Understanding and Treating Big Toe Pain: Causes, Conditions, and Solutions

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Case description

This video discusses common painful conditions affecting the big toe, often caused by stress, overuse, and injury from activities like walking and running, including sports.


Arthritis: Limited movement of the big toe is often associated with arthritis, causing painful stiffness and swelling in the first metatarsophalangeal joint. Treatment may involve joint fusion.Hallux Rigidus: This condition, also a form of arthritis, restricts dorsiflexion of the big toe and is characterized by swelling and bone spurs around the joint. Dorsal cheilectomy, the removal of dorsal bone spurs, is a common treatment.Hallux Valgus (Bunion Deformity): More common in women, this condition involves a painful bony bump at the base of the big toe. Surgery may be necessary if it becomes uncomfortable and affects shoe wear.Gout: A painful condition caused by the buildup of uric acid crystals in the first metatarsal joint. Aspiration and joint fluid analysis are diagnostic methods. X-rays can show punched-out periarticular lesions.Turf Toe: An injury to the plantar plate and sesamoid complex of the big toe's metatarsophalangeal joint, usually caused by hyperextension. Common in contact sports, especially on artificial turf.Sesamoiditis: This condition affects the sesamoid bones beneath the big toe, causing generalized pain. The sesamoids absorb weight-bearing pressure and protect tendons, but chronic cases may require surgery if conservative treatments fail.The video provides insights into these conditions and their respective treatments, highlighting the importance of seeking appropriate medical advice for personalized care.

tags: arthritis Hallux Rigidus Bunion Deformity Hallux Valgus Gout Turf Toe Sesamoiditis


Maciej Dobosz
Editor

Maciej Dobosz

MD

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