooner or later. It's not a constant, lingering pain. It's a sharp pain that hits the top of my big toe right when I point it.

Started about four months ago. I have insurance, but I don't want to pay the high deductibles. (Some "healthcare" that is.)
Apr 30, 2019
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starstarstarstarstar 		Correct Toes
by: V

I no longer feel pain in my big toe, but I have some lingering numbness on the side of my big toe. I recently read about "neuromas", and despite the location of neuroma's forming on the bottom of our foot, between the smaller toes... this issue with big toe sounds similar to a neuroma. I'm not saying it is a neuroma... but it seems like some issue with an irritated nerve, as Dr. Mitnick has stated. I randomly found a product called "correct toes" which I hope will have a therapeutic effect, and resolve this nerve irritation issue. Thank you Dr. Mitnick for creating, maintaining, and engaging with us on this website. With gratitude, V.
Oct 24, 2018
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starstarstarstarstar 		Sharp severe pain in big toe when I point my foot down
by: Rose

My situation is almost the same as all these post. When I flex my toes downward it does not hurt unless I touch it. The pain is sharp and burning from the top of my big toe joint to tge bottom of my toenail. It is not red, nor swollen. If my toe is not flexed downward, I can touch with no pain. Only when It is flexed.
Oct 03, 2018
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starstarstarstarstar 		Getting worse - Numbness
by: Sean - SA

Firstly I was surprised on how many people had the same thing. But after reading all the comments, I havent seen any definite reason on what causes it.

Does anybody know why we get this?

Also, when I first noticed it, I found that my big toe was getting numb and had a pins and needle sensation. This is slowly progressing up my foot further so if I tap the top of my foot, or go running, I can feel it quite badly.

So the second question in, what do we do to stop it? Rest. Surgery. Retirement.
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When you tap your foot in a certain place and that sends "sensation" either down your foot or up your foot that signals nerve irritation. As explained many times on this site you have irritated one of the superficial nerves that travels down the top of your foot into your toes.

Just guessing here, but when you point your foot down, you are actually stretching the structures of top of your foot (nerves, blood vessels and tendons). If there is a bony prominence below the nerve, the nerve will become irritated and you will get the sensations you are experiencing.

It is a tough problem to fix on your own, so a visit to a podiatrist would be your best bet.

Marc Mitnick DPM
Sep 28, 2018
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starstarstarstarstar 		Recovered with time
by: Danish

It took me two months to recover and now it's fully gone. I have resumed playing football. Time is a remedy. Thank you everyone for sharing your situation which certainly helped me be more informed.
Sep 26, 2018
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starstarstarstarstar 		Not Active
by: Derek

I am a very not active 35 y/o male with this same problem. I thought it was related to my diabetes. It feels like I am stretching the skin and it is about to split, but only when i extend my leg and point my toes, like when putting on socks. I have a desk job and I don't do any running or jogging, so it's not just you actives out there!
Sep 19, 2018
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starstarstarstar 		Big toe pain
by: Lesa

I have been having exact same symptom in my right big toe. If I stretch and point my toe it has a sharp burning pain.
Aug 06, 2018
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starstarstarstarstar 		Same issue, what's the conclusion
by: Danish

Exact same issue. Feels like needles pricking on top of toe when bending both toe and foot down. I think for me it started after hitting a football with a stretched foot. Then realized this the next day while putting on pants.

My doctor told me it could be gout. I have higher uric acid in body than normal. But the symptoms are not really of gout. It has been a month now.

I just wanted to hear from experts what this is. We all have the same issue but there is no conclusion we are reaching. Would be helpful to hear what's the problem and what are the remedies. Thank you.
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I agree, I do not think it is gout.

If you have read my response to this question in previous posts you will see the pain can be from different sources.

If the pain you are experiencing bothers you enough, your best bet would be to see a foot specialist who hopefully is familiar with the various causes of sharp severe pain in big toe when I point my foot.

In your particular case the "needles pricking" sounds like nerve irritation, but of course I am only guessing since I do not have the luxury of actually examining you.

Marc Mitnick DPM
Jul 17, 2018
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starstarstarstarstar 		Burning pain on top of big toe when pointed down
by: Angie

Glad I'm not the only one. It feels like it's on fire or an electric shock. It's instant & so painful I jumped. It 1st started in my left foot, big toe, then the baby toe. Then it started on my right foot, same thing. I first felt it when I went to bed. The pain in both baby toes stopped, but still have pain in big toes when I point them.

After reading all the posts, I'm wondering if it's inflammation from walking. I thought it might be a nerve, maybe it's an inflamed tendon. I think I'll try not to point it,ice it,try Motrin and see if that relieves the pain.Like everyone else, it only hurts when I point my foot down. Will update if the ice & Motrin work.Since the baby toes are no longer painful, I think TLC might be the answer.
Jul 14, 2018
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starstarstarstarstar 		Just had surgery
by: Paul

I first posted in 2014 with exactly the same symptoms most of you on here have today. (Electric shock feeling when you pointed your big toe downwards) I can’t remember exactly which toe, (left or right) I had the issue with? I have since( last Monday ) had surgery on both feet.

My left foot I’ve had a corrected dropped fifth metatarsal which I didn’t know about? This could’ve been causing nerve pain in the big toe . This involves cutting the bone and screwing back up into position. Unfortunately this has an eight week healing process so I’ll let you know how things go.
On the first joint of my right big toe I’ve had a lump for the last year or so which I was told was a rheumatoid nodule. The surgeon said he would not remove this ordinarily, but as I was having the repair of the fifth metatarsal on the left he would remove it ,whilst I was under. He did remove it but was unclear what it was and whether it was a rheumatoid nodule? He has sent this off for analysis. Again I’ll let you know what it turns out to be. It is very strange that it occurred on the 16th so after all the problems I was having with nerve pain??

Since my last posts I have been continuously kicking my legs in a swimming pool which did relieved all of the nerve pain. I have reported on this before, that is why I was unsure which the toe was causing the problem back in 2014

When I see the surgeon in a few weeks time I will ask him if any of these problems would have caused the nerve pain you are all suffering with and I’ll let you know on his reply
Jul 13, 2018
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starstarstar 		Sharp Pain and Numbness in Big Toe
by: Kimberley

This page is awesome as far as all of us now knowing we aren't crazy! However, I did not really see any solutions on here. My big toe started to feel like it was ripping when I pointed it about 3 months ago. Now, it is numb. I tried to overstretch it to desensitize it, like I do many things in my body. I have fibromyalgia and am not sure if this is related. But, I also have joint issues (all joints). Not sure if there is anything that can be done anyway. I've had surgeries for both knees, both shoulders and PCOS. You'd think a toe would be an easy thing to fix.

Can I ask why foot doctors always go for the shots? Don't those corticosteroids cause degradation of joint tissue and lead to more pain later? Is it just to treat the symptom because the cause can't be found?

Thank you all for helping me know I'm "normal" too. :)
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Hi Kimberly,

This foot doctor does not always go for cortisone shots for this problem, but in most instances a cortisone shot is the quickest way to alleviate the pain.

You are correct that too many cortisone shots in the same area may lead to tissue atrophy, but any doctor worth his salt should know this, and should be careful to limit the amount of injections that he/she offers for a specific problem.

Of course, over the years I have had patients tell me that someone else gave them five or six injections for the same problem. Commonsense would dictate that if one or two injections did not afford any real relief, aside from the fact additional shots could be harmful, three, four and five shots was not going to solve the problem either.

The other options available for this problem all take a while to have an effect, such as physical therapy, oral anti-inflammatory medication, change in footwear, etc., so if a patient is in a fair amount of pain, a cortisone shot simply makes sense.

Marc Mitnick DPM
Jul 13, 2018
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starstarstarstarstar 		Big toe pain
by: Jane

I am exactly like Jeff I can press it bend it but as soon as I stretch it the pain is unbearable if I stretch foot but not toe no pain my doctor said damaged tendon
Jun 13, 2018
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starstarstarstarstar 		Toe pain.
by: Tink

I have the same thing happen to me. I also get the pain when putting socks on. Only on my left big to, im 37 n active too.
Jun 10, 2018
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starstarstarstarstar 		Same issue, going on 8 weeks
by: Kyle

I have the exact same thing everyone is describing. I noticed after I walked 5 miles a day to/from work (5 miles total) for about two weeks. Near the end of those two weeks I noticed the pain when I flexed my toe and felt incredible burning pain on the top of my toe, both on top of the first joint (where the hair grows) and on the knuckle. Over the last 8 weeks it's gotten to the point where I don't feel much pain anymore but I've gotten good at not flexing my toe that far.

Another thing I have is the skin on top of the knuckle is a bit darker than my other toe, a bit swollen, and mostly numb right on top of the knuckle. Over the past few days I've now started getting blisters that are more or less dry underneath, like dead skin is shedding itself.

Last bit of info is when I push above the inside ball of my foot and a bit in and up, I feel a nerve that is a bit sensitive. 8 weeks in there isn't too much pain/sensation anymore when I do that, but in the beginning it was pretty sensitive.

It seems like it's getting better but I'm glad I found this page with so many other people experiencing the same thing.
May 26, 2018
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starstarstarstarstar 		Wow, so many people with the same issue!
by: Julie

I have this! I’ve been icing my shin muscles and doing some trigger point on entire calf but Nothing seems to help when I accidentally tally set it off. Stairs seem to be my number one enemy.
May 21, 2018
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starstarstarstarstar 		Top toe pain
by: Josh

I am a 43 year old active male. I have symptoms very similar to many people here. Sharp burning pain when I point my toe, near the cuticle. It only occurs when I point my toes. I can walk and run and touch the area with no pain. I have had these symptoms for months. Still looking for a diagnosis.
May 21, 2018
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starstarstarstarstar 		Same
by: Jon

You described my exact same symptoms. Its been going on for weeks.
May 12, 2018
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starstarstarstarstar 		Same to pain
by: Lorne

I just figured out that my pain came from extending my toe. It was a mystery for weeks where it came from. I am in good shape and climb the stairmaster 6 days a week. I read in one of the comments that the pain originated from the calf. This makes some sense as I had a small calf injury prior to the discovery of my toe pain. They may be related. The pain is still there but does not come on unless I am stretching more than normal. Hopefully it goes away as described by others
Apr 22, 2018
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starstarstarstar 		I have similar
by: zcg

I started working out and doing heavy deadlifts and squats about a year ago. In the last six months I have had this same inside tendon-like pain when putting my feet in pants and in socks in that point-your-toes manner. I figure it must be stress to that area from doing this lifts. Maybe small tearing of the tendons is my guess. It's definitely on both sides too!
Apr 21, 2018
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starstarstarstarstar 		Toe pains only when pointing foot downwards!! May have the reason why
by: Larry

If I point my right foot downwards, I get this sharp tingle/pain to the top areas of my toes. If I take and push a certain area on the top of my foot where the bridge area of foot is basically top of ankle, I hit something that is responsible for this pain when pointing foot downward. This pain only happens when pointing foot downward. I think the reason this is happening is this, I cross my legs at the ankles a lot when reading or laying in bed, even sleep that way. I honestly believe when laying one ankle on top of the other for a long period of time irritates a nerve or tendon. Im dealing with this right now. I can run. jump, and do whatever with no pain, but if I put on a pair of socks, pain to top of toes. Anyway....going to wait this out and see what happens.
Apr 13, 2018
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starstarstarstarstar 		2nd round of this
by: Jeff

This happened to me in March 2016 and I blew it off as an injury from running or something. Now it is back in April of 2018. I have had it for about ten days now. I can explain this pain as being described as a burning feeling on the top of my toe about where my cutical meets my toenail . As everyone describes its only whim the knee is straight and foot is straight with toes pointed it curled. If I point my foot and hold my toe up it does not hurt.

Very strange I would like to get to the bottom of this.
Apr 02, 2018
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starstarstarstarstar 		same pain, but!!
by: peter

when stretching right foot no pain
when stretching foot and knee no pain but
when my leg and foot are fully stretched and start moving my foot to the left the pain is killing me but the pain is on other side and affecting the little toe and side of my foot.
WHAT IS GOING ON ???
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My first thought, based on your narrative is that you are getting pain from the tendons that run on top of your foot. With the leg extended and bending your foot inward, that would seem the most logical answer.
If it hurts enough, see a foot specialist in your area.
Marc Mitnick DPM
Mar 27, 2018
Rating
starstarstarstarstar 		Same pain
by: Brandy

I’m having same issue. Feels like by big toe is being torn when I point it.
Mar 24, 2018
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starstarstarstarstar 		same as!
by: Paul

OMG same symptoms spot on exactly the same here. Anyone get a resolution?
Mar 16, 2018
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starstarstarstarstar 		Massage Helped Me
by: V

I had the same exact issue that PJ described. EXACTLY. It’s bothered me for 4 months. Today I went for massage therapy. The masseuse spent extra time on my feet and massaged the arches of my feet with her thumbs. I can now bend my toe without pain. I still feel numbness, and I can feel some soreness that is recovering but is lingering ominously... but this makes me feel optimistic. I have another massage therapy appointment next week.
Jan 29, 2018
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starstarstarstarstar 		Wow
by: Vic

I have the same issue. PJ it is exactly as you described. Also, I have the same numbness in the same location. Unbelievable!
Jan 17, 2018
Rating
starstarstarstarstar 		Big Toe Pain and Numbness
by: PJ

Reading through this page it seems lots of us have the same issue!

Mine started on boxing Day, when I woke in the morning I stretched and felt a searing pain down the outside of my big toe - like a jolt. I thought nothing of it, brushed it off as having over stretched or something. Then I noticed it again when putting on socks...then trousers...pretty much anything the involves pointing the toes, and it's been like that ever since, almost 4 weeks now.

The outside edge of my big toe, is also completely numb to the touch (I describe it as that rubbery feeling sensation of the skin you get after pins and needles).

I also can't touch a certain point on the upper side of my foot pretty close to the start of the ankle, without feeling a jolt (not painful as such) sensation in my toe.

The GP thinks I've strained the Extensor Hallucis muscle, and prescribed a corticosteroid cream (which hasn't helped), and ibuprofen (which hasn't helped). I've also started icing it daily in the evenings.

Has anyone had any proper resolution from this? Tips for recovery?
Dec 20, 2017
Rating
starstarstarstarstar 		Pain in big toe
by: Gail

Funny how doctors never heard of this or don't know what it is yet so many people have it. I have had this off and on through out my adult life,Im now 58 years old. It usually didnt last to long but this time I have had it about a month now. I'm on a low carb ,high fat diet so I thought maybe it might be gout ,but everything I look up doesn't quiet match that. I do have Achilles tendonitis on that foot and planter fascia on the other foot. I was thinking maybe arthritis, being an orthopedic told me by x-ray that my feet were full of spurs and arthritis. Sure would like a solution to it or at least a name.
Dec 09, 2017
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starstarstarstarstar 		Toe Pain Is Gone!
by: Loretta

After posting here in May, the pain got worse, but, as I reported in July, I started icing the top of my foot daily where the extensor tendons meet the shin, took a break from yoga and avoided pointing the toe at all costs. I'm 53 and originally developed the pain after jamming the toes of my right foot and bending them under while stepping forward out of downward dog in the early spring. The pain is now completely gone and has been for almost 2 months. It takes a long time to heal this, but have hope that you can get better without drastic measures. I hope this helps those of you who are struggling with this odd and extremely painful condition.
Dec 08, 2017
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starstarstarstarstar 		Same story
by: Avi

Same sharp pain on left foot (upper foot & toe) when bending toe/foot down. Appeared while I was being my spine fixed by a chiropractor. Mild stretch seems to help (maybe due to endorphines after all this pain ;-)
Dec 06, 2017
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starstarstarstarstar 		help
by: Eder

this issue started for me about 4 months ago on my left big toe. only felt the pain when i gas pedaled (plantar flexion). the numbness is always there the middle half of my big toe. a month later it travelled to my right big toe. same symptoms. pain with similar movement, and numbness on half of the toe. i can't play soccer anymore since it hurts to kick the ball. i started stretching my lower back since i feel it's related. since the stretching, i feel that the pain has reduced significantly to mild on my left, but its still moderate on my right. numbness is still there. but i have to say that when i'm stretching my lower back, after a couple of seconds the pain goes away and i can flex my feet and toes with no pain. that's as much as i can provide on this. if anyone has a better way to solve this, let me know as i would really like to be able to play soccer again like i used to.
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I am not a back expert, but your narrative sounds like it is a back issue. It may the early symptoms of a more complex problem. Why not see a doctor to examine your back?

Marc Mitnick DPM
Nov 22, 2017
Rating
starstarstarstarstar 		Exactly the same pain - found the relief!!
by: Mathew

Solution: Someone said in the comments below to stretch through the pain - yes, it really works!!

But read this below to know if it would work for you.
I had immobilized my ankle due to a sports injury and was walking on my heel for about 2 months(too long by mistake). Once I removed the ankle brace and started stretching I felt this pain.I struggled with the pain for 3 weeks before deciding the meet the doc.
The doc during examination, trying to figured out stretched my ankle and toe down twice - was a bit painful though.
The interesting part:He did an x-ray, prescribed tests to determine uric acid levels(which came out normal) and couldn't figure out the cause.But after I came home the pain was GONE!!. I keep stretching now and the pain is not there now.

Explore: https://yogasynergy.com/nerve-tensioning-lengthening-and-untangling-nerves-to-improve-their-function/
Oct 15, 2017
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starstarstarstarstar 		Improved significantly in about month
by: Ilya

I experienced this after an Achilles repair surgery 2 months. Exactly the same symptoms as everyone else described: sharp pain in my big toe front join when pointing the foot and pressing the toes down. Prevented me from swimming, yoga and other activities involving this motion. The doctor suggested it was EHL tendinitis, but it was hard for him to see how the surgery (done on the heel) could have caused this.
In any case, I'm happy to report that the pain mostly disappeared after about a month. I was doing PT during this time, and one particular exercise involved pressing the toe down with a tera band to strengthen the EHL. This could have helped.
Oct 11, 2017
Rating
starstarstarstarstar 		Same pain!! Any remedies?
by: Joe

I have the same pain as everyone else here. Point my foot down and and my toe at the same time and get sharp pain only on the outside of my big toe. Then the outside of the toe goes numb for a while but no other pain anywhere else, so weird. Hoping somebody on here experiencing the same pain or difficulties has found a concrete remedy please help.
Sep 29, 2017
Rating
starstarstarstarstar 		I have the same pain!!!
by: Yumi

I have the exact same symptoms as Stephanie. My foot is fine until I point my foot to put on pants or stretch. I can walk, run, and do exercises, but pointing the toes in my left foot makes me want to jump out of my skin. Stephanie, if you find out what it is, please share your info. I will do the same.
Sep 25, 2017
Rating
starstarstarstarstar 		Relief from pain
by: Jeanette

I starting having the pain described by others here when I had a custom orthotic adjusted. The arch was adjusted too high and caused a searing pain along the top of my foot. Here is what helped me:
I had a chiropractor adjust my feet. It was super painful, but the relief was almost immediate. It didn't go away completely, but was so much easier to handle. I have since had my foot adjusted 3 times and it gets better every time.
I elevate and ice the foot as much as I can. I try to leave my foot flat, opposite of pointing my toe, while icing to keep the tendon in the most relaxed position.
It has been 2 months since the pain started, and now it is less frequent and less severe. I can swim and bike again. It gets better everyday.
Sep 23, 2017
Rating
starstarstarstarstar 		Just like me
by: Kevin

Hi having what sounds like much the same problem. Nothing to see, but when I point my toes/ straighten them to put on socks etc get a sharp pain on outer side of big toe, discussed and examined by my GP last week and could find no reason for it. Just going to wait it out and see what happens.
Sep 22, 2017
Rating
starstarstarstarstar 		I've had this twice... good news!
by: Janet

So the first time I had this... it really worried me and it was quite painful. Months passed and it eventually dissipated. Then it showed up again. This time I decided to just mellow out and see what happened. Again, a few months passed and it went away on its own. If it shows up again, I will be annoyed a bit but I'm happy it's not permanent! :)
Sep 21, 2017
Rating
starstarstarstarstar 		Same thing but more symptoms
by: Bill K

I too have the big toe pain, sharp like a knife when I bend my foot down to put on my pants. Very painful. But also have slight numbness and tingling across my toes and my baby toe feels like it's asleep. I also have pain in I push down on the ball of my foot. Time for a Doctor?
Sep 17, 2017
Rating
starstarstarstarstar 		Good news is the pain is getting better with time!
by: Anonymous

I posted here back in June about me and my husband both having this sharp toe pain. Since then we have both been careful to avoid stretching the tendon along the top of the foot (i.e., extending the foot and the toe at the same time). And for both of us, the toe pain is almost gone! We'll continue to try and avoid that particular kind of stretching, and hope it never comes back again!
Sep 16, 2017
Rating
starstarstarstarstar 		Looking for answers to extreme toe pain
by: Sheila

I have read all the posts here and can't believe how similar these symptoms are to mine. I woke up one morning last week and was fine but 10 minutes later my left toe started hurting really bad. I couldn't walk very well and if I accidentally bent it down it felt like I had just broken it. It's now been a week. I've tried gout medicine, anti-inflammatory, rest, upping my Neuronton and nothing is working. The pain hasn't gotten worse or any better. It also feels slightly numb and if i touch the top of my foot along the same tendon that goes to my big toe it is very painful as well.
Aug 19, 2017
Rating
starstarstar 		Tip to help with this pain
by: Paul

I developed this pain in my left big toe ia few months ago. I discovered that it was aggravated if I slept on my back with straight legs and my right ankle resting on top of my left. I stopped doing that and it got better after a couple of months. The irony is that I had started resting my left ankle on top of my right and now I developed the same pain in my right toe. So I've stopped crossing my ankles at all when lying on my back. Hopefully my right toe will also heal after a couple of months.

As well as not crossing my feet in bed (or when lying on the sofa etc) I also avoided stretching the top of my left foot and this helped too.

Hope that helps. Maybe I'm the only one that crosses his ankles but I doubt it :-)
Jul 17, 2017
Rating
starstarstarstarstar 		Update to my May 21st post--Getting better!
by: Anonymous

I discovered something I hope will be helpful to the rest of you suffering with this baffling pain.

After my comment on May 21st, the pain continued to increase, even with the use of anti inflammatories. By mid June, the tendon to my big toe was so inflamed that it hurt to the touch from toe to ankle. This ended up being a good thing though.

By massaging the area where the tendons on the top of my foot connect to the ankle/shin I could now cause the stabbing pain in my toe without having to point the foot down. It seemed to me that the source of the problem could be there, and not in the toe.

I began icing the front of my ankle daily where the tendons of the top of the foot meet the shin. I also stopped trying to stretch out the foot and made a huge effort not to point it down at all if I could possibly help it, and I took a break from yoga.

That helped. I'm feeling much better now and can do yoga again, carefully and have even been able to sit back on my heels and do child's pose some days.

The pain is not completely gone, but is much less than last month. I am very careful not to aggravate it and to ice the front of my ankle when it flares up, but I am continuing to slowly improve.
Jul 14, 2017
Rating
starstarstarstarstar 		I have this problem, too!
by: Nadia

I have been having this exact issue for about two months now as well.
I'm a 29 year old Type 1 Diabetic. I stay active to keep my glucose in check. I've never had this issue before, but since aging and diabetes have their affects, I figure this may be some related to nerve pain/ disorder.
I will be seeing my endocrinologist in about a week to ask for input.

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

Ask your endocrinologist for a referral to a foot specialist, you will get a better answer.

Marc Mitnick DPM
Jul 14, 2017
Rating
starstarstarstarstar 		Same problem. Please help!
by: Andrew

I had this exact same thing start happening to me a couple of weeks ago. I'm a 40 year old male and reasonably good health. Whenever I point my foot, particularly if I curl my toe at the same time, I get the sharp shooting pain on the top inside of my big toe. If anyone learns the cause of this, please share it. Thank you.
Jul 11, 2017
Rating
starstarstarstarstar 		Me too!
by: Tami

I too have been experiencing this excruciating pain for the last several months. I find it hard to believe this is the first time doctors are hearing about it and they don't have any answers. However, no-one seems to be able to say what's causing it or how to relieve it.
If anyone finds the answer, please share with the rest of us.
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

Please go to the original post on this topic. You will find my response to these symptoms.
We as foot specialists see this problem all the time, however, it can be caused for different reasons, so there is no "one size fits all" answer.

Marc Mitnick DPM
Jul 09, 2017
Rating
starstarstarstarstar 		Sharp and burning pain in my foot
by: Kurt

I'm 19 years old. I also woke up with excruciating pain in my left foot. I even went to the ER because I was in so much pain. I got an x-ray the doctor said it looks fine. I'm really upset about this because it's hard to walk. I can't cycle anymore, I can't go to the gym, I can't skate, I can't enjoy a walk on the beach without having to stop and sit down from the pain. I am being prescribed Ibuprofen and it hasn't been helping for the past 2 weeks. I'm losing hope and I think this is all making me depressed.
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Why not make an appointment with a foot specialist who is more familiar with the pathology of the foot and should be able to afford you some relief beyond recommending ibuprofen.

Marc Mitnick DPM
Jun 27, 2017
Rating
starstarstarstarstar 		Toe pain, like a needle going in
by: Paula

Great to find this thread - I'm experiencing the same searing pain when I extend my big toe on the left foot. It doesnt sound like turf toe as that points to pain under the toe, this is right along the top edge and doesnt appear muscular as its a stinging pain, not the duller pain that an upset muscle makes. I'm 60, dont exercise much, just a gentle jog most mornings so cant think of any exercise related movement that might have caused this. Also if I stretch it gently but repeatedly it seems to ease as abate for a while. I've been ignoring it as it doesnt hurt when jogging or at any other time - just when I do my ballet (kidding). I'll go to the doc and see what he says. Good luck to you all.
Jun 25, 2017
Rating
starstarstarstarstar 		Exactly what I'm having also
by: Charlie

This is exactly what I'm experiencing also. It's only when the foot is extended as you said. I had strained my lower right back muscle a couple of months back a day it still on occasion gets tight or sore. I don't feel like this is associated with that but maybe it is. My toe from the base to the knuckle is numb most of the time now. Would love to know what it is.
Jun 22, 2017
Rating
starstarstarstarstar 		I can relate!
by: S.ann

Hello,everyone. I've recently started having a very similar experience with my big toe! When I stretch and point, or curl under my big toe I experience an excruciating swift "slicing" inside my toe! It is completely interior, as if the end of my toe bone is moving through the flesh. Terrible pain. But there is no discoloration, no swelling, no bleeding. No seeming trauma. But it's the strangest, most acute and alarming sensation one can imagine.

I haven't had a recent injury to my foot or toe nor other so am totally perplexed about this phenomenon. This thread is the first information I have found that even approximates my experience! What in the world IS this?
Jun 22, 2017
Rating
starstarstarstarstar 		Both my husband and I have this pain now!
by: Anonymous

Just in the past few weeks, both of us have this very sharp pain when extending the big toe. His is his right big toe and mine is my left big toe. We have both been dealing with low back/ hip pain issues, and mine just started after a few chiropractic adjustments. I've searched online and this seems to be the only place people are talking about this... how strange! Mine feels like a needle piercing through my skin. He describes his as more of a sharp hangnail type pain. And it's only when both the ankle joint and toe joint are extended at the same time. Stretching it slowly seems to make it feel better, but I'm reluctant to do that because it could be aggravating an inflamed nerve. Some commenters on here are saying it can get worse over time or result in permanent nerve damage. Others say it goes away with time. I can no longer sit on the floor with my legs tucked under me (Hero pose in Yoga). I wish I had some answers, but I don't.
Jun 15, 2017
Rating
starstarstarstarstar 		Thank you
by: Anonymous

Hi Marc, thanks for your reply! Yes, I will bring this up with my doctor and potentially make another podiatrist appointment as well.
Jun 12, 2017
Rating
starstarstarstarstar 		Toe Pain
by: Anonymous

Wow, I can't believe I found this thread! I figured this was the beginning of something serious, but after reading through these responses it seems to be some kind of injury that just needs time to heal. I noticed several days ago that when I stretch my foot downward and point my toes (as a ballerina would) a searing burning pain shot over the top side of my big toe. I tried several times thinking it was just stiff, but each time I flexed my foot downward.....OUCH! This morning I noticed the pain was slightly less, and I can actually point my toes downward without jumping out of my skin! I think it's healing up and getting better. 👍🏼 I'm wondering if it has something to do with the shoes I recently bought which, when I walked and the shoes bent, created a stiff crease across the top of my toes. The crease is much more flexible and soft now, so maybe that's why my toe is better. Weird thing to have to google, but happy to read all these testimonies and know I'm not alone!
Jun 08, 2017
Rating
starstarstarstarstar 		Update
by: Sean Y.

To update everyone, I went to the doctor and got an x-ray and ultrasound (I live in Canada so this was free). The doc said the ultrasound looked good, no soft tissue damage, but the x-ray indicated that I have arthritis in my big toe, and the inflammation of the arthritis was compressing a nerve.

She told me to take Tylenol Arthritis for a couple of weeks to see if that would bring down the inflammation. I thought about it, but that didn't make sense because Tylenol Arthritis only has acetaminophen, which is not anti-inflammatory. I talked to a pharmacist and a walk-in doctor, and they both said Advil Arthritis would be better. I've been taking that for a week with no effect.

When I follow up with my family doctor, I will tell her the OTC arthritis medication did nothing. She indicated that if they don't work, I will get a "nerve conduction study". I'm kind of worried that this will be permanent! Will keep everyone posted.
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

Why not consider a cortisone injection in the painful area? A nerve conduction study is not really going to give much useful information. If the nerve is entrapped (because you have neurological symptoms) you already know where the nerve damage is located. Your time would be better spent trying to remedy the problem rather then confirm what is already known.

Marc Mitnick DPM
Jun 04, 2017
Rating
starstarstarstarstar 		Foot pain
by: Stephanie

I've had the same sharp pulling pain when I stretched my foot in my middle toe for about a month. Now the pain moved to the big toe. The entire time iv had a mild to moderate burning sensation in my shin's. I do have 3 pinched nerves in my neck and I will be getting an injection on the 27th. My dr said it could possibly be hurting due to my neck or maybe pinched nerves in my lower back but I'll have to have another MRI done for the lower back.
May 30, 2017
Rating
starstarstarstarstar 		Me too
by: Eric

Clarifying that it is not the bending of the toe but the bending of the foot downwards. I'm about 3 weeks in, have had mild gout in past but don't feel it is related as I'm familiar with those causes symptoms and pains
May 22, 2017
Rating
starstarstarstarstar 		Same pain in the toe
by: Marty

I have the same pain on top of my right big toe just below the nail when I extend my leg and foot and then curl my toes downward....yikes.
I am thinking of trying the cortizone shot...will keep you informed...
May 21, 2017
Rating
starstarstarstarstar 		Downward Toe
by: Loretta

This has been an interesting thread. Nice to know I'm not alone. Mine came on after I stubbed the crap out of my right big toe stepping forward out of downward dog while doing yoga. It's been gradually getting worse for the last month,though I can stretch it out and be okay for a while.I think it might be extensor tendonitis since I have no pain to the touch anywhere on the foot and no pain or aching in the arch as is seen with Medial Plantar Nerve Entrapment. Still, the exercises for that look worth trying, and very similar to what I have done for the plantar fasciitis I've had off and on for years in same foot. It could be a combination of the two for me, so I'm not completely discounting the MPNE. Has anyone else had plantar fasciitis in the foot with the toe problem?
May 15, 2017
Rating
starstarstarstarstar 		Tearing big toe pain and numbness
by: Sean Y.

Hi all, just wanted to add that I am experiencing something similar and will go to the doctor about it soon. Basically when I point my left foot downward and bend my toes, I get a sharp tearing pain on top of my big toe at the joint, as well as along the side. When I stop bending my toe it goes away. I doesn't bother me in day to day life except when I bend my foot/toe in that way, like when I'm taking off and putting on shoes.

I went to a podiatrist a few days ago, and he thought it might be tendonitis. However when he asked the time whether I was experiencing tingling/numbness, I said no.

Just over the last couple of days, I have noticed a definite numbness in my toe, in exactly the places where I feel pain when I bend it (top of the joint and along the side between the joint and the knuckle). It's kind of disturbing as I've never experienced this kind of numbness before, except in regular cases like when I sit too long and my leg falls asleep.

I haven't done anything differently over the last month, and I've been wearing most of my shoes for a long time. Nothing rubs badly against my toe.

A few weeks ago my 2 year-old drove the wheel of his toy play car over my toe, which hurt a lot at the time, but I'm not sure if that's related to this.

I figure it has to be some sort of nerve issue. Will update if the doc(s) come to a conclusion!
Apr 05, 2017
Rating
starstarstarstarstar 		Wow
by: Heather

What a trip that this happens to other people! I went to Luxembourg for Xmas and while I was there I bought some boots. On the flight back, for the first time ever, my feet got swollen, and of course I was wearing m new boots. Ever since, if I point my feet and toes downward, it feels like the tops of my big toes are being pulled apart. It's subsided a bit after three months, but now the outsides of both big toes have gone kind of numb. 🤔🤔
Mar 17, 2017
Rating
starstarstarstarstar 		Big toe pain
by: Leslie

I started having the same thing, first in the right toe. Now it's both feet. I read up on "Turf Toe", and I believe this is what it is. Thanks for all of these posts. I was beginning to think that I was the only one.....
Mar 12, 2017
Rating
starstarstarstarstar 		Stupid toe
by: JG

Can't believe so many people have this problem but when I try and explain it to any one I know I get the "huh?" look. Like many, I noticed it when putting on my pants one morning about a month ago. I've had some pretty bad back problems that, looking back, seem to maybe run more parallel to this toe issue than I realized. Gonna mention it to my chiropractor this week and see if there's anything he may want to change in my current regimen to address this. I'm gonna try and remember to post back my progress for others. It's okay, you're not crazy!
Mar 07, 2017
Rating
starstarstarstarstar 		Same thing
by: Debbie

I have had the exact same thing happened to me where I stretched in bed and felt like my tendon was ripping off my toe. I now have severe pain when I point my foot down and flex my big toe. I'm still looking for answers
Feb 24, 2017
Rating
starstarstarstarstar 		Sounds like Turf Toe
by: Sean

Woke up this morning with pretty much the exact same situation. Had a good run the night before but didn't notice anything until this morning. Hurts when walking and trying to stretch out my foot and calf. Sounds a lot like turf toe as described here:
http://www.webmd.com/fitness-exercise/turf-toe-symptoms-causes-and-treatments#1

and here:
https://en.wikipedia.org/wiki/Metatarsophalangeal_joint_sprain

hope this helps.
Feb 11, 2017
Rating
starstarstarstar 		big toe pain
by: Fred

The big toe on my left foot burns and aches like fire when I move it, jolt it or when I rub the left side of the lower leg it stimulates the very lower joint of my toe to burn and ache like fire?? I have been diagnosed with gout, but take medication and keep it at bay, this pain seems different to me. Does this sound like gout??
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It does not sound like gout. It possibly could be a nerve entrapment occurring further up in the lower leg, possibly just below the knee joint.
Why not see a doctor?

Marc Mitnick DPM
Dec 19, 2016
Rating
starstarstarstarstar 		Similar issue but not big toe
by: Vicki

I' am experiencing very similar symptoms but it's not my big toe but the top of my foot. Where the foot joins the leg - when I point my toes with a straight leg (no pain when I point them with a bent leg) I have excruciating shooting pains - literally makes me jump.
I also have a bruise on the top/side of my foot but I've not hurt my foot.
I have tronchenteric bursitis in my right hip and have been having physio /acupuncture.
What is it? Should I go to hospital for X-ray?
Dec 05, 2016
Rating
starstarstarstarstar 		My update
by: Kevin

I last posted here Oct29,15 and since then things have evolved a bit. I went to a neurologist and was diagnosed with neuropathy in both feet with no known cause. It all started with intense shooting pain only in left big toe when I stretched out my ankle(same as OP).. that turned into a constant lesser pain and numbness, and now I have hot spots all over both feet the worst being in both outer heels just below the ankle bone, left middle toe, and both big toes. If I walk around for more than an hour or so my lower legs will swell up really bad... Most days there is a constant burning in both feet (like the soles were slapped by a 2x4)and when I step it feels like I have Legos in my shoes. Some days are really bad, bringing tears to a grown mans eyes. I bought EEEE shoes and they have helped a little, and numbing creams can help too, along with pain meds. I'm only 39, and it gets worse seemingly every day. I should note that I was in a career ending car accident in 2012 that did damage to my spine. It's good to see that some of you got better... I'm holding out hope that mine will too. Unfortunately my primary care Dr is not at all proactive and just told me to "report to my pain clinic". frustrating but I don't have any other primary care options since Obama Care, so I'm stuck with him.
Dec 03, 2016
Rating
starstarstarstarstar 		I now have the same pain in the top outside of my big toe and slighter on the other side. Was told Tarsel Tunnel Syndrome
by: Mike

I now have the same pain in the top outside of my big toe and slighter on the other side. Was told Tarsal Tunnel Syndrome

-------------------------------------------------
Would not be so sure about tarsal tunnel as that condition affects the nerves on the bottom of the foot, while your pain is on top of the foot.
Marc Mitnick DPM
Nov 21, 2016
Rating
starstarstarstarstar 		All toes
by: Dianne

I have the pain on the top on most of my toes when I stretch them. Normally I notice inthe morning. Then I went swimming and noticed the pain when I kicked.
Sep 08, 2016
Rating
starstarstarstarstar 		I have it too
by: Suzanne

I have the same issue. It is either pirformis syndrome, sciatica, or herniated disk. I have pirformis syndrome and have for 10 years. Just recently after doing squating in my aerobics classes, I now have numbness, and pain in my toe when pointing it. I have been told to do stretches, NSaids for inflammation and ice/hot packs. Your doctor can advice you.
Aug 23, 2016
Rating
starstarstarstarstar 		Pain Went Away in Four Months
by: Steve

I had the exact same thing in my big toe, and it finally went away after about four months on its own.
Aug 22, 2016
Rating
starstarstarstarstar 		Same here.
by: Adina

My pain started last fall/early winter, I think, on top of my right foot. I particularly noticed it every-time I went to put on my running shoes. It lasted a couple months before disappearing and ended up in my big toe. I could reproduce the pain (which felt to me like an electric shock) by laying down, straightening my leg, bending my toes down and lifting my leg upward towards the ceiling (not bending at the knee). Whatever it is, it resulted in permanent numbness along the outer edge of my big toe, and weakness. I can no longer bend that toe very well. After the pain dissipated (it slowly got better over a period of 2 or 3 months), I had the same pain in the back of my heel, and then my index finger. It was the same thing as the toe. When I'd extend my arm out straight and lift my finger upwards, I would get the shooting electric shock type pain. That also lasted a couple months. No noticeable weakness resulted in my finger though, thankfully.
I sure hope someone can get a proper diagnosis and report back here. It's incredible so many people have the same thing, and yet no diagnosis that really explains it. I'm sure it's something to do with the nerves though. I also have near constant muscle twitches, and burning pain (like acid) under my skin in my legs mostly, and some peroneal nerve dysfunction was found in my left leg after a nerve conduction study.
Aug 15, 2016
Rating
starstarstarstar 		Same Problem
by: Darlene

I have the same problem in big toe on left foot and pinkey finger on my right hand. When I move both downward a certain way it is burning and hurting feeling. Haven't been to doctors. I am 58 years old I am good health I thought. Don't take medicine and I have been active. I did just get diagnose with psoriasis this year but had lot two deaths in my family, I guess. I guess I am going into doctors see what happens.
Aug 09, 2016
Rating
starstarstarstarstar 		Pain on both big toes when legs are stretches and toes pointed down
by: Vusi

Hi averyone,Im 43 yrs old.I have been experiencing the same pain on both feet especially on my right foot for the past 2-3 months in as much I thought its new shoes I bought couple of months back.The shoes were a bit tight I thought they have damaged a nerve or vein so I gave them away but the pain hasnt gone away.I have tested my sugar level for diabetes and researched about gout symptoms but their symptoms differ from this.Its scaring me and I havent told anyone nor my Dr about this.Anyone with a remedy can help us,it will be highly appreciated.
Aug 09, 2016
Rating
starstarstarstarstar 		Clayton RA
by: Paul

Hi Clayton

I've posted here several times over a year ago. I too, have RA.
I had same thing on my left big toe. But it went completely after kicking legs in pool. I thought that was it. However it returned on my R foot, after tieing the lace on my boat shoes ( that must of crossed over a nerve close to surface of foot) I haven't swam as much as I like at the moment so it's still here. What I must say I am very sensitive to pain, and steam out at the slightest. I wondered if it was anything to do with RA meds and pain relief drugs. What meds are you on? Wonder if there's a connection?

Regards Paul
Aug 08, 2016
Rating
starstarstarstarstar 		Same problem
by: Clayton

Hi. I have had a numbness down the sides of my big toes and when bending my right toes down a pain like a knife slicing or acid burning down the side of the big toe that about put me through my ceiling from the terrible pain that happens when bending it down. It has been going on for 3 or so months now but after I force myself through the pain by purposely bending it down and stretching it during the day make it a bit better but is a daily problem. I have RA and diabetes and found out about both in the last 2 years but have not talked to either of my Drs about this issue yet but am interested in any answers on the web. If I get any answers that will help you I will be more than happy to let you know and I wish you the very best for any answers that help you.
Jun 16, 2016
Rating
starstarstarstarstar 		Same Situation Exactly
by: Mickey

I hope this helps somebody...I have been having this exact same issue as described--- a bad, sharp, burst of pain felt suddenly in my toe when foot points a certain way, most specifically when it stretches or points down /extends(away)...it's worse when my leg is straight. After a lot of research, an ex-ray, blood test, and speaking with 3 doctors including a podiatrist I know what this is for me. I am a very active 42 year old runner, coach...I am personally experiencing the beginnings of arthritis. Perhaps from wear and tear, and/or untreated traumas/minor injuries that can cause calcium to build; and this slight structural adjustment is compressing a nerve that runs along the side/top of the foot. A cortisone injection, wide enough shoes, surgery if really bad to shave the bone back, seeing a doctor are my recommendations.
Jun 14, 2016
Rating
starstarstarstarstar 		Big Toe Pain
by: Wayne

Severe sharp pain down side of toe when pointing toe down and stretching my foot
by: Anonymous

I have been experiencing exactly the same problem for weeks now. It's the strangest thing and I was that desperate to get rid of it I read one of the comments that suggested pointing my toe down and stretching through the pain. I can't believe it done the trick. Thank you! The pain was that much of a shock you're first instinct is to stop pointing your toe down and stretching your foot. I'm no doctor but it worked for me :-)

I also had the same issue and followed the above advice, couldn't believe it but it also worked for me! Thank you Anonymous!
Jun 07, 2016
Rating
starstarstarstarstar 		same here
by: Anonymous

I have the exact same thing going on with my Big toe. I think I overexerted through multiple different types of physical activity 2 weeks ago, but it only hurts when I point my foot and toe downward. If my foot at 90 degrees to my ankle, I can point my toe all day. When i point my foot and toe, its exactly the same, excruciating, shock like pain. I have no answers, but i guess I will take a break from any running or jumping activities for a few weeks or until it goes away.
Jun 05, 2016
Rating
starstarstar 		Pain when pointing toe and leg straight
by: Jlov

The pain in my right big toe started a few weeks ago. It only hurts when my leg is straight and I point my foot downward. When I bend my knee (thanks to previous posts I compared the difference) it does not hurt at all. Thinking its time to see a chiropractor
Jun 05, 2016
Rating
starstarstarstarstar 		New pain now
by: Anonymous

months after my toe pain went away, the other day while working out i felt a sharp pain to the left of my heel and forward a bit, right in line with the pain i was having with my toe. Same issue as before where it only hurts when bending my foot downwards of it i bend forward with straight legs to touch my toes/stretch my hamstrings
Jun 04, 2016
Rating
starstarstarstarstar 		In response to Linnie from Norway
by: Sore toe in Minnesota

Norwegian experiencing the same thing
by: Linnie
Linnie, thanks for your post. I thought my problem was just on my big toe right above my nail cuticle. When I started pressing the side of my foot, similar to your experience, I found the same hot spot that caused pain all the way to my big toe. My Dr. had dismissed this as nothing significant. I'm glad I can now start following treatments for anterior tibial tendonitis.
Jun 03, 2016
Rating
starstarstarstarstar 		Sudden burning pain in last big toe joint
by: Anonymous

I also had a sudden onset of a burning, tingling pain when I extend my big toe and foot downward. Had an MRI thinking it was a partial tendon tear...came back negative. I think it is a nerve issue, but not sure where the cause is. Going back to the Podiatrist for a follow up. Icing and stretching have not worked.
May 31, 2016
Rating
starstarstarstarstar 		It has gone away, yes there is hope
by: Joe

I posted back on Feb 28, I believe and this injury had started in early January. In the early phases of this injury (first couple of weeks) I believe ice water did help reduce some of the inflammation that surrounded my trauma to the foot. The ice water works because it surrounds the foot, reduces inflammation, applied for 15mins, though not comfortable.

Following this, I attempted to be careful to not aggravate the condition by pointing foot and big toe down as often as possible and maintaining big toe extention if I moved to plantar flexion (toe up while ankle pointing down) OR maintaining ankle dorsiflexion if the toe was plantarflexed. (ankle up and toe pointing down)

In early March, I began placing my foot in hot/warm water to assist in the circulation to facilitate healing to the area. I kept it in there about 15mins and really only did it a couple times. I think once the inflammation/redness was down, the warm water really helped the healing.

By the end of April the symptoms had gone away! Halleujah. It did take roughly 5 months for this to go away completely. I could tell it was not as intense a pain and was only around the big toe joints about 3.5 months following the injury. However it was occasionally still aggravated.

I still believe it was a superficial mylein injury to the nerve innervating the top of the foot/big toe. I have since bought foot protection for my taekwondo class.

May 31, 2016
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starstarstarstarstar 		Severe sharp pain down side of toe when pointing toe down and stretching my foot
by: Anonymous

I have been experiencing exactly the same problem for weeks now. It's the strangest thing and I was that desperate to get rid of it I read one of the comments that suggested pointing my toe down and stretching through the pain. I can't believe it done the trick. Thank you! The pain was that much of a shock you're first instinct is to stop pointing your toe down and stretching your foot. I'm no doctor but it worked for me :-)
May 26, 2016
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starstarstarstarstar 		try chiropractic
by: Brian

My foot pain was relieved the first day i went to a chiropractor. They cracked my neck, and lower back pretty good, and suddenly that pain of pointing my tow downward went away completely. I must have had a kinked nerve up the spinal chord (or something that was freed). I have had no pain since (4 months). But it was certainly no gout, as some have written, and my doctor was way wrong, in telling me it was "degenerative arthritis."
May 20, 2016
Rating
starstarstarstarstar 		Severe pain/burn
by: Military

I read these comments and came to the conclusion it was a nerve in my ankle. I took it upon myself to stretch ankle as much as possible. Then shook leg as fast and hard as I could with my ankle loose with no tension. Immediately afterward I stretched my foot down and pushed as hard as I could. The burn/pain gone. I did shake my foot and leg pretty violently so do what you wish with yourS. Mine worked. NO PAIN WITH ALL TO GAIN.
May 03, 2016
Rating
starstarstarstarstar 		Ballerina Toe ?
by: Barbie

My left foot big toe has been a bit numb for years. I put this down to nerve damage from years of point work in ballet. I was not surprised when I had shooting pain along the top of the same toe, spreading up on top of foot, when I pointed my foot. I massage and ice and wear my ortho shoes and some days no pain, others pain. Have you done ballet, stubbed your toe badly, worn tight shoes, had sports injury to big toe. I believe it can all result in nerve damage which can out of the blue many years later manifest itself with this shocking pain. Our big toes take so much abuse!
Apr 26, 2016
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starstarstarstarstar 		Mine stopped
by: Anonymous

Hi all,
I posted back in September last year, I have rested and tried to avoid the over stretching of the foot, I did take ibuprofen but not at regular intervals, my pain has now gone but I get a clicking/ cracking sound in the area the pain was.
I don't believe this is gout more a tendon problem, I've been about 2 months now with no pain, I also changed my boots but just recently went back to my old ones, so if it comes back I'll ditch the boots!!!
Good luck everyone
Merv
Apr 25, 2016
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starstarstarstarstar 		answer about back problems..
by: Anonymous

ive had to get my lower back and hips readjusted at the chiropractors a few times over the last 5 years because of my work pops my hips out of place sometimes
Apr 25, 2016
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starstarstarstarstar 		Nerve damage
by: Anonymous

My GP told me it was nerve damage, in the upper foot similar to carpel tunnel.
Apr 24, 2016
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starstarstarstarstar 		possible connection to the back
by: Anonymous

do any of you have or had a lower back problem in the last few months or years?
Apr 03, 2016
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starstarstarstarstar 		Toe pain
by: Anonymous

Hi Stephanie, Mark is correct. Your problem will be caused by damage or inflammation to a nerve. I don't know which nerve but I am 99% sure this is the problem. I have had the same symptom in the thumb on my left hand..The doctor has told me to massage it with an anti inflammatory gel such as voltaren. So far it is not helping and guess what ..... yesterday I experienced the same pain in the big toe on my left foot while putting my socks on. Bummer!
Apr 01, 2016
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starstarstarstarstar 		Same here!!
by: Anonymous

I have this pain when I sit with my legs underneath me or when I try to put trousers on and have to stretch my whole leg! Really starting to get me down as the pain seems to be getting worse over the weeks to the point where I have a slight burning sensation in my big toe now most days. I'm an active 30 year old who doesn't have any problems anywhere else. I'm thinking maybe a trapped nerve??
Mar 23, 2016
Rating
starstarstarstarstar 		pain in big toe
by: Anonymous

All of you have Gout excess of Uric Acid. Very dangerous if left untreated


You are correct in the fact that the big toe joint is the most common joint for a gout attack, just because someone has pain in that particular joint, does not necessarily make it a gout attack.
Additionally gout has a specific presentation which separates it from other painful conditions (read my section on gout). Gout attacks will hurt regardless if your foot is pointing down or not.
Lastly, your are also correct in the notion that people with high uric acid levels are at risk if they do not bring those levels under control.

Marc Mitnick DPM
Mar 15, 2016
Rating
starstarstarstarstar 		Big Toe Issues
by: Anonymous

I had the same issue with my right toe. It was too much acid in my body. The doctor give a simple remedy 1tsp of tonic water 3 times daily. However, app 4 yrs later, today i am faced with the same issue on the left toe. i can't stretch my foot and curl my big toe without it being painful. I will try the tonic water or alkaline water again. If you have rough skin lemon and water. But i also have thyroid disorder on the left side. So i am hoping it not related and is two diff issues. Hope this help a bit.
Mar 14, 2016
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starstarstarstarstar 		my right toe too
by: Anonymous

F 47 also with burning pain on the top of my big toe when I stretch it downward. After reading on here that it didn't hurt when they pointed toes down with bent knee - I tried it & same for me too. There seem to be several theories - has anyone worked out what it is? What caused it and how long it generally last for please? Just lately I have had a few more aches and pains and was wondering if it was something viral?
Mar 08, 2016
Rating
starstarstarstarstar 		pain in big toe when I point my foot down
by: Janet

I have the same prob with pain in big toe when i point my foot getting dressed ect. and also thought it was gout at first. I read is has to do with SCIATICA. I have been having lower back pain from leaning forward while at my desk and while watching tv. I plan to correct my posture and start using my inversion table to see if that corrects the problem. Earth Clinic website has some remedies posted by people who have found relief by taking vitamin c, ginger and having an epsom salt bath. Hope this helps someone.
Mar 04, 2016
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starstarstarstarstar 		Australian Foot Pain 😡
by: Anonymous

48 F here with the same symptoms.. left toe , numbness, severe sharp pain when flexing foot.... I also noticed last nite when giving my foot a going over ... veins under foot like someone has drawn them on there with a pen .... anyone else noticed this ... will def try anti inflammatory meds ...
Mar 02, 2016
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starstarstarstarstar 		Norwegian experiencing the same thing
by: Linnie

Came across this thread when I was googling my symptoms. I am fairly active and I go running several times a week. I first noticed this pain a few weeks ago when I sat down on the floor with my legs under me. My toe hurt like hell. I have been stretching cause it felt like a really tight muscle of some sort.The pain subsides a little when stretching, but it's still there when I do stretching of the leg (but not with a bent knee) However, my husband gave me a foot massage the other day and about 10 cm away from my big toe, on the side of my arch he found a spot that hurt so much that I immediately yelled out in surprise and my toe tingled and burned in response from the touch. I then googled tendons in the foot and have come across various articles on anterior tibial tendonitis which seems to describe my condition to some extent. Has anyone else this spot on the side of their foot? (Not on top of the arch, but where the arch starts almost - on the side..)
Mar 01, 2016
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starstarstarstarstar 		Painful left big toe
by: Beverley

Hi reading the comments below most people seem to have a painful right toe my pains in my left big toe ... at first I thought my nail might be digging in I checked & it was fine ...every time I go out with my walking boots on it starts again when walking ... I only wear good foot wear ... I had an accident with this foot a year ago so I got to thinking it could all be part of the recovery I would have to go through ...it mainly hurts at night I don't even like the weight of the bed covers on my toe its as if someone's pressing on my toe nail bit like painful pins & needles !! ... I can press on my nail & its fine the pain comes from under the nail from the middle joint down to the nail end ..im 53yrs old in the menopause normally fit & healthy I don't drink or smoke any advice would be appreciated ... I have recently been getting painful joints / fingers / knees / arms / buttock cheeks / & a burning sensation in the tops of my upper legs only at night ( With the burning feeling ) I have also noticed I'm struggling to hold things sometimes I drop things easily ..Anyone else get these suffer the same pains !!
Feb 28, 2016
Rating
starstarstarstarstar 		burning on top of big toe/foot
by: Joe

I too have experienced a burning pain/super painful on the top of my R big toe and top of foot. I have looked over anatomy pics and came up with medial dorsal cutaneous nerve. This injury occurred following a Taekwondo class and is aggravated by something called a Toyo kick. I am sure this is the result of trauma to the foot while the nerve was stretched. This motion includes ankle plantar flexion (foot pointing down) and great toe flexion (big toe also pointing down). This motion is how the burning is also reproduced. I equate this injury to the equivalant of a "burner" or "stinger" in football. When a nerve is stretched too far the coating that conducts nerve signals called myelin can be torn. This is at a microscopic level. The regeneration of myelin is very slow. I am also thinking that in addition to this, circulation to the foot to assist in healing can also be not as good as other parts of the body. This injury occurred 6weeks ago, and while at times it seems like it may have gone away, it is still very present when I move my foot the wrong way. Putting on pants can aggravate it. I do not have a treatment regimen, however reason would say that time, splinting or taping of toe in a shortened position (big toe neutral or slight extention), not reaggravating it may help. submersion of the foot in ice water helped temporarily, however I am going to try heat next to assist in circulation. I will follow up and let you know if anything works once it is healed.
Feb 28, 2016
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starstarstarstarstar 		Tearing Sensation
by: NancyO

I seem to have some of the symptoms mentioned in this discussion, My pain started suddenly, but differently, when I stretch (mostly when in bed), I have a strong stinging that feels like my toenails are separating from the toe bed. Very painful, but nothing visable. Anyone else have this?
Feb 27, 2016
Rating
starstarstarstarstar 		Same here
by: Anonymous

Age 60, left toe, really painful when pointing my toe. I've had my right toe surgically fused, but the pain in my left toe is totally different. Haven't seen anyone about it yet. Naproxen makes no difference.
Feb 26, 2016
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starstarstarstar 		Me toe
by: Charlie B

Searing hot pain top of right big toe when I point my foot / stretch . No swelling or discolouration just the pain ??.
Feb 23, 2016
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starstarstarstarstar 		Ditto!
by: Anonymous

Exact same thing on my right big toe. Went to GP but he brushed it off. Going back for podiatrist referral. Thanks for all the info!
Feb 18, 2016
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starstarstarstarstar 		Same problem, with solution!
by: Anonymous

I found this page when I was having the same problem. I had it for two weeks and visited the podiatrist today who specializes in nerves in the foot. He gave me a cortisone shot in the deep perinniel (spelling?) nerve tunnel. He put the shot about two centimeters above my ankle and it was better almost immediately. He tried the same tunnel but more on the top of my foot first but it didn't work. He concluded that it was originating from the ankle bending when I point my toes not from my toes themselves. I could bend my toes but not my ankle and have no problem but I couldn't been my toes and ankle without the pain. I hope this helps someone because this pain was no joke!
Jan 31, 2016
Rating
starstarstarstar 		And me!
by: Anonymous

Female,not active. I have lower back problems (bulging disc, facet joints) on the same side I am now getting this toe pain when pointing so pretty sure it is nerve related for me. I can currently also feel it in the ball of my foot and side of heel.
I am aware that it started after I began a new (v low impact) exercise routine for my back so probably did something wrong, but also managed to find relief through stretching.
Just saying this has worked for me and haven't been to any professional about it, but did basic stretching of the foot like lying on back with leg in the air moving foot up and down gently, or sitting and circling my foot both ways, all very gently, as it hurts. I have done no stretching or exercising for a week and the foot/toe pain is now worse.
This won't resolve the original issue, but hoping it helps until I can go see someone about it.
Jan 30, 2016
Rating
starstarstarstarstar 		Add another to the list..
by: Anonymous

Hi All... Me to, I woke up with it about 2 months ago, hideous sharp pain runs along the outside of my big toe, right foot and only when my leg is straight and only when I curl or point my toes, it's the weirdest thing...
I run as often as I can and walk about 5 mile daily to work (most days in a heeled shoe) so my feet are doing it hard..
I'm also thinking its nerve related as the pain is so intense.
Im going to book in with a podiatrist next week, hopefully he can come up with a diagnosis and treatment.. I will post his response.
I'm surprised at just how many of us are suffering from this!
Have to say... I'm relieved to know it's not just me!
Jo.
UK
Jan 23, 2016
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starstarstarstarstar 		Identical symptoms
by: Anonymous

I too have exactly the symptoms you mention - a ret hot searing pain only when I flex my foot - primarily the right big toe although a similar pain when flexing my foot sideways down the right side of foot. It feels like a tendon snapping or tearing the pain is so intense. Nothing else to show though no redness etc... I can't take anti - inflammatory medication as have kidney stone issues
Jan 23, 2016
Rating
starstarstarstarstar 		join the club.
by: Mike s

WOW!!! This is better than going to the doctor. after reading all the symptoms from everyone on the post,I decided to give myself a through exam of my own foot.I checked all the hot spots on my foot.
1.big toe joint.
2.top of foot
3.right behind toe/along ridge.
4.bending/twisting/pulling.
5.checking tendon sensitivity.
6.muscle pain. etc,etc.
Here are the results!!of Dr MIKE.( Not A Dr.)
the only thing found of significance!! When in a sitting position with my left leg crossed over my right.I exerted minor to major downward pressure on my big toe,while my foot was in a pointed flexed position.
(This produced pain in the tendon and muscle all the way up my left leg)almost to my knee.Did not expect find that.I massaged the tendon and muscle for approx 10 minutes,it's still aggravated,but somehow it feels better.I will continue this therapy,an add an additional OTC product for the massage? I'm not sure if this info can help anyone else? But maybe it will.
Regards
Mike. AKA THE DR.

Jan 19, 2016
Rating
starstarstarstarstar 		Same thing!
by: Anonymous

I have also been experiencing this! I don't jog but on my feet at work.. 30 year old female. ..so strange I never imagined there would be so many other comments of the same thing. Didnt expect to find anything when i googled it. Doesn't hurt when my knee is bent, but when leg is straight it's very painful. Left big toe from my joint to my nail aprox.
Jan 14, 2016
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starstarstarstarstar 		Not alone
by: Anonymous

I have exactly the same symptoms described! Had it for a few weeks now and especially painful if kneeling or pointing foot down. Even hurts when foot is pointed under bed covers. Will try anti inflammatory and gentle massage. Am so glad I'm not going completely mad!
Jan 14, 2016
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starstarstarstarstar 		update2
by: david2

After about a month of resting it, I have been stretching it gradually for the last few weeks, and have gone back to swimming and bodysurfing, and it is getting better. Toe is still mostly numb, and some slight pain on the top of the toe just below the nail. But probably 90% better.
Jan 13, 2016
Rating
starstarstarstarstar 		Reply to SB
by: Paul v

From my experience swimming (kicking legs) repeatedly quickly is the only thing that has helped with this nerve induced PAIN. push through and let me know what is like after a couple of weeks. should have gone by then. Ive seen rheumatologist consultants, DR's etc etc and taken lots of advice from fellow sufferers on here, But can say the only thing that worked for me was swimming. i have no pain from that condition at all now.
Jan 13, 2016
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starstarstarstarstar 		Medial Plantar Nerve Entrapment
by: Anonymous

Based on the trouble I'm having and what I am seeing everyone post, I'm pretty sure we're all experiencing Medial Plantar Nerve Entrapment. The link below provides some great explanations and suggestions...

http://www.sw.org/HealthLibrary?page=Medial%20Plantar%20Nerve%20Entrapment,%20Jogger's%20Foot%20with%20Rehab-SportsMed

NOTE

Although an entrapment of the medial plantar nerve is certainly a possibility, I would easily rank three other conditions ahead of it, including, tendonitis of the extensor hallucis longus tendon which bends the big toe upwards.
Additionally you would have to rule out a nerve entrapment of the dorsal nerves, or nerves on top of the foot, because when you bend your foot down, you are essentially stretching those nerves and they can cause symptoms.
Lastly, you would have to rule out osteoarthritis of the big toe joint; if arthritic enough, particularly with the formation of bone spurring, this too will cause pain when the foot is pointed downward.

Marc Mitnick DPM
Jan 13, 2016
Rating
starstarstarstarstar 		same--- but any solutions?
by: SB

without having gone through all the post, I also have this problem. big times... Have anyone found any "quick-fix" solution to this? Starting intense swim-training this week (prep for ironman) and not looking forward to extending foot...
Jan 12, 2016
Rating
starstarstarstarstar 		Another victim!
by: Columbus Gal

I have had slight pain in my big toe joint for many years. I am a jogger, and sometimes it gets a little worse, other times doesn't bother me at all. Last August I sustained a hip injury that kept me from running for 4 months, I just started light jogging last month again - and bam, there was this searing pain on the top of my big toe when I stretch it downward. I read someone on here say that it didn't hurt when they pointed toes down with bent knee - and I'll be darned, same here! It does feel like a tendon or nerve, something apart from the joint, and I see no visible swelling. Got new shoes today, a 1/2 size bigger, I'm hoping that helps. Might have to try orthotics. Thanks everyone for the comments, I was going crazy trying to find anything that sounded like what I'm experiencing!
Jan 12, 2016
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starstarstarstarstar 		Pain is gone
by: Anonymous

probably 3 months total later, my pain is gone completely. it had to be a nerve issue. never went to the doctor or took meds. no issues at all anymore. first month with it really sucked but it will get better. a bit of gentle massaging definitely helped
Jan 11, 2016
Rating
starstarstarstarstar 		Same pain in toe
by: Anonymous

29 Yr old Male, active.
Pain in Big toe Right foot, only when getting in bed, putting on pants, or socks. does not hurt to touch. Also hurts when I pull my leg behind to buttocks to stretch thigh muscle.
No swelling, no redness, doctor said he thinks it could be tendonitis, but did not offer much beyond that.
What could this be?
Jan 11, 2016
Rating
starstarstarstarstar 		one more person
by: Anonymous

55, female, moderate exercise, not over weight, no new activities or shoes. Same exact symptoms. Haven't even told my husband because I know he will think I'm crazy. Was going to call a doctor, but with all these comments, I will start massage and anti-inflammatory treatment first.
Jan 10, 2016
Rating
starstarstarstarstar 		Nerve Entrapment
by: Chris

I have a similar pain just started and have spotted this on you tube. Not tried it yet but I'm going to give it a go now. Will let you know how it goes.

https://www.youtube.com/watch?v=OsZhCSyoJIE

Chris
Jan 09, 2016
Rating
starstarstarstarstar 		Same symptoms !!
by: Anonymous

The pain I'm getting when I stretch my toe downwards.
However the pain only kicks in if my whole leg is stretched out straight and my foot and toe are stretched down! If I bend my toes down when my knees bent then I have no pain?!? Every morning I forget and I stretch and nearly jump out of my skin.
I was convinced my bone had pierced the skin last week the pain was that bad !

How strange that everyone is reporting same symptoms around the same time?! I've done lots of online research and there are no other forums/comments elsewhere - odd!
I'm booked in to see my doctor next Monday. Hope it's sorted soon:(
Let's hope some university dudes are currently creating some miracle somewhere in the world !!
Jan 04, 2016
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starstarstarstarstar 		update
by: David2

Went to the Podiatrist - he didn't have a specific diagnosis, other than it was a nerve problem, and it will fix itself over time. Been a little over a month for me, and it is getting slightly better. Toe is pretty much numb, and still hurts, but not as much, especially when my leg is fully extended and my big toe is pointed. Swimming still hurts the most. I do find that if I stretch it slowly, it helps.

It really does sound like most of us have the identical problem -wish there was an easy fix and explanation.
Jan 02, 2016
Rating
starstarstarstarstar 		Toe pain an numbness
by: Rena ,Ala

Yes...Yes.48 female..add me to this long list as well...I started having the same symptoms in my left big toe on outside..right by the toenail on side...only when pointing my toes downward. Sharp pullING like a nerve feeling...an I read alot of your on here an the updates as well...so looks like stretching is the key I gather to overcome this an anti inflammatory meds as well....great site an thanks for so many sorry but thst has this an does share...thank you...
Dec 15, 2015
Rating
starstarstarstarstar 		similiar problem
by: Anonymous

28yo male, about 260 pounds, active job and work out fairly regularly. oftentimes have work boots that are too tight. also have pains when pointing toe down but not too bad. its really bad when i kneel and sit back on my feet. my exact pain is on the bottom left corner of the right big toe nail.

i noticed last night that if i press gently down on the left side of the toe, JUST barely above where the toe meets the main part of the foot then it triggers pain way up near the nail which can last for a few minutes, its so severe. Been having this issue for a few weeks now.

Getting into bed or putting socks on used to be terrible but thats not too bad anymore. its such a coincidence so many people are posting about this around the same time.
Dec 02, 2015
Rating
starstarstarstarstar 		Medial Plantar Nerve Entrapment, Jogger's Foot
by: Al

I have the same issues with the toe numbness and pain when extending foot down. I think it is most likely Medial Plantar Nerve Entrapment, Jogger's Foot. The nerve gets pinched causing the symptoms. I am now wearing orthotics when I run. Hope some light to this diagnosis helps.
Dec 02, 2015
Rating
starstarstarstarstar 		Me Too!
by: New York Guy

As many others have stated for themselves, I too have been experiencing seemingly this exact same problem. I've had it for 2-3 weeks and have come to grips that it isn't just going to go away and heal itself.
Like many others here, I am healthy, in my low-40's and cannot attribute this condition to any specific event or injury; I just woke up with it one day. For what it is worth, I am a man, wear traditional leather soled shoes 5 days per week and usually sneakers on the weekend.
The pain is a shooting pain, but other than the particular position (toes and ankle pointed) there is no pain or discomfort (though there is mild numbness). The act of putting on socks each morning is typically the one instance of pain I experience on any given day.
Thank God for the internet - we all now know we're not crazy. Next step is to diagnose and heal, and I presume there is a podiatrist in my near future.
Nov 29, 2015
Rating
starstarstarstarstar 		Same problem
by: David2

I have the same problem, however I can trace the beginning of the problem to a bodysurfing session (with fins, and it has hurt when pointing my big toe when my leg is fully extended. Also have numbness on the end joint. No pain, redness,swelling or any problem when not pointing. I'm going to a podiatrist in a couple weeks, and I will report back. Feels tendon related, but could be a nerve thing?
Nov 28, 2015
Rating
starstarstarstarstar 		Pain in toe
by: Patsy

Thank god for the Internet. I too have had this same pain. It's a shame that no one reports an answer from a doctor. Until I found all these replies I thought I was going mad! It's especially painful when the leg and foot are underneath, as in kneeling.
Nov 23, 2015
Rating
starstarstarstarstar 		possible diagnosis provided here
by: Big Toe Jam

Just returned from my podiatrist. This was his comments:

He ruled out Gout. Since there was no visible redness or swolenness. Also ruled out diabetes. Thank goodness.

He seemed confident it is Degenerative Arthritis of the Big Toe Joint. It's called Hallux Limitus/Hallux Rigidus

He recommended the "PRICE Therapy"
P=Protection (He suggested Orthotic Devices, rigid supportive shoe soles. and avoiding barefoot walking (which I do all the time)
R=Rest (avoiding activities that cause discomfort)
I=Ice (decrease inflamation). Ibuprofin also good.
C=Compression. Try using a compression wrap or ACE wrap to decrease swelling)
E=Elevation (elevating your lower extremities multiple times daily for 15-20 minutes can help decrease swelling and decrease pain levels)

This could be hereditary. Cartilage wears out, joint surfaces are no longer smooth, bone rubs on bone. Loose fragments can develop. You can often feel a bony bump on the top of the toe joint.

Did I solve your problem? Give it a shot!


There are three things that come to mind when someone complains of "sharp severe pain in big toe when I point my foot down".

1. hallux limitus (hallux rigidus) which was just discussed by this poster.

2. tendonitis of either the extensor hallucis longus or extensor hallucis brevis, which are the two tendons that allow the big toe to bend upwards. When the foot is pointed down, these two tendons are stretched and can cause the type of pain described.

3. damage to the nerves on top of the foot. Since nerves like tendons are string like structures, if the foot is pointed downward, these structures may be stretched and begin to hurt, particularly if there has been some damage to them.

Conditions like gout or even a diabetic neuropathy will not really change much based on simple movement of the foot.

Marc Mitnick DPM
Nov 16, 2015
Rating
starstarstarstarstar 		Pain slightly better but not gone yet
by: Anonymous

I posted about 4-5 weeks ago. Pain is slightly better in my right big toe but still present. I'm convinced it's a nerve issue. Massage seems to help a bit but when I'm doing it, it does hurt at times where I massage. No answers either yet. I wonder if it's related to doing a lot of exercise - most people seem to do a lot on here of have done something active before the pain started? I'd be interested to see if anyone ever has an answer!
Nov 16, 2015
Rating
starstarstarstarstar 		Same thing here
by: Joe Doe

Yep - sorry to be another "me too", but I get a pain on the outside of my right big toe and outside of the ball of my foot when I extend my foot downwards. No obvious cause - just happened a couple of weeks ago and still with me.

Surprised no physiotherapist can post a view...
Nov 09, 2015
Rating
starstarstarstarstar 		I'm not alone
by: Big toe Jam

Wow. Everyone is describing the same thing I have. Been about 3 weeks since I've noticed sharp nerve pain in my left toe, putting socks on. It occurs across the top of the left toe, from tip to 2nd joint. Only when I stretch it downward. No probably otherwise. What gives?
Nov 05, 2015
Rating
starstarstarstarstar 		Same here
by: Wendy

Have had it on both big toes, which have numb patches now and don't hurt anymore. A few days ago it started on a small toe!
Nov 04, 2015
Rating
starstarstarstarstar 		Toe pain
by: David

I found this post because I too have the same pain when I point my big toe down to put on socks. I couldn't reproduce the pain by touching the toe, but realized that if I pressed on the top of the foot just before the big toe joint I could reproduce the pain. It's either a tendon or nerve. Maybe some stretch and massage there will help. I'll do some self therapy and let you know if I have any positive results.
Oct 31, 2015
Rating
star 		Typical
by: Anonymous

Typical response from a doctor. "Duh, I dunno".
There are millions of people on the internet with the same symptoms, and millions who go to the doctor trying to figure it out. And yet, as soon as you mention it to a doctor they act like they've never heard of such a thing. You'd think they'd learn something in their years of school and even more years of practice, but no.


It comes down to what kind of doctor you go to. Your average GP or internist, in all honesty, will have no clue as to what the problem is.
However, if you visit a podiatrist or an orthopedist he or she should have a very good idea of what is causing your pain.
If, you have been to a podiatrist or orthopedist and they have no idea of what is causing your problem, then I would have to agree with you.

Marc Mitnick DPM
Oct 30, 2015
Rating
starstarstarstarstar 		Crossing my ankles when I sleep?
by: Anonymous

OK, this is a long shot, but what the heck- I've got this condition, and have posted before. My affected toe is my left toe.

When I sleep on my back, I cross my legs at my ankles with my right ankle resting in the crook of my left ankle. If there's a nerve that runs along the top of my left toe, and along the top of my foot, maybe the pressure of the right foot resting on top of the left foot is messing with my left toe??

Anyone?
Oct 29, 2015
Rating
starstarstarstarstar 		Spreading?!
by: Anonymous

Hi I posted back in late July also (38 yo male) and it seems to be getting worse. I now have a numb spot on the same(left) foot on my outer heel below my ankle bone. the spot is about the size of a quarter and it is completely numb all the time. I stepped wrong the other day and got a massive shot of pain in my outer heel... same sort as in my toe. I also have the same numbness in my right big toe but it's not nearly as prone to pain as the left foot. On the other hand the two toes next to my big toe on my left foot don't seem to get the ripping pain anymore like they did when I first noticed the issue. Strange to see more and more people show up here all the time, and still no definitive diagnosis.
Oct 28, 2015
Rating
starstarstarstarstar 		Stretching
by: Cain

The internet can be a wonderful thing. I have dealt with this Pain for the past 6 weeks. Last week I began stretching my Arch and Toe, It seems to be getting better, The straightening pain does not send me through the roof anymore. I was very happy to see this is something of a common issue.
Oct 28, 2015
Rating
starstarstarstarstar 		Me too!
by: Jackie

What a godsend this page is. Not that any of us seem to know what's going on, but I thought I was going mad. Some of the descriptions are exactly what I have. A sharp searing pain when I point my toe, as I'd been describing it how some other have, like a thread being pulled against its will when you're sewing something. Mine started after I'd been on a two hour horse ride and I'm wondering if the flexion in my foot caused it. Been to the doctors as I was worried it was gout, more due to the location than the symptoms and he was stumped. Told me to take anti inflams.

I'm a fit and healthy 34 year old woman and this has come out of nowhere. Anyone got any updates or advice?
Oct 24, 2015
Rating
starstarstarstarstar 		Toe pain
by: Anonymous

Wow! Me too. I ride mountain bikes a lot. It only hurts when I point my toe and when I touch the outside of my toe it kills. The joint isn't inflamed . I do drink a tad too much but am otherwise very healthy.
Oct 23, 2015
Rating
starstarstarstarstar 		Sharp severe pain in big toe when I point my foot down
by: Anonymous

Hi there,

I am a 30 year old male, in relatively good shape. I also woke up one morning putting on my socks and felt the pain when I stretched my right big toe downwards. It hasn't left yet and I guess it is about 4 weeks now.

Has anyone been able to find a clue or reason why this is happening?

Thanks
Oct 13, 2015
Rating
starstarstarstarstar 		Finally found a discussion about this issue!
by: Anonymous

I've had exactly the same pain in my right big toe for the past three weeks. I haven't yet been to the doctor (I live in the UK so if I need any investigations they will be free - thank god for the NHS)
Only thing I can link it to is that I do a lot of exercises - running/spinning/cross training and my trainers are old and I've been putting off getting new ones - I wonder if the support has gone in them and I've caused some sort of impact injury which has caused the problem. I must admit when I'm cross training I get slight pins and needles in the same toe and some numbness.
Oct 12, 2015
Rating
starstarstarstarstar 		Same toe pain
by: Anonymous

I too have had this same pain!! I can walk and run etc as moving up doesn't hurt but any movement down is excruciating pain! I was thinking a hairline fracture in the joint but I will see my Pt who is amazing and see what he says. Will keep you posted.
Oct 11, 2015
Rating
starstarstarstarstar 		Identical Symptoms
by: Neo

I'm a 55 year old male and have been experiencing the same type of (R)toe pain for at least a year now.Putting on socks or boots can be very painful. I can point my foot down and then outward to the right and it stops hurting. I believe that its connected to the SI joint
Oct 07, 2015
Rating
starstarstarstarstar 		Pain is gone
by: Nanette

I posted a few weeks back about this issue, I am pain free and have been for about a week. It came on all of a sudden and left the same way. I wish everyone else the best!
Oct 07, 2015
Rating
starstarstarstarstar 		swimming
by: Brian

I commented a while back and I really think that stretching is key. Swimming is painful but helped to get rid of my pain. I am now pain free and have been for months.
Good luck everyone!
Oct 06, 2015
Rating
starstarstarstarstar 		Something to try
by: Davey

I have this. I have found that if I stretch my big toe up, by pushing my foot down on the floor vertically, I can feel a stretch in my arch. Then when I try to point my toe to create the burning, skin being pulled off feeling, it isn't as bad. More stretching, less bad. Enough stretching like this can pretty much make it go away. I think the problem is a tightness in my foot arch.
Oct 05, 2015
Rating
starstarstarstarstar 		Toe problem
by: Anonymous

I'm also 37 and just experienced the same pain in my toe. I also discovered the problem when I was on my knees with my toes pointed back and also when I stretch my legs out with toes pointed out. It feels like i'm tugging on a nerve. If I ease into a stretch slowly I'm good. I also have slight numbness just under the nail on my big toe. I'm on week number 4 with this annoying condition.
Sep 27, 2015
Rating
starstarstarstarstar 		Me too
by: Merv

I too have been suffering with this problem for last 4 months, (good to know I'm not alone), I am a 43 year old male who is not as active as I used to be so its definitely not due to over exercise, mine started after a 4 hour drive probably due to boots being too tight and possibly pressing on a nerve/ tendon.
Mine hurts the most when kneeling down with my feet stretched backwards (if that makes sense) as previously described I get a horrendous burning sensation on the outer edge of my right big toe.
I have tried taping the toe trying to immobilize the joint for over a week, but it has not got any better, I will try the anti inflammatory drugs to see if that works.
Does anyone get any sort of clicking in the joint when bending the toe forwards and backwards?? It's like the tendon twanging at the first joint.

Regards
Merv
Sep 21, 2015
Rating
starstarstarstarstar 		Congaplex update
by: Anonymous

So just an update to trying the Congaplex by Standard Process. I have taken it everyday now for over a week and it has not made the pain go away, although I do notice less pain when my leg is bent and my toe is pointed. Either way it is not enough difference to continue taking it. Gotta save some of that gold for flu season. I am however going to look into some other items from Standard Process since I know their products are amazing and they do have stuff specific to other body needs. I may also try acupunture. Again if anything else work, I will make sure to share it.
Sep 12, 2015
Rating
starstarstarstarstar 		Me, too!
by: Anonymous

I am a 47 year old female who started having this pain three weeks ago. To my recollection, I have not injured my right big toe in any way, but the pain just appeared out of nowhere. I, too, have the burning sensation when pointing my feet. I will be following this thread to see if there are any solutions to this issue.
Sep 08, 2015
Rating
starstarstarstarstar 		Posted back Aug 7th 2015
by: Still have the pain

So its been about a month since I posted and I am still having this extremely annoying pain. I scrolled through more of the post just now and came across a post from Shonda back in the end of April 2015. I noticed she took congaplex from Standard Process and had never heard of it before, but she said it worked. I never thought to taking that stuff for this pain, but I know it very well since my Mother works there. I have taken Congaplex before for flu season and it will knock out a virus before it gets to you...so I know it works for that. I am gonna get some more of it this week and give it a shot. I will post sometime next week and let ya know if it works for me as well.
Sep 07, 2015
Rating
starstarstarstarstar 		SAme pain
by: Anonymous

I have this same pain in my left big toe. I have had the pain for about 3 weeks. My toe is number than when I first started experiencing the pain. I also feel pain when I stand on my tippy toes.and sometimes my toe just seems to ache. Is there a cure/solution???
Aug 30, 2015
Rating
starstarstarstarstar 		I'm having the exact same problem!
by: Anonymous

In fact, I just went to the local Urgent Care bc of it. And of course, nothing found on XRays. The pain will sometimes wake me up if I roll over and happen to bend my foot downward. It's excruciating. It shoots up to toe into the foot. But walking is fine. I'm hoping for some answers.
Aug 24, 2015
Rating
starstarstarstarstar 		Same pain in left big toe.
by: Nanette C

I, too, have had a sharp shooting pain in my left big toe that recently started. I am an avid hiker and just got back from a two week hiking trip in the Swiss and Italian Alps. The pain started after I returned. I am completely perplexed as to the cause. I take Zyflamend for joint pain and inflammation which really saves my knees on my crazy hikes. I also add a large chunk of fresh ginger to my morning kale smoothie which is to help with inflammation. I am an active 51 year-old female who refuses to let this be an "age" thing, and I will keep an eye on this site for any other relief remedies. THANKS!
Aug 16, 2015
Rating
starstarstarstarstar 		No longer a problem
by: Brian

I am a 38 y/o male. I have posted a few times on this board. I am the med student who traced the nerve with the Anatomist. Anyway I have had this now for probably six or eight months. It started in my left thumb. And then I noticed a few days later that it was in my right toe. It got progressively worse over the past few months. It got so bad that I started losing sensation and had complete numbness in the toe. I saw physicians, had blood tests, changed my running shoes, even cut down on my mileage. I no longer have any of the symptoms of the tearing or acid pain when I flex my foot. What I did was took 800 mg ibuprofen twice a day morning and night for three weeks, I also started drinking a drink called ASEA.I would have two ounces in the morning and two ounces at night. I also incorporated daily icing and stretching. And what I think really did the trick was swimming combined with the ASEA. Swimming was excruciatingly painful at first. However overtime became tolerable and now there is no pain. Maybe it's a fluke. However I no longer suffer from the tearing and burning but I had a month ago. For what it's worth, I hope this is able to help somebody. I will give updates if anything changes.
Aug 14, 2015
Rating
starstarstarstarstar 		My Story
by: Anonymous

I also recently started experiencing this (nerve?) pain and associated numbness, specifically in my left big toe on the (outer) lateral side. I am a 50-yr old male, active runner (30-40 mi/wk). I believe my pain started as a result of an ankle/foot injury I received playing volleyball about 6 weeks ago. My foot was swollen for a few weeks and I still feel some of the residual of that injury. I don't think that all the swelling has yet subsided. When I extend my foot and experience the pain, I often also have some numbness (no pain though) in two of my other toes on my left foot. I'd like to think that my pain is due to the inflammation from my ankle injury somehow impacting the nerves, but who knows. I also think that part of it might be attributed to my shoes which might be close to worn. I am just glad to know that I am not alone in this weird experience. I was starting to get worried that I might have some hairline fracture. I haven't seen the doctor and don't plan to yet...hope my running doesn't make it worse.
Aug 13, 2015
Rating
starstarstarstarstar 		Same Story
by: Anonymous

My toe pain is without a bump or bruising or an injury. It is ONLY when I point my toes, and not only does it strike a severe pain in my big toe, it makes parts of it go numb for a minute or two. I have no problem wearing heels or flats, and I run about 15 miles a week with zero pain. This is definitely self diagnosis, but since it feels weird on the top of my foot and radiates into great pain in my big toes, I think it might be extensor hallucis longus tendonitis.
Aug 10, 2015
Rating
starstarstarstarstar 		Don't think it's the shoes in a number of these reports
by: Wannabe

I, along with a few other contributors, have similar symptoms in both the big toes and the thumbs. I will confess to having put shoes on my hands at various points in my life but ... Of course, that's not to say the cause is the same in each case but in "our" versions, the symmetry of the greater digits in both sets of limbs suggests a systemic cause perhaps linked to some genetic/ developmental oddity that predisposes us to adhesions along those particular nerve paths. My doctors, along with those of others, appear to just shake their collective heads and agree it's a puzzle. As it's never been anything other than a damned nuisance and something I can learn to avoid (thankfully, I'm neither a professional dancer nor a hitchhiker), I've taken it no further.
Aug 10, 2015
Rating
starstarstarstarstar 		Now it's only numb
by: Anonymous

I'm a 55 year old male whose main sport is road cycling. I spend between 2 and 5 hours per week on the bike with cycling shoes. I experienced the sharp pain for about 6 months, and now, the only feeling is numbness along the top of my left toe (no pain). All activities are unchanged, but symptoms have changed from numbness and pain to only numbness...
Aug 09, 2015
Rating
starstarstarstarstar 		Big toe pain SHOES?
by: Anonymous

I have the same excruciating transient toe pain. I'm 32, runner, active. I'm thinking maybe it's my shoes. Since this affects so many active people on this post, what kind of running shoes is everyone wearing? Nike Lunar One for me. Just trying to figure something out.
Aug 08, 2015
Rating
starstarstarstarstar 		Same symptoms also 38y.o.
by: Anonymous

What a weird coincidence so many of us are 38. I was born in 1977, and I'm a male in pretty good shape. I have also been experiencing a crazy burning pain when I extend my left toe. I first noticed while putting on a sock last week. It is very painful. I can walk just fine and have no pain doing anything other than the motion of extending my toe like when you put a sock on. I am on my feet 10-12 hours a day no problem. I manage a restaurant. I have not yet been to doctor. Since this is anonymous, I can tell a bit about my activity to see if maybe its related to others. I do smoke and I consume a lot of energy drinks. I drank a lot in my 20's, but not as much anymore. I probably consume moderate amounts of alcohol about 2-3 days a week. I am taking suboxone, a very small amount. I eat pretty healthy despite my other unhealthy vices. I don't use any illegal drugs.
My sleeping schedule is all over the place and not regular. Thats about all I can think of.
I've not yet read all the responses here, but I will go over each one to see if someone came up with a diagnosis. This is the weirdest pain I've experienced with no apparent reason for it.
Aug 07, 2015
Rating
starstarstarstarstar 		Same pain in big toe
by: Anonymous

I am experiencing this exact same pain at the moment. It started about a week ago and I noticed it when I would sit on my knees on the floor with my feet tucked under me. In that position I would feel this terrible pain on the top of my big toe. Its a weird feeling and almost feels like something is pulling away from the fascia. I dance a lot on my tip toes and when I went to dance a few days ago, I noticed the pain from just pointing my toe. Its a very uncomfortable pain, so I now cannot do anything dance related. I have felt a similar pain in my Achilles Tendon a few months ago when I seemed to have pulled that. No clue what to do about this issue and I am hoping it goes away soon since pointing my toes is a daily activity. Any help or insight would be great!
Aug 03, 2015
Rating
starstarstarstarstar 		Left toe and left thumb pain
by: Anonymous

I would like to ask Paul who posted that he had same type of pain in his left thumb area also if he has since been diagnosed for either his left toe or his left thumb . I also have both pains . I read on one post that after being adjusted by chiropractor pain has almost disappeared , I believe that has a lot to do with pain coming on from being misaligned and nerve then being pressured and causing excruciating pain
Jul 30, 2015
Rating
starstarstarstarstar 		Yet another one...
by: Ant

Have just found this page having been searching the exact same problem in my left big toe. Was thinking about going to the GP.. But it looks like they are unlikely to come up with the answer. I have had this on going for about 6 months... ( 52 year old male)
Jul 27, 2015
Rating
starstarstarstarstar 		38 yr old male, same symptoms in right toe
by: Aaron

I have the exact same toe problem as everyone is describing. When I get down on the floor and sit on my feet its unbearable. Its the pointing of the foot that sends the shooting pain. Afterwards there is a "fuzzy" numbness to the side of the toe only on the medial part. It has been painful for a few weeks and came on very suddenly. At the same time I had pain in my right wrist. I even commented to my wife "is this carpal tunnel syndrome?". The wrist pain has subsided but the toe pain has had no change. Any insight into this would be great.
Jul 27, 2015
Rating
starstarstarstarstar 		diabetic neuropathy ruled out
by: Anonymous

38 w/o male.I had a complete cbc and full metabolic panel along with a fasting glucose. All came back normal. No diabetic neuropathy for me.
Jul 27, 2015
Rating
starstarstarstarstar 		Same pain
by: Anonymous

I've been keeping on eye on this page for a couple of months - I don't have a solution but thought I'd add my story.

I'm 27 (male) and the same symptoms started in my right big toe around two months ago. I first noticed it when I was putting on a sock - sudden agony at the end of my toe as I pointed it downwards.

Like others have mentioned, it feels like something is being "pulled" taught like a string. The pain is sudden and severe - and is definitely a nerve pain.

It doesn't bother me on a daily basis and I can still go to the gym - but as a soccer player it's a complete nightmare (for obvious reasons). I've had to indefinitely pull out of my team - I tried playing with it once but it was too painful.

I've tried massaging the foot up to the ankle and calf, but that hasn't made much difference.

It does seem to be less noticeable now than it was around a month ago. This could be because it's getting better...or it could just be that I've "trained" myself not to make movements that aggravate it.

The doctor had no idea what it could be. He said it might go away on its own - but that's the only advice he could give.

Diabetic neuropathy is something that's crossed my mind. I was tested a few years ago and my blood sugar levels were normal - but I suppose something could have changed.

Let's hope we find a solution! It's a really annoying problem.
Jul 26, 2015
Rating
starstarstarstarstar 		Same symptoms but in 3 toes.
by: Anonymous

I am a 38(seems to be a popular age for this) male and I started experiencing the same symptoms about a month and a half ago. It started several months ago with a numbness on the outside of both big toes that came with a feeling that was sort of like a thread wrapped around them being pulled just enough to irritate. Then one day I was kneeling on the edge of my bed and went to crawl across, but as soon as my left foot went from hanging over the side to flat across the bed it felt like the skin got ripped off those three toes. Now when I point my toes I get the same pain, but it subsides after a few seconds. It feels just like the OP described... It feels similar to a the pain of an open blister being aggravated only much more intense. I should mention I was in a car accident a few years ago and am now disabled with spinal injuries that wreak havoc all over my body due to pinched nerves. I am very inactive because of my injuries and psychological issues that resulted from my experience. My Dr. suspects its neuropathy associated with my spinal injuries, but we haven't really started testing yet. Kinda throws a wrench in the theory if healthy active people without back injury are experiencing the same thing.

I don't know if this was brought up in an earlier post or not but Diabetic Neuropathy can cause the same symptoms. Have any of you had your levels checked to see if that may be your culprit?
Jul 10, 2015
Rating
starstarstarstar 		We're getting closer
by: Wannabe

I have some posts from a few months back and noted the same thing (without the correct anatomical names). In my case, when it flares up, it is always the dorsal, proximal nerve path that gets irritated. And, while usually from hyper-extension, can also be stimulated by direct pressure on the affected nerve path. Most observers seem to note the pain is like pulling a thread which is adhering to its surroundings. I imagine nerves have a usual technique (either from manner of design or manner of operation) which prevents them from constantly being triggered from contact with their immediate surroundings. Our symptoms seem to be a failure of the affected nerve to "ignore" its surrounding in the appropriate manner. Any thoughts on that analysis?
Jul 10, 2015
Rating
starstarstarstarstar 		38 y/o male with same problems.
by: Anonymous

Here is an article I found helpful with my same problems. Hope this helps


http://physioandrehab.net/2012/07/19/small-nerves-big-pain/
Jul 10, 2015
Rating
starstarstarstarstar 		Paul, I hope this in some way helps.
by: Anonymous

Mine started in my left thumb about 5 months ago. It lasted about 2 months and now the symptoms have subsided. I only have it in the medial side of my right big toe which has been for a few months now. I am a med student and I spent a few hours with a Phd Anatomist at the University of Utah yesterday and we traced all the nerves in the lower extremities searching for the exact nerve and possible causes for nerve impairment. We followed the superficial peroneal nerve to the dorsal aspect of the foot and traced one of its branches to exactly the spot of pain and discomfort in my foot. We also found that if I pressed on the area of the dorsomedial cutaneous nerve that I felt a similar if not the same burning sensation. From that we were able to deduce that most likely it is the Dorsomedial Cutaneous nerve that arises from the superficial peroneal nerve. I will be looking into this further... I hope this helps.
Jul 10, 2015
Rating
starstarstarstarstar 		Big toe tearing burning pain
by: Anonymous

AGREE WITH JESS - over last few months I have developed exactly that tearing burning pain in my right big toe. It's becoming a permanent feeling re soreness but the ripping is only when whole leg is straight and toes pointed. Bump and redness is becoming more obvious on side of distal joint. No injury only change over last few months is increase in exercise/ fitness etc - how ironic!
How can our symptoms not be diagnosed as clearly a great number of us have these identical weird sensations which are quite specific mechanically ????????
Jul 07, 2015
Rating
starstarstarstarstar 		Pain in 4th feet when something hits
by: Sneha

even i do hve similar pain in 4th feet since a year. Got diagnosed fr uric acid it's normal n X-ray says inflammation. Initially doctor suggested for nucoxia 120. Got relief for few days bt again suffering from pain.since uric acid level is normal doctor said it may not be ghout but suggested for zyloric 100 mg for next 2months. But wt causes such pain?
Jul 07, 2015
Rating
starstarstarstarstar 		FOLLOW UP TO LAST POST 28 FEB 2015
by: PAUL

Hello fellow sufferers,

Once again swimming(kicking legs in water) has really eased the symptoms. Thank god!

i have just read JAKKIES POST (March 21 2015)
and believe it to be a very true diagnosis to our problem (at last) and have photocopied it ready to show my consultant rheumatologist. I have an appointment with my specialist nurse next week, so can hopefully pass it on. i'll let you know what she says.

I know this site is for foot pain, But i have to tell you, and ask you, if any of you suffer from exactly the same symptoms on your hands? I do in my left thumb??????

For a couple of weeks now i have experienced mirrored symptoms to my left big toe.

Jakkie is your diagnosis also possible for the hand??

I look forward to your comments
Jun 30, 2015
Rating
starstarstarstarstar 		follow up from march entry
by: Anonymous

38 year old male. I have now lost all sensation in the dorsal and medial aspect of my big toe. The pain is still there when I point my toe however sensation to touch on the skin is now absent as if my toe has been injected with anesthesia. Hoping this doesn't continue to progress.

RESPONSE
Complete anesthesia in an area may be a sign of a more serious problem. Your best bet would be to consult with a doctor.

Marc Mitnick DPM
Jun 29, 2015
Rating
starstarstarstar 		Tearing pain
by: Jess

Well I'm glad I'm not the only one suffering from this. Not to happy to hear doctors don't know the cause. Same symptoms, it only hurts when I point my toe, it feels like the skin is tearing away somehow! Or burning. Or like the side/top of my big toe is a blanket and someone is pulling/snagging a single thread out. (That's the best I can illustrate it!) It goes away a few seconds after I stop pointing my toe. It's been happening for at least 2 months and is getting worse. It started all of the sudden too. My husband thinks I'm crazy. But dang, it's really quite painful. Stops me in my tracks and makes me curse under my breath!
Jun 08, 2015
Rating
starstarstarstarstar 		P's to my previous note.
by: Pete. C

On the same topic of my pain in my big tow, I have just read another note from a chap, and I do have tendinitis,which is the other reason I have not contacted my doctor about this toe thing. Because he knows I have tendinitis and whenever I mention say a pain in my arm, or thumb, it's just oh yes right, And that's the end of it. So Ive taken it that my BuTrans transversal patch buprenorphine 10 micrograms per hour, but I have a full and a half patch on for 7 days, I thought this was my only answer to my pain. Is this right.
Jun 08, 2015
Rating
starstarstarstarstar 		painfully big toe. is it gout.
by: Pete. C

I am a 60 year old male with arthritis problems in just about every joint I have ( osteoarthritis) I started to get this very sharp pain in the knuckle of my big toe when walking, only ever in my big toe but it could be in either foot or sometimes both. This pain after a while would go from my big toe through my instep and also from my big toe right up the top of my foot and I will get a less painful pain more of an ache then up my leg, but still getting sharp pains in my toe at the same time. I have it right now 12.57 pm 8 th June 2015. Not sure if it's worth seeing the doctor and taking his valuable time up as I've been thinking it's my arthritis, for which I'm already on pain patches for. Please let me know if this helps with a diagnosis.

RESPONSE

Probably not gout, as gout stays localized to the joint that is affected. The joint will be red, hot and swollen, plus it will be painful regardless if you are walking or not walking.

Marc Mitnick DPM
Jun 02, 2015
Rating
starstarstarstarstar 		Same symptoms!
by: Mel

I have had the same sharp pain running up the top of my big toe and now numbness. I now have tingling on top of my foot near the big toe. Its now been there for 4 weeks. Im a 30 year old female dancer. It initially occurred after wearing a new pair of heels. So there is a possibility i have compressed the nerve from tight shoes. I have seen a physiotherapist, who initially thought it was sciatica, but i have no back pain. He thought it may be from having flat feet or trauma to the nerve.
I have had acupuncture to reduce muscle tension in the foot, which has improved the pain. I now have been seeing a podiatrist who is also not certain but believes its might be pinched nerve or muscle spasms which is compressing the nerve. I have been strapping my foot to support the arch. The pain has reduced overall but is still there and is just annoying. I only feel it when pointing my toe. I'm getting a ultrasound to this week to see if its a joplin's neuroma. Just wish someone could tell me what it is?
Jun 01, 2015
Rating
starstarstarstarstar 		Wow, same exact symptoms
by: Scott

I have the exact same symptoms. I was pretty sure it wasn't a tendon as I would expect pain when pulling the toe and foot up but I've been at a loss to explain it. I might be playing with my four year old on the floor and just go to stand up and drag my toe a little...BAM! Crazy how painful it is. It calms down after 30 seconds. It has also gotten gradually more sensitive.
May 25, 2015
Rating
starstarstarstarstar 		are antibiotics the culprit?
by: Anonymous

I am a 38 year old male who is very active and I also have the same problems. Sharp tearing pain on the dorsal medial aspect of my right big toe. Aggrivated by plantar flexion. I also at the same time developed the same sensation in the base of the proximal phalanx of my left thumb aggrivated by the same motion. No known injury however I recently (within the past few months) finished a regimen of Levaquin. I'm curious to know who else was recently on fluoroquinolones And is now having nerve problems.

RESPONSE

Hi,

Levaquin is known to have the propensity to cause tendonitis. It is hard to say how long he tendonitis will last, but because you are young and no longer on the medication, the thought would be sooner rather than later.

Marc Mitnick DPM
May 21, 2015
Rating
starstarstarstarstar 		toe burns when flexed down
by: CAP

Several years ago I had this same pain in my toe when I flexed it down also. It got worse with time and started going up my leg. I suspected it was a nerve because of the way it felt. Then I got shingles in the sciatic nerve all the way down the leg. Shingles wasn't diagnosed for 2 weeks because there wasn't a rash, just horrible pain. The 3rd week I did get a few bumps but not a full blown rash and still more horrible pain. I'm relating this because even though my rash was;t to the degree that you see in shingles pictures, I have permanent nerve damage in that toe and foot - it's a numbness and the entire foot that feels like it has a heavy weight on it. The nerve in the leg is numb yet tingly and hurts to the touch. I always think that this original toe problem made me susceptible to nerve damage. I have been to neurologists, emgs and nothing helps. It has been 3 years. Now I have the same burning in my other toe. It is the exact pain that I had in my right toe. I wish I could find a Dr that knew how to treat this before it's too late. My advice: if you are of age, get a shingles shot if you have any type of nerve pain.
May 18, 2015
Rating
starstarstarstarstar 		Also numbness
by: Anonymous

I have the same problem but my big toe also has a numb feeling to it. When I squeeze it, it feels asleep and numb. The pain is almost unbearable sometimes though when I get out of bed (the way I bend my foot.) I think I'm going to have to go to the VA about it. It's so weird how it came out of no where.
May 10, 2015
Rating
starstarstarstarstar 		BIG TOE BIG PAIN
by: TREVOR

So - about a week ago I was about to put my socks on and I pointed / stretched out my left leg to pull my sock up and "BAM" - crazy pain isolated to my big toe and it's gone as soon as I release the stretch pose. My wife thought I was crazy when I was explaining it to her as I feel no pain in my regular routine - only when putting on pants / socks due to the way I point my foot / toes when doing so.

I have not taken any meds or anti-inflammatories but yet I continue to run (5-8K) runs without any issues or worsening of the problem. I have never heard any mention of this from friends / family and yet I find this blog with people experiencing the exact same symptoms. CRAZY! I'm hoping time will be the healer and I avoid testing it...
Apr 26, 2015
Rating
starstarstarstarstar 		not debating
by: Shonda

As I said I'm not debating, but I had burning pain in my toe and top of foot for 5 WEEKS -- and it was dramatically reduced after 3 days of taking Congaplex and now almost completely gone after 10 days of taking it. Medical doctor advice of ice and rest sure didn't help, and "waiting" wasn't making it better, so YAY for the ridiculous diagnosis and natural healing power of Congaplex! I got it at local health food store. If it worked for me I'll bet it will work for someone else with this incredibly annoying pain. :)

Apr 26, 2015
Rating
starstarstarstarstar 		burning toe pain and numbness
by: Shonda

I have the exact same symptoms. A searing pain in big toe and top of foot when pointing toes down as in putting on jeans or sitting on heels. I'm also experiencing numbness on arch-side if big toe. No swelling, redness, injury, or inflammation. I had a homeopathic/chiropractor/energy-healer tell me it is a type of mutated strep infection. I started taking Congaplex from Standard Process and within 10 days pain has decreased from an 8 or 9 (worst pain being 10) to a 3. I don't know if this chiropractor is a total quack or not, I don't know what Congaplex is, and I won't debate diagnosis. Just know it worked for me and I hope it helps someone else. Good luck!

Glad your foot is feeling better, but two points worth making.

1. You should never, ever take pills that you are not familiar with. If you do not know the ingredients how do you know you are not allergic to any of the contents?

2. Did you entertain the possibility that maybe your foot would have gotten without treatment? Most musculo-skeletal pain resolves itself in 7-10 days without treatment.

BTW, a mutated strep infection? That is the most ridiculous diagnosis I have ever heard.

Marc Mitnick DPM
Apr 23, 2015
Rating
starstarstarstarstar 		I have this same problem
by: Anonymous

I am wondering if it could be carpel tunnel in the toe area. I had surgery for my thumb and it felt simular pain though not as bad. I sure wish we had some Dr. giving us all advise since it is something so many of us are struggling with.

The foot equivalent of carpal tunnel is tarsal tunnel, but that usually results in symptoms on the bottom of the foot.
Go to the original poster of this thread. My response is written within her narrative.

Marc Mitnick DPM
Apr 18, 2015
Rating
starstarstarstarstar 		Burning if toe
by: Garheart

I to have had this problem when I bend my big toe there is severe burning. Had it first on the right foot and now it started on the left toe. Someone Please help!!!
Apr 07, 2015
Rating
starstarstarstarstar 		All very interesting comments.
by: Wannabe

My thought is that, because of the identical symptoms being exhibited by my thumbs as well as my big toes, there's some sort of systemic cause to this. Perhaps some sort of inflammatory or auto-immune thing happening. I can say that my symptoms are very unlikely to be related to any trauma (present or past) as all four greater digits suffer (never all at once) in exactly the same manner. The pain results only when the nerve cord innervating the digit becomes hyperextended (as in pointing the toe, especially when also twisting the foot inward) or similarly over-extending the thumb. Anyone else have such a burning sensation along the nerve path ... but not connected with any trauma?
Apr 07, 2015
Rating
starstarstarstarstar 		same symptom, left toe
by: Jenny Wren

I have had the same problem off and on for some time. Slow stretching the toe helps. I just can't believe there are orthopaedists who "haven't heard or this symptom". Obviously there are quite a few of us dealing with this issue. I do have an idea. I sometimes, while walking barefoot on carpet have had my big toe catch on the carpet and be pulled down - toenail down to carpet, and I believe this may have caused an injury. Just a thought. Hang in there baby, but not by your toes.
Mar 21, 2015
Rating
starstarstarstarstar 		Electric shock in big toe
by: Jakkie

I have the exact same symptoms. When I flex my foott I get a sharp burning feeling, very very sore. I also noticed that when I touch the top of my foot at a certain spot, I get an electric shock in my big toe. Went to a GP, did a x-ray that revealed nothing. Doctor said it must be a nerve. I showed her a small bony bump close to where the spot is where touching results in a shock. She then noticed the bump on the x-rays and it look like I had a fracture at some stage which was now healed. The bump might be what traps the nerve and according to her, the bony part will get smaller with time and hopefully the nerve will then be released. If it gets worse, she said, she might prescribe an old school ant- depressant pill that works for nerve pain or perhaps I must get an operation. The pain doesn't affect my training or anything, just an annoyance but still, it's not normal so I would like to be sure. I'm a 37 year old male trail runner and fitness enthusiast and in good health.

RESPONSE
Read my section on midtarsal fault

Marc Mitnick DPM
Mar 15, 2015
Rating
starstarstarstar 		Add me to the list.
by: Wannabe

62 yo white male. I've had this pain (big toes, both feet, intermittent) that others have described - I would say that it follows the nerve path that inner ages the big toe. So it almost feels like the nerve itself is being tugged and won't yeild. The pain largely vanishes when the tension is removed (ie. when I stop pointing that toe.). I also have the same type of pain when I extend an arm and rotate the thumb downwards and across my palm - same concept: hyperextension of the major digit and pain along the nerve path. Intermittent (thank goodness) but it comes and goes in the toes and thumbs for weeks at a time. Avoiding the offensive hyperextension is almost automatic but ... yes the pain is a definite burning unlike anything I've experienced elsewhere.
Mar 04, 2015
Rating
starstarstarstarstar 		Same problem
by: Anonymous

Great page and thanks for all the comments. I have this exact problem after a two week holiday where I wore flat slip on shoes that I do not usually wear. I also occasionally jog and am a generally fit 45 year old male. Seems that it is not a good idea to keep stretching your toe as it may be further damaging your nerve. Time, anti inflammatories and massage seems to be the best cure.
Mar 01, 2015
Rating
starstarstarstarstar 		Sharp Toe Pain
by: Joe

After about three months, I am able to stretch my leg all the way down to the toe without any pain. This was accomplished without basically any treatment whatsoever. I would do stretches very slowly from time to time but I can't be sure if that helped or not.
Feb 28, 2015
Rating
starstarstarstarstar 		re-ocurred again since last post 12th Jan
by: PAUL

Suffered from Man flu since last post,( saying all symptoms gone.) Put it down to daily swimming exercises.
No swimming for 3 weeks and electric shock in left big toe when extended starting to reappear.
Got to be something to do with the sciatic nerve or some nerve or nerves. That have not been greased/FLOSSED properly due to the lack of exercising in the pool.
started back in the pool today, i will let you know fellow sufferers...
Feb 28, 2015
Rating
starstarstarstarstar 		Toe Pain update from Jan. 30
by: Janet - Calgary

So it's been about a month since my comment in regards to my Toe Pain. I haven't been in for my ultrasound (rescheduled it) but here is the big thing... Last week I was sitting on the couch and I stretched my legs without thinking. I stretched my feet out and yes toes...and holy smokes!!!! The friggen Toe pain is GONE! So, almost 3 months after it started, it just went away. I'm leaning towards the idea mentioned that it was a tiny Ganglion Cyst that went away on its own. (as the doc said it would) I hope that many of you have the same experience... Good Luck!!!!
Feb 28, 2015
Rating
starstarstarstarstar 		flex and point
by: jc

My pain same as everyone else.Sharp pain across my left toe when I point and stretch my foot. Started about two weeks ago and hasn't let up much. Also pain behind knee,but don't know if the two pains are related. Taking Advil at night which helps some. At least I know it is something and I have lots of company with the same ailment. Going to give it another week before I call my doctor.
Feb 16, 2015
Rating
starstarstarstarstar 		Big Toe pain
by: Norm

I have the same symptoms,this may be damaged nerve tissue from the use of an antibiotics called ciprofloxacin used to treat intestinal bacteria. Apparently this antibiotic damages the tendons and ligaments in the heel, just something to think about if anyone has taken this medication.
Feb 03, 2015
Rating
starstarstarstarstar 		I've had this before and may have found help
by: Jay

42 year old male. History of being active - mountain biking, running, climbing, etc. No trauma or injuries. Developed same symptoms last year (summer of 2014) in right toe. Googled and found this site. Pain progressively worsened and I tried stretching it daily to alleviate the pain with no relief for a couple MONTHS. Never was concerned enough to see a doctor. I thought the pain may have developed because of my recent inactivity and wearing flip flops. After no treatmen it went away after 3 months. Now, February 2015 I've developed the same symptoms on my left side, it's progressively worsening. I'm on paternity leave and frequently wearing slippers (may be causing this?). Searched again. Found a previous post suggesting self massage. Tried it, instant results. Not sure how long it'll last. Worked thumbs along calf, arch, side and top of toe and foot. Felt good and was tingling. The pain had disappeared. I believe this is muscle or tendon related. Massaging and stretching may relieve symptoms. Hoping it's permanent.....
Jan 30, 2015
Rating
starstarstarstarstar 		Toe pain
by: Janet- Calgary

Had a strange pain show up a few weeks before Christmas. Like most, I noticed when I stretched leg and pointed toe. Pain from big toe reaching like a band up to the bony arch of my foot. I've had to really be conscience of how fast I jerk my foot and getting dressed so I don't extend my toe. Yesterday I got into the foot specialist and he feels confident that it's a small ganglion cyst that's irritating a nerve. He told me to protect the top part of my foot with a pad when wearing a shoe that can rub across the top. I will be going in for ultrasound to confirm very soon and will come back to report. I'm grateful for forums like this to share info. Fingers crossed!
Jan 28, 2015
Rating
starstarstarstarstar 		my toe nerve pain
by: Ash Roney ashwhole

I'm 32 years old. I started doing martial arts 3 years ago. Just a few months ago I felt this nerve pain in my right big toe when doing round-house kicks (which requires extending the leg and pointing the toes). I just ignored it and did the kicks anyway, even though it felt like my toe skin was going to rip off. I've been able to replicate the feeling just by extending my leg and stretching my toe. Just today I found this forum and tried some self-massage after my martial arts class (muscles being warm). Now the pain has seemed to disappear. I think I will try massage before and after class for a while.
For the massage I rubbed my big toe, also along the bone in the foot that attaches to the big toe, and my ankle and calf. Hope this helps us all.
Jan 25, 2015
Rating
starstarstarstarstar 		Same toe Pain
by: Roxy

I just happened to google this info as about 2 weeks ago, I noticed this sharp, burning, tearing pain on the side of the great toe on Right foot. No pain unless I extend my foot and toe! No pain with any other movements or touch. It seems to be getting worse, and I have had those periods of extreme numbness and tingling. Has anyone been diagnosed and treated for this?
Jan 20, 2015
Rating
starstarstarstarstar 		same here
by: Allen k

I ran across this post after Googling the symptoms. I've been experiencing the same pain for about 2 weeks now. I thought it may have been some type of neuroma at first but research of the symptoms ruled that out. It seems to be a pinched nerve or something. Now here's the good part!

After the first week i started applying ice and heat , alternating after 30 mins or so. This eased the pain for just a little while. But after that, i used a vibrator! Yep, nothing fancy, just your run of the mill vibrator. I lubed up my foot and lightly moved up and down my foot along the big toe edge up to just above the ankle.
Later, my wife massaged my calfs and shins. While applying pressure to both sides of my shin, i was able to straighten my foot with very little pain. I've been doing this for about a week now and pain has decreased A LOT! Along with the vibration and massage, i have started wearing ankle socks and loose fitting shoes like decks and loafers.
I can't say this has been a cure but i can say the pain is now 4 of 10, vs 9 of 10 as it was before.
I feel a slight numbness near my big toe but it's mild. I hope this helps.
I think the key is not to rush it.
Jan 19, 2015
Rating
starstarstarstarstar 		Me too!!
by: Maria

I have the exact same problem. Feels like the skin is ripping when I point my right big toe downward. I can duplicate the pain by rubbing a certain spot on my foot, about six inches back from the toe.

Fast forward several weeks, it has now turned to numbness where the pain once occurred. I fear it is damaged beyond repair at this point. Not sure what a podiatrist can do, but maybe orthotics will help?

Anecdotally, I too am a casual runner and have been experiencing lower back/upper hip pain for several months - right side. I had hamstring surgery on my right leg about five years ago.

I am happy to see that I am not the only one out there dealing with this issue. Interestingly, over the last two days, my knee on the right side feels like it needs to pop, but won't. It's not painful, just uncomfortable nerve feeling. I wonder if it's related.

Thanks for starting this post, and keeping it going.
Jan 12, 2015
Rating
starstarstarstarstar 		Update
by: Anonymous

Here's an update for me. No change apart from my toe becoming more numb on a day to day basis. It still hurts tremendously when I point my toe, right on top of the big toe. I have been to the podiatrist three times, and had an EMG done once. It showed nothing. His only conclusion is I may have a tiny neuroma along the top of my foot that is too small to pick up. Trying prednisone right now, but my podiatrist is hesitant to give me a shot if he doesn't know exactly where it is. I think it's a last resort, but even that may not help anything. Kind of not looking good on finding an actual cause/solution.
Jan 12, 2015
Rating
starstarstarstarstar 		Follow up to Identical and my Dr's had it not taught at meds school by: Paul
by: Paul

Last post Aug 22 2014.

Symptoms all gone ( for now? ) as GP sstated his comes and goes. I got fed up with flossing the nerve at the trigger. But I have been kicking my legs in the swimming Pool. This improved all symptoms and now it appears to have gone. Fingers crossed. I don't know why but obviously this has helped
Jan 11, 2015
Rating
starstarstarstarstar 		same!
by: Anonymous

I have the exact same pain as you. My husband thinks I'm lying and my dr has looked at me crazy. No inflammation meds have worked. Im not sure what I did, but it hurts like crazy.
Dec 13, 2014
Rating
starstarstarstarstar 		Slight improvement from massage
by: Fishkeeper

I started jogging lightly last summer, (29 year old male) and found that I sometimes got lower back pain after running (just at the lower back/upper part of the pelvis--is this Sciatica?)-- my mother and sister both have scoliosis and a doctor once told me I have 'a touch' of it at my lower back, so I suspect this could make my back more prone to muscle and nerve issues.
The foot pain appeared quite suddenly in my right foot, after I had been jogging for a few weeks. The same as everyone else describes--a very sudden, very intense, hot and ripping pain at the base of the toenail and zinging up the arch of the foot. I also felt discomfort (about a 4--5 on the pain scale) when the shower spray hit the top of my foot.
From my research it seems that the only 'official' treatment is surgery, but I live in Japan and am not sure how to begin to communicate this issue to doctors here.
I stopped jogging and went back to yoga and the occasional aerobic workout.

A few days ago in the shower, after a workout while muscles were all warm, the usual discomfort occurred when the water hit my foot. I lifted my right leg (while standing) and grabbed my calf with both hands, circling it so that my thumbs were directly in the center of the muscle, on its inner side. There I massaged firmly up and down the length of the muscle and I saw my foot flexing slightly as I hit the tendons that control the toes.
I also felt a very delicate pins-and-needles sensation along my foot, so I stopped (not wanting to make it worse).

When I put my foot down, I suddenly felt a strong, but painless, magical pins-and-needles numbness spread quickly across the affected area and then fade away within about two seconds. It did not feel uncomfortable. The only way I can describe it is as "relieving", and I immediately wondered, "Did I move the nerve over where it's supposed to be??"

I carefully tested by putting my foot under the shower spray and the pain was NEARLY gone. It had gone from a 5 to a 1, just barely more sensitive than the unaffected foot.

I massaged the calf again and felt the gentle tingle in my foot but there was not that rush of numbness again. I decided that if I have repaired or moved the nerve back into its natural place that I should let it rest before trying to flex it.

Just now for the first time I stood up and tested pointing both toes, and there was no pain. (!!!!!)
I have been doing yoga including kneeling, cobra and other poses that require the feet to be pointed and have not had discomfort from that lately.
Needless to say I'm done with jogging, probably forever, if I am susceptible to this kind of injury.

In fact I'm not sure WHAT exactly I did to 'fix' (or help) the neuroma, but firm massage along the inside of the calf, as deep as you can press, in a vertical line (while the muscle is warmed up and soft) is all the advice I can clearly give. Perhaps doing this standing, while the leg was totally loose, was part of the key as I have tried massaging it while sitting and nothing happened.

I sincerely hope my long explanation helps other people as I was really despairing of having a permanent neuroma to deal with before I even turn 30. I'll also note again if it returns. Good luck to everybody and don't give up.
Dec 13, 2014
Rating
starstarstarstarstar 		Update from Oct. 29
by: Farmer

Went to chiropractor, who worked on the nerve going up my leg. That may have helped a bit, but did not end the pain. Time seems to have helped the most, as the last couple of weeks there is almost no pain at all when I stretch the toe, nothing like before. But now the top part of my toe that used to hurt has little to no feeling. It's not affecting my life, so I don't consider it a problem.
Dec 07, 2014
Rating
starstarstarstarstar 		anonymus (from Nov 3) Update #2:
by: Anonymous

After doing some more research, I am becoming more convinced that we are experiencing nerve damage in that area. What made me more confident in this conclusion is a test I performed called the Tinel's Sign came in positive, indicating that I have nerve damage in the area.

The Wikipedia definition is as follows:
"Tinel's sign is a way to detect irritated nerves. It is performed by lightly tapping (percussing) over the nerve to elicit a sensation of tingling or "pins and needles" in the distribution of the nerve.

For example, in carpal tunnel syndrome where the median nerve is compressed at the wrist, Tinel's sign is often "positive" causing tingling in the thumb, index, middle finger and the radial half of the fourth digit. Tinel's sign is sometimes referred to as "distal tingling on percussion" or DTP. This distal sign of regeneration can be expected during different stage of somatosensory recovery."
Nov 30, 2014
Rating
starstarstarstarstar 		Also having same pain
by: Anonymous

I had my wife gently push down all around my foot. I found a point slightly higher up from where I felt that pain that when she compressed, caused the same kind of pain. It's on the bone. I am wondering if I have a nerve that is compressed along that bone in my big toe. I was expecting the trigger point to be farther up my leg or possibly in my back, was surprised when we found it so quickly. It is a severe sharp burning pain that feels like my skin is stretching and tearing when I extend my foot. Considering going to the Dr.
Nov 21, 2014
Rating
starstarstarstarstar 		Same symptons
by: Chad

I came across this page and it has been useful, I was about to go to go to doctor, however this doesn't seem to be a solution. Have the same symptoms, no issues working out or running, just when pointing my toes. Will just wait for it to go away and avoid movements that aggrivate my toe
Nov 19, 2014
Rating
starstarstarstarstar 		So glad I found this
by: GeorgiaPeach

I just started experiencing this a couple of weeks ago. I am a 52 year old healthy active woman. I had been running all summer and did a 10 mile race in October. Just went back to yoga classes recently and discovered it while pointing my left foot down. Yikes! Like an electric shock. In subsequent (tentative) testing on myself, I have been able to point slowly, flex, massage the toe, point slowly, flex, massage - over and over and have the pain be reduced over the course of a few minutes. But the next time I try it without warming it up - it is back to an intense stabbing pain upon pointing. I agree it has to be a nerve pinch - after reading all of these posts. Yoga sounds like the best medicine, so I'm just going to continue that and hopefully it will eventually go away.
Nov 12, 2014
Rating
starstarstarstarstar 		Pregancy
by: Leah

I have the same complaint. Right toe and it feels like the skin or directly below the skin is being torn away when I point my leg and toe. I am relating my symptoms to pregnancy as I am 6 months along and starting to have many of the hip pain symptoms. I'm suspecting it's a pinched nerve in my hips/back.
Nov 11, 2014
Rating
starstarstarstarstar 		Same problem
by: Anonymous

I'm having this exact problem in my right foot. Started a couple of weeks ago when I was kneeling on the floor. I have noticed that sometimes if I'm putting my calf down on something (arm of the couch for instance) I can feel almost like an electric shock in my toe, so it's almost like it is starting somewhere else, but I can't quite figure out where or why.
Nov 06, 2014
Rating
starstarstarstarstar 		Big toe numbness pain
by: Anonymous

I am glad to know I am not the only one with this weird problem! I too am thinking it is nerve related. I wear all kinds of ridiculous shoes, and I run so nerve damage is likely the cause. What has the PT done to help free up the blocked/inflamed nerve?
Nov 03, 2014
Rating
starstarstarstarstar 		anonymus (from Sep 14) Update #1:
by: Anonymous

Anonymous here from the September 14th post (28 year old male).
Just wanted to run a quick update:
I am still experiencing toe pain (on the front, outer edge of the joint) when stretching the toe down, but the pain has decreased from an 8 out of 10 to about a 5. I have noticed numbness in the area now, which seems to be replacing the previous pain. It sounds like some kind of nerve damage, but I am not sure. Will run some medical tests and update you guys.
Oct 31, 2014
Rating
starstarstarstarstar 		It's been 6+ months...
by: Anonymous

...and the sharp pain is noticeably gone, but numbness along the top of the left big toe remains.

I am still thinking that the onset was related to my using flip-flops and Birkenstocks this past summer. Perhaps some "clenching" with my foot to keep the sandle in place.

My hope now is that the nerve damage will undo itself over time and that the numbness will stop.
Oct 29, 2014
Rating
starstarstarstarstar 		my toe hurts when I stretch it
by: farmer

I have the same symptoms. Stretching left leg foot and toe outward and downward (putting on jeans and socks ) causes sharp pain in big toe that feels like the skin and muscle is tearing. No other position, or touching the causes any pain at all. After reading that other people also have the same symptoms, and had no luck going to doctor, I will wait and hope it goes away.
Oct 28, 2014
Rating
starstarstarstarstar 		Exact Same Problem!! (Follow up Part 1)
by: Laura

I went to a podiatrist yesterday and he said that it maybe nerve damage and the feeling may or may not come back. Basically the more I stretched the more I was damaging the nerve which is why I probably don't feel the pain as much anymore and instead it feels more numb. He said sometimes the feeling comes back so for the next 2 weeks he has me taping my toe to limit the movement on that toe and limiting my activities (I workout everyday). I told him the only time I feel pain is when I stretch (yoga or anything where I point my toe) but when I walk, do squats lunges... things like that I don't feel pain. He said I can continue doing those activities but as soon as I feel pain to STOP and he said NO YOGA or stretching of any kind that makes my toe hurt. I have to tape my toe everyday except when I'm sleeping.

I told him I was worried if this was something that would prevent me from doing activities in the future or even if they had to but my toe off! he said I shouldn't worry, even if the feeling never comes back it won't prevent me from doing anything different than I already and and definitely no cutting off of any toes THANK GOD! However, I wish I did see the Dr. sooner and didn't wait so long because when I was feeling the actual pain I don't think I would have damaged the nerve as much. Anyway, I will post another updating in 2 weeks, if it doesn't heal by then he is going to refer me to a nerve specialist.
Oct 27, 2014
Rating
starstarstarstarstar 		Same here
by: MP

I'm glad I found this site as I have the exact same thing. My left big toe hurts (only on the right half & top of the big toe) when putting socks on; no other pain walking or standing. After reading all the comments, I am manipulating my toe/foot connection and massaging my leg from the knee down to the toe and finding a trigger point. I hope we all find relief soon.
Oct 26, 2014
Rating
starstarstarstarstar 		Sharp pain
by: Joe

I have the same symptoms and found this page. Someone earlier mentioned that it seemed to coincide with the a lot of kneeling then getting up. In their case, it was a new baby. In my case, a new puppy. I can't be sure but I have noticed this excruciating pain on the top of my toe while kneeling and playing with my puppy on the floor. Perhaps I leaned back to far and stretched something? Now whenever I point my foot and toe... ZAP! I found this site while searching for what may be the problem. I am a 52 year old healthy male. After reading all of the posts above, I think I will skip making a doctors appointment for now and just try a regimen of anti-inflammatory pills and slow stretches. It's been about 2 weeks of this pain that I've noticed and I will report back in a few more weeks.
Oct 25, 2014
Rating
starstarstarstarstar 		update (post #5)
by: Ryan

I had my hospital appointment with the neurologist a couple of weeks back now. Nothing to report from him regarding neurological issues (good news!) and nothing seems to be connected to the toe issue. However he did mention that even though it probably wasn't an issue, looking at my vitamin B12 levels they were on the low side of the scale. Apparently the scale is 250 to 900 for B12 and I am around 280. Vitamin B12 does have a connection to nerves as well, so there was a very small chance this was connected although nothing certain. The last couple of weeks I've been on a high concentration B12 supplement to get those levels up to eliminate that as a possibility.

The other thing he did mention was it could simply be to do with the shoes I wear for running, and looking back the new issue started sometime after I bought some new runners. It really could have been as simple as having a nerve pinched and then released, but there's no real way to know for sure. Either way I'm still using my new trainers, slightly reworked the lacing so it's not as tight across the top of my foot. As I mentioned in my previous post the issue hasn't worsened and I can now point my toe with almost no pain. The numbness is still there but the doctor gave me some caspian cream to try and regain the feeling. Essentially it's hot chilli cream to try and kick the feeling back in.

That's it for now. I guess until the feeling is back in my toe this issue won't be completely resolved, but it's getting there. Keep stretching it, be careful with the shoes I wear and how I lace them, keep active and hope for the best!
Oct 23, 2014
Rating
starstarstarstarstar 		Exact Same Problem!!
by: Laura

I finally saw my PCP today who referred me to a Podiatrist. My appointment is on Monday but they already ran a bunch of blood tests to rule out any deficiencies.

Mine started about 5 months ago I noticed it when I pointed my toes down (it's my left big toe) it was this sharp burning shooting tingling pain. The pain has eased up but now when I touch it, it feels numb and tingly... the best comparison would be when your foot "falls asleep" and when it's finally "waking up" that tingly feeling you get and when you're touching your foot it feels almost numb.. that's how my toe feels. It doesn't affect my daily activities, I can still walk, run, workout, move my toe... it's just when I touch it or point my toe down. I really hope it's nothing serious. I will post and update after I see the Podiatrist.
Oct 01, 2014
Rating
starstarstarstarstar 		Ouch. No answers yet?
by: Ms. Cori

I first noticed this pain while doing a sitting yoga pose that had me sit on the floor with both legs straight out in front of me and then bend my left knee and place the top of my pointed, left foot on the floor under my thigh. Sharp, shooting, unbearable pain on top of left, big toe and up into the top of my foot. It went away immediately when I released the pose but now it's happening anytime something presses the top of the toe when I point the foot and toe. Zing!!! I also have some lingering numbness and tingling in the same area.

I hope that someone can post an answer soon. I will post if I find anything out. At least we know a few things we can rule out.
Sep 14, 2014
Rating
starstarstarstarstar 		update (post #4)
by: Ryan

Another doctors appointment has gone by, this time to go over the blood tests to rule out any possible vitamins deficiencies. No issues with the results, so this particular route of cause has come to an end. Next step is neurologist appointment, just waiting for my date to come through from the hospital.

Will update you all again as I find out more.

However, I do have to say that the pain/burning/tearing sensation from pointing my foot/toe has eased a bit by just slowly building up the flexing every day and occasionally massaging some ibuprofen gel into the trigger point before sleep. The numbness in the toe is still present though.
Sep 14, 2014
Rating
starstarstarstarstar 		Same
by: Anonymous

I am a 28 year old healthy male with the same issue. Stretch foot down = No pain. but if stretch my foot down AND my big toe, I experience a pulling pain. I would say on a pain scale, it's an 8 (10 being the worst pain). Have had it for 2 months now.
If you are experiencing a similar situation, please softly feel the toe between the bottom nail and the joint, and compare it with the other toe. Does the affected toe seem like there is liquid or inflammation as compared to the nonaffected toe?
Sep 13, 2014
Rating
starstarstarstarstar 		Me too - ouch!
by: Flaneuse in DC

Hello Friends,

I Googled "big toe pain when pointing toe" and found this site. I am experiencing the same pain in the big toe of my right foot when I extend both the ankle and toe. (I imagine this is a movement like a ballerina might do, though I am not a ballet dancer myself.) The pain came on quite suddenly a few weeks ago.

As others have noted, the pain is a burning and pulling sensation, and can be intense. Based on what I've read, my pain is NOT gout or hallux rigidus. I don't have bunions and I almost always wear flat "comfort" shoes like Dansko, Keen, etc. (For the record, I am a 50 y.o. female, quite active with walking/hiking, yoga, and social dance, but not in any formal sports.)

It does seem that a nerve is unhappy. Based on comments here, I will not seek medical treatment yet because everyone else's docs are stumped and I don't want to have a bunch of expensive tests for nothing. I am intrigued though by what another commenter said about the nerve being connected elsewhere. I will go see a chiropractor, who can possibly trace how the nerve system is working in the body and help relieve pressure points. Other than that, I'll try to wait it out.
Aug 22, 2014
Rating
starstarstarstarstar 		Identical and my Dr's had it not taught at meds school
by: Paul

Identical symptoms , told by my GP that he's had it and to press hands down affected leg and foot until you come across a trigger point ( point where and when pressed triggers the pain as if you were pointing toes). This is the point where the nerve is trapped. Dr suggested massage anti inflammatory. Cream at this point NOT where pain is felt every night when retiring. Although not gone symptoms have reduced.
Hope this helps
Aug 21, 2014
Rating
starstarstarstarstar 		update (post #3)
by: Ryan

Just got back from the doctors after having my ultra-sound further looked at. Confirmed again that this issuer is NOT Mortons Neuroma. My latest doctor has a full road map of how we are playing this out now...

Tomorrow > blood test
This is to work out whether it could be a vitamin D/B deficiency. Apparently numbness can be down to this.

2 weeks time > blood test results.
If the results come back fine and no vitamin deficiencies or other potentially linked issues come back, it's onto the hospital for a analysis of the nerves in the problematic foot.

Nerve test > results
If there's a problem it then goes on to the specialist/neurologist department at the hospital. Then whatever from there...


To me I still think that this is going to turn out to be a nerve problem more than anything else, however I'm more than happy to rule out any potential vitamin deficiency problems first. Again, I will update you all with progress in a couple of weeks time.
Aug 14, 2014
Rating
starstarstarstarstar 		No more pain, but my toe is numb
by: Juliz

I posted a comment back in March. I was experiencing the pain everybody describes here. Since then, the pain is gone, but now the place, where the pain was, feels numb and when I massage my toe. Also, when I run my fingers at the end of my arch, towards the toe, it tingles all the way to the toe in a straight line, right where the pain use to be. It feels like the nerve goes up in that direction.

A couple of weeks ago I came across an article on the internet that was about the symptoms on your feet you should pay attention to. The one that got my attention was numbness or tingling, of course. It said something about maybe having some pinched nerve along the spine. Then I connected the dots. Last summer, I had a meniscus tear on my left knee, so I was on crotches for a while, and using my right leg a lot more than usual (the one with the tingly toe) of course, it affects posture and puts a lot of stress on your spine, hips and everything. I have not gone to the doctor yet but I'll make an appointment soon. I'll keep you guys posted, and I hope we can find the culprit of this soon.
Cheers!
Aug 07, 2014
Rating
starstarstarstarstar 		Mine is NOT Sesamoiditis
by: Anonymous

Sesamoiditis occurs on the bottom of the foot, and my pain (and everyone else's I've read here) occurs on the top of the foot at the big toe. As someone else said, extending the foot alone doesn't cause the sharp pain, but extending the toe *and* the foot makes it painful in a big way.
Aug 07, 2014
Rating
starstarstarstarstar 		Sesamoiditis?
by: Anton

Ive also been complaining of the same kind of problem, except for me its when im doing a push up, the pain is unnatural, i was looking up information about the pain and it came up with Sesamoiditis, maybe this could be your problem? I want to go to the doctors except im a kickboxer and ive a fight in a few weeks, may leave it wait, not going to let this bother me after all my last few months of hard training! Hope this helps, Anto
Aug 04, 2014
Rating
starstarstarstarstar 		Update post-ultrasound
by: Ryan

I can confirm an ultrasound does not show up anything to do with this problem, and the person who did my ultrasound said straight away he didn't think my doctors suspicions were right (he suggested Mortons Neuroma). The ultrasound was clear and he thinks it's nerve issue, but he's refered me back to my doctor with his own thoughts. So far no progress but I've been ok'd to start running again as the motion of that shouldn't make things worse. Will update again further down the line...
Aug 04, 2014
Rating
starstarstarstarstar 		Same problem
by: Anonymous

I am ALSO a 39-year old female! I've been haven this problem with my left great toe for about two months. Finally got an appointment with my podiatrist for September. It ONLY hurts when I extend both my foot AND my toe. I can point my foot, and as long as my toe is flexed upward, no problem. But the second I try to point the toe, too, it's like someone it pulling the nail out with burning tongs! I compare the intensity of this pain to childbirth. Seriously. But at least with this, I can stop the pain instantly by just flexing my toe again. I also have numbness throughout the toe, upward onto the arch of my foot, and now it is spreading to the second toe. The numbness doesn't really bother me, just feels strange. But the pain bothers me. A lot.
Aug 01, 2014
Rating
starstarstarstarstar 		"Gripping" with my toes with Birkenstocks
by: Anonymous

I am experiencing the same sharp nerve pain, and for me, I think it started after I wore my Birkenstocks (style 'Arizona') many days in a row as the weather got nicer this summer. They are slightly too big, and I have to flex/curl my left big toe with every step. I never thought about it, but I believe that this is my problem. I will start wearing lace-up summer shoes to see if it helps.
Jul 28, 2014
Rating
starstarstarstarstar 		Exactly the same issue...
by: Ryan

Going for an ultrasound on friday morning (that's what the doctor has called for after having no real opinion on the matter initally). My symptoms match that of what Marc says with the tingling when touch the top inside of my foot as well. Really painful, ripping/tearing when pointing my foot and toes. Absolutely fine when walking about normally.. Came on without any obvious reason, just noticed numbness in my big toe, then the pain a couple of weeks later after pointing toe when putting trousers on one morning.
28yo male. Will be keeping an eye here and add any news that I get. I've heard people having steroid injections can help, worse case scenario an operation is possible. However there seems to be no name for this condition whatever it may be!
Jul 22, 2014
Rating
starstarstarstarstar 		Same Problems But Getting Better
by: Anonymous

Again, I've had the exact same problem that everyone else has described here. For me I believe it happened one day while shoveling snow. There was a big block of ice and I decided to kick it ... OUCH! I remember feeling a lot of pain but after a day or so the pain subsided.

A week or two later I was in a rush and tried throwing on a pair of socks and must have stretched my right foot forward. The pain shot from my right big toe, up my leg and knocked me to the floor. I'd give the pain a 9 out of 10 on the pain-o-meter.

From that day forward I could no longer point my right foot forward without feeling extreme pain. In some cases the pain would last for several minutes ... like a constant electric shock starting from the big toe and moving up the leg. In addition, the right side of my big toe on my right foot was and still is numb to the touch.

What made things worse for me is that soccer season was around the corner and I could no longer kick or bounce a ball without feeling extreme pain. Funny thing is I could still run!? Then again, kicking and bouncing a ball often involves pointing your foot forward so it makes sense that I would feel pain.

I'm now 6-months into this injury and I have to say that although I'm not completely healed yet, I have noticed great improvement. I can finally put socks on without feeling pain. I can point my toes with mild to moderate discomfort but no real pain. I still can't kick a soccer ball properly but it's getting better.

I've taken no medication etc. About the only thing I've done is tried stretching the toe every so often to just before the pain threshold. Not sure if this is the right thing to do but for me it seemed to help a little. In the end, time heals all wounds. I would however recommend going to see a sports physician since they can ensure the injury is treated and heals properly.

Jul 12, 2014
Rating
starstarstarstarstar 		severe pain when streching big toe
by: mark

im a 5o year old male 6 weeks ago when putting on my trousers, pointing my big toe and foot,the pain was like 9 1/2 out of 10 no signs of it getting any better and when i tap the top of my foot you get this tingling feeling. i thought it was my new shoes , but after reading every ones comments.i have a broader idea of this extremly painful etc.i will see a doc and see what he knows of the condition, goodluck everyone.
Jul 06, 2014
Rating
starstarstarstarstar 		Something to consider
by: Anonymous

I've been having this issue for months. I previously posted about it here when I found this page. So, I'm going to PT for knee problems where the Dr discovered that my pelvis has a right up slip & slight a rotation. Since being treated for this the nerve pain in my left big toe is almost gone. When I was having my PT assessment she seemed to think it was all related. So far, I believe it.
Jul 06, 2014
Rating
starstarstarstarstar 		It has moved...
by: Anonymous

For a little while it seemed the pain from my big toe had gone away but now I'm experiencing the same pain in the outer part of my foot in my pinky toes.... strange
Jul 05, 2014
Rating
starstarstarstarstar 		exactly my problem too
by: Anonymous

i am having the exact same problem. Looking for a result. Glad its not just me since its such a weird injury
Jun 11, 2014
Rating
starstarstarstarstar 		Me too!
by: Anonymous

I was wearing some thick flip flops a couple of months ago that require me to grip with my toes a little more than usual when walking - figured it was a strained tendon on my big toe - along the top/side. Not directly on top -- it's my left foot, to the right of the nail bed when I point down. I'm a former dancer, so I tend to point alot unintentionally -- been a couple of months now, and no changes! Hopeful with stretching it will work itself out.
May 31, 2014
Rating
starstarstarstarstar 		Tip that gave me relief
by: Anonymous

I have experienced the same issue discussed here. When i point my right toe down to either wear pants or socks the top of the toe has a pulling sensation and hurt.

I just pulled my toes kinda like breaking knuckles and after which the pain i was experiencing earlier does not happen anymore. I'll be trying this for the next few weeks to see if i can get rid of this pain.
May 19, 2014
Rating
starstarstarstarstar 		Same pain!
by: Anonymous

I have been experiencing the same thing. I have put it down to having a new baby and trying to get up off the floor holding him I appear to have lent on and bent my toes back to the point where I have damaged something.
Now have to make conscious effort to change how I move with him.
Apr 24, 2014
Rating
starstarstarstarstar 		Big toe pain on extension
by: Todd

I have the EXACT same symptoms. This has been going on for about a month. About a week ago I thought it was getting better only now to be seemingly getting worse. I will take the author's comments and continue to wait this out and see if time will heal it. I'm certain it's not gout, and like one of the commenters mentioned, I doubt it is gout because the pain is only present upon extension of my foot. Like the author mentioned, it feels like someone has run a very hot rod directly through the medial portion of my toe towards my ankle ONLY upon extension. Extremely painful and uncomfortable. I'll try some anti inflammatory's in hope that it helps.
Apr 22, 2014
Rating
starstarstarstarstar 		Symptoms just about gone
by: Anonymous

When I first posted here back in November or December I wasn't sure if it would ever get better. Fortunately, after 5 months, the severe tearing and burning pain when pointing my foot downward along the side and top of my big toe is just about healed. I'd say about 95 percent better than it was. The only thing that helped me was time. Hope this helps and I hope you all achieve the same improvement as time goes on.
Mar 31, 2014
Rating
starstarstarstarstar 		Severe Pain in big toe when pointing it
by: SR

So I have exactly the same thing, and have finally got a diagnosis. Hallux Rigidus. It can be treated, but you will need to find a good sport injury specialist as quite often its caused by a trapped nerve because a bone in the foot has been under pressure and shifted. Not the easiest thing to cure but my sports physio guy is confident he can. Its already improved after just one treatment, so fingers crossed!
Mar 25, 2014
Rating
starstarstarstarstar 		toe
by: Anonymous

I FOUND THIS SITE IN HOPES OF AN ANSWER AND I THINK I HAVE FOUND IT. MY LITTLE TOE ON THE RIGHT FOOT HAD THIS PAIN A COUPLE YEARS AGO AND WENT AWAY AFTER ABOUT 6 MONTHS MY BIG TOE ON THE LEFT FOOT IS NOW EXPERIENCING THE SAME PAIN. I GUESS WE JUST PLAY THE WAITING GAME
Mar 20, 2014
Rating
starstarstarstarstar 		Nerve issue
by: Anonymous

I totally agree with the last poster. It seems to be nerve damage based on everything I have read and researched. It's been 4 months for me and little progress has been made. Hopefully it will heal over time.
Mar 19, 2014
Rating
starstarstarstarstar 		Big toe burns when pointing foot down
by: Jake

I'm glad I'm not the only one! I'm pretty sure this is nerve damage. When I point my foot and my big toe down I have a burning sensation in my big tow (dorsal medial cutaneous nerve?). When I rub the top of my foot the same area on my toe tingles.
Mar 16, 2014
Rating
starstarstarstarstar 		What is it?
by: Anonymous

I came across this post while researching for the same ailment... what is wrong with us 38 year old females? I started having the same symptoms a couple of weeks ago, but I have not gone to the doctor. Does any one know what it is? it seems like a lot of people have it, to not have been figured out.
Mar 06, 2014
Rating
starstarstarstarstar 		Same thing
by: Paul

I have had the same problem, pain when I point my toe to put on shoes etc. also if I press the outside of my mid instep on the big toe side, it is painful to the outside of my toe, not the spot I press. No other problems associated with it though. I might try the stretching mentioned above.
Feb 24, 2014
Rating
starstarstarstarstar 		Same thing now with both feet
by: Anonymous

I aslo am experiencing that excruciating pain on the top of both feet behind the big toes. Is there anyway that my car accident a year ago in which i had some nerve damage in my upper skeletal rgion have anything to do with my feet. Can barely put on my pants in the morning without this terrible burning/ ripping sensation.
Feb 21, 2014
Rating
starstarstarstarstar 		Sharp big toe pain home therapy
by: Flailingrunner

I had a similar extremely sharp pain when pointing my right toe down or putting on socks. Onset was one morning after neglecting m runs for 3 months. It seemed most likely to be a shortened nerve (hallicus?) running along the top of the toe...and a similar pain in my left big toe. Similar pain when I curled toe down with my hand, plus i had tingling-numbness. I knew everything had tightened up (calfs, achilles, hamstrings...). After ruling out arthritis/spurs (no pain when pointing toe up or pulling to either side or from pressing on joints), i started soaking in warm water, followed by gentle and patient stretching a few times each day. Big improvement by day 2, and seemingly the nerve was all stretched out with no pain by day 5. I'm 45, and reckon this was atrophy due to a lack of exercise/movement. Best of luck.
Jan 29, 2014
Rating
starstarstarstarstar 		Same pain, different place
by: Anonymous

I have the same burning pain but on my little toe, and only when I pointe my toes. The top of my toe hurts if I press on it. What is causing this???
Jan 25, 2014
Rating
starstarstarstarstar 		Same here
by: Anonymous

I have the exact thing happening in my left big toe. I'm also an active 38 y/o female. I noticed tonight that rubbing the top of my foot while in the pointing position worsens the pain. It feels either nerve or possibly tendon related. I've had no trauma to my foot before this. It's been bothering me now for a few months. Anyone with a diagnosis?
Jan 17, 2014
Rating
starstarstarstarstar 		Dorsal cutaneous nerve of hallux (spelling?)
by: Anonymous

I share the exact same symptoms and have posted about this about a month or two ago. So far I have not gone to a doctor since I have read about so many others doing so without a diagnosis. Just based on where the pain is on my foot when i press the area just behind my big toe, I am almost convinced this is am issue with the nerve in the title of my post. I have no pain unless I point my big toe downward, or something rubs against the inside of my foot right behind my big toe where it meets the foot. If I touch it gently, it tingles, if I press harder, it hurts. Based on the pain being a severe burning, tingling ad then numbness, I think it is an issue with a nerve. After
Looking at several anatomical images of the foot, the dorsal cutaneous nerve of the hallux/hallus seems to be in the exact location of my pain. If anyone has done any similar research and found something that jives with that, or if there are any medical professionals that can confirm that is a possible cause of the issue, that would be great to hear. So far I've had little to no signs of this getting better since it first started two months ago. Luckily I can avoid the specific motion that causes the pain for the most part.

Thanks,
Mike
Jan 15, 2014
Rating
starstarstarstarstar 		I also have same pain but
by: Anonymous

I also have pain at the side of my large toe when I point it I also have pain at the top of my foot if I kneel down and rest the top of my foot. .Im not aware of anything I did to cause it. its been a few weeks now but my dr will probably think Im a hypochondriac if I go with more ailments.I dont wear heels and I walk alot with no problems what can I do before I have to go to the dr.
Jan 08, 2014
Rating
starstarstarstarstar 		Me Too
by: Anonymous

I am a 56 year old male and have exactly the same pain on stretching big toe and numbness feeling when touching it. I had had an ingrown toe nail before it started, but that has healed.
Dec 01, 2013
Rating
starstarstarstarstar 		28 year old male
by: Anonymous

one week ago while kneeling down cleaning the floor in my bathroom, I had my feet under me in an awkward position where the top of my feet were facing upward. When I leaned back to grab something, it felt like the big toe was pulled too far down since my foot was pinned under me. I have the extreme burning pain when pointing my foot and toes down, and the pain starts on the left side of my right foot big toe, and radiates through the toe toward the front. So far not sure what the issue is, haven't gone to the dr yet.
Nov 13, 2013
Rating
starstarstarstarstar 		same symptoms!!!
by: Anonymous

38 year old active female as well... identical symptoms!!! wth?
Oct 25, 2013
Rating
starstarstarstar 		Same Pain
by: Anonymous

Just curious about my own big toe and came upon this page. Yes, I have pain too on the outside edge of my big toe when I point it down. Glad to see it is most probably nothing major. Rubbing Vit. E on it helped the one time I tried that. I will try that again on a more consistent basis. Thank-you all for posting.
Oct 12, 2013
Rating
starstarstarstarstar 		Same exact pain
by: Anonymous

I have the same problem. And I've seen a sports rehab specialist, I chiropractor and an acupuncturist. No one knows whatt this is. And nothing has helped. My toe is starting to feel numb on the surface where the extreme pain happens when I point my foot/toes. Any follow-up or answers out there?
Thanks!
May 29, 2013
Rating
starstarstarstarstar 		Same here
by: Anonymous

I have the same exact symptoms, as well. It started about 2 weeks ago and quickly started on both toes. I experience zero pain unless I make the pointed movement you describe after which get ecrutiating pain down the outside edge of my toe. I can pinpoint no cause or change in routine. I haven't gone to a doctor yet because I figure that they will think I'm crazy. I'm hoping it goes away on its own and soon.
Feb 19, 2013
Rating
starstarstar 		you are not alone...
by: Anonymous

Same symptoms. Same situation. Have you been able to diagnose and resolve the problem since your initial posting?

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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center




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(location unknown)
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Bre

location unknown


Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.

anonymous



Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

anonymous



Staying at home after hallux surgery I spend quite a lot of time seaching info useful for avoiding problems which might come back. Today I found your site and I am .... delighted it happened. It's one of the best site I found last days.

Anna

Poland



Thanks for taking time to read and answer so many questions. It is truly a public service!

Esh

Seattle, WA


I just wanted to say that I am very greatful for this website!!

Bonnie

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Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.

Bill

New Jersey



Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.

Debbie

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Wow, that is exactly the information needed!!! thank you thank you thank you!!! I appreciate this help so very much from Marc Mitnick DPM. Excellent information and help to improve One's life.

Chrissy

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Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!

Tracy

Evansville, IA



Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

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Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.

-Sunny.

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Thank you very much for the information, I will consider it. Excellent web site.

Jackie

San Diego, CA



Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

Rivi,

Albany, NY



Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

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THANK YOU SO VERY MUCH FOR YOUR TIME AND EFFORTS, YOU ARE SO VERY APPRECIATED. THANK YOU FOR ALL YOU DO.

Jackie

Whichita, KS



thanks again, this site is very helpful.

mark

Boston, MA



Like others have stated...This site is amazing and I am so thankful that it was created.

....Keep up what your doing. Your a life saver.

Michelle

Colorado



Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.

annielou

Colorado

Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

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Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

Barb D.

Canada
I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......

Bonnie

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Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!

Nancie

Wisconsin
Thank you for your response. You have provided some great insight (to my question)....

Julie

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Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!

Renae

North Carolina
Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida
Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

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Your webpage is excellent, I commend you on sharing your knowledge to the public.

Robert

New Jersey


Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

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I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!

Melody

Lenoir, NC


Thank you so much Doc for a quick and thorough response!

Rustam

Bellevue, WA


I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!

Jodi

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