If you’re experiencing pain in your big toe joint, you’re not alone. Many people suffer from discomfort in this area, which can have a significant impact on daily activities. Understanding the potential causes of big toe joint pain can help you identify the problem and seek appropriate treatment. At Paul Miller Podiatry in Kent, we’re committed to helping you find relief from foot pain. Get in touch here if you don’t know where to start.
Here, we discuss some common causes of pain in the big toe joint and how to manage it.

1. Gout: A Common Culprit
Gout is a form of arthritis that often affects the big toe joint. It occurs when there is a buildup of uric acid crystals in the joint, leading to sudden, intense pain and swelling. Gout attacks can be triggered by diet, dehydration, or other factors. If you notice sudden, severe pain and redness in your big toe, gout might be the cause. Read more about Gout from the NHS website here.
2. Bunion Formation
A bunion is a bony bump that forms at the base of the big toe. It occurs when the bones in the front part of the foot move out of place, causing the big toe to lean toward the second toe. Bunions can cause pain and discomfort, especially when wearing tight shoes. If your big toe joint pain is accompanied by a visible bump, a bunion may be the cause.
3. Hallux Rigidus (Arthritis in the Big Toe)
Hallux rigidus is a form of arthritis that affects the big toe joint, causing pain and stiffness. It can make it difficult to bend the toe and lead to pain when walking or running. As the condition progresses, bone spurs can form, further restricting movement. If your big toe joint feels stiff and painful, hallux rigidus could be the cause.
Hallux rigidus vs Gout
While both hallux rigidus and gout can cause pain in the big toe, the key difference is that hallux rigidus is a degenerative joint condition causing stiffness and limited movement in the big toe joint due to wear and tear, while gout is a type of inflammatory arthritis triggered by a buildup of uric acid crystals in the joint, often resulting in sudden, severe pain, redness, and swelling in the affected area, usually the big toe. Learn more on the subject here.
4. Turf Toe
Turf toe is a sprain of the ligaments around the big toe joint, typically caused by repetitive force or injury. Athletes who play on artificial turf are at a higher risk for this condition. Symptoms include pain, swelling, and limited movement in the big toe joint. If you’ve recently had a sudden impact to the big toe, turf toe may be the cause of your pain. If you are suffering from big toe pain get in touch with Paul Miller today.
5. Arthritis and Other Joint Conditions
Osteoarthritis and rheumatoid arthritis can also affect the big toe joint, leading to pain, swelling, and reduced mobility. Osteoarthritis is a degenerative condition that wears down the cartilage in the joint, while rheumatoid arthritis is an autoimmune disorder that causes inflammation in the joints. Both conditions can cause significant pain in the big toe joint, particularly with movement.
6. Overuse and Stress Injuries
Sometimes, pain in the big toe joint can be caused by overuse or repetitive stress. If you are on your feet for long periods or engage in activities that put strain on your toes, you may experience discomfort in the big toe joint. Stress fractures, tendonitis, and other overuse injuries can also contribute to this type of pain.
7. Bunions and Other Foot Deformities
Foot deformities such as hammertoes or flat feet can alter the alignment of the foot and lead to pain in the big toe joint. These conditions can cause pressure on the joint, leading to discomfort. Custom orthotics and proper footwear may be helpful in managing pain caused by foot deformities.
When to See a Podiatrist – Paul Miller Strood
If you are experiencing persistent or severe pain in your big toe joint, it’s essential to consult a podiatrist. Paul Miller Podiatry in Kent can help diagnose the underlying cause of your pain and recommend a personalized treatment plan. Treatment options may include:
- Medication for pain relief
- Custom orthotics to improve foot alignment
- Physical therapy to strengthen the muscles around the joint
- Surgical options for severe cases, such as bunion removal or joint replacement
Conclusion – What is causing my big toe pain
Pain in the big toe joint can be caused by a variety of conditions, ranging from arthritis to sports injuries. Identifying the cause of your pain is the first step toward finding effective treatment. At Paul Miller Podiatry, we specialize in diagnosing and treating foot and ankle conditions, including pain in the big toe joint. If you’re experiencing discomfort, don’t hesitate to reach out for a consultation.
Contact Paul Miller Podiatry in Kent today to schedule an appointment and get the expert care you deserve.