
Various Reasons for Pain in the Big Toe

The big toe is also known as the great toe, and is considered to be one of the most important joints in the body. It has various functions, including walking heel to toe, and balancing while running, jumping, or dancing. There is a joint on the bottom of the big toe that is known as the tarsometatarsal (TMT) joint, and the proximal Interphalangeal joint is found across from it. These joints can become damaged from participating in high-impact sporting activities, and will often become painful and swollen. Another form of discomfort occurring in the big toe is known as gout. This develops as a result of excess uric acid in the blood that can form crystals in the joints of the big toe, often causing debilitating pain. Extensor tendonitis is a foot condition that may happen from having tight calf muscles, and the pain is felt when the big toe is extended. Many people have osteoarthritis of the joints in the big toe, and a bunion may gradually develop, if not promptly treated. If you have pain in your big toe, it is strongly urged that you speak with a podiatrist who can properly diagnose and treat toe pain.
Toe pain can disrupt your daily activities. If you have any concerns, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Toe Pain
Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures.
Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.
Ingrown Toenails and Their Lasting Solutions

Ingrown toenails are a frequent problem and studies show they tend to affect men more often than women. The nail grows into the skin at the edge, leading to pain, swelling, and sometimes infection. While trimming the nail properly, soaking the foot, and wearing wide shoes can bring relief, these conservative steps do not always stop the condition from coming back. For many people, surgical correction offers a more reliable long-term outcome by removing part of the nail or reshaping the nail bed. In addition to wearing tight footwear and improper toenail cutting, ingrown nails may also develop from underlying medical conditions, poor foot hygiene, or even certain medications that alter nail growth. If you struggle with recurring ingrown toenails or notice signs of infection, it is suggested that you schedule an appointment with a podiatrist to explore the most effective treatment.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown Toenails
Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.
An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.
Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.
People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.
A Hidden Cause Behind Persistent Heel Pain

Heel spurs are bony growths that develop on the underside of the heel bone, often associated with conditions like plantar fasciitis or Achilles tendinitis. They are usually caused by long-term strain on foot muscles and ligaments, excessive walking or running, obesity, or poor footwear. Symptoms include sharp pain in the heel when standing up in the morning, aching pain throughout the day, or tenderness when walking or running. Heel spurs may not be visible, but can feel like a stabbing sensation in the heel or a dull ache that worsens with activity. A podiatrist can diagnose heel spurs through a physical exam and imaging, such as X-rays, to confirm the presence of the bony growth. Treatment options may include anti-inflammatory medications, stretching exercises, custom orthotics, or, in some cases, surgical removal. Addressing underlying conditions is also important for long-term relief. If you are dealing with ongoing heel pain, it is suggested that you make an appointment with a podiatrist for proper diagnosis and effective treatment.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions, please feel free to contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel Spurs
Heel spurs are the result of calcium deposits that cause bony protrusions on the underside of the heel. Heel spurs are usually painless, but they have the potential to cause heel pain. Heel spurs tend to be associated with plantar fasciitis, which is a condition that causes inflammation of the band of connective tissue that runs along the bottom of the foot. They most often occur to athletes whose sports involve a lot of running and jumping.
Some risk factors for developing heel spurs include running and jogging on hard surfaces, being obese, wearing poorly fitting shoes, or having walking gait abnormalities.
It is possible to have a heel spur without showing signs of any symptoms. However, if inflammation develops at the point of the spur’s formation, you may have pain while walking or running. In terms of diagnosis, sometimes all a doctor needs to know is that the patient is experiencing a sharp pain localized to the heel to diagnose a heel spur. Other times, an x-ray may be needed to confirm the presence of a heel spur.
Heel spurs can be prevented by wearing well-fitting shoes that have shock-absorbent soles. You should also be sure that you are choosing the right shoe for the activity you want to partake in; for example, do not wear walking shoes when you want to go on a run. Additionally, maintaining a healthy weight can be beneficial toward preventing heel spurs, as it will prevent an excess amount of pressure being placed on the ligaments.
There are a variety of treatment options for people with heel spurs. Some of these include stretching exercises, physical therapy, shoe inserts, or taping and strapping to rest stressed muscles and tendons. If you have heel pain that lasts longer than a month, don’t hesitate to seek help from a podiatrist. Your doctor can help you determine which treatment option is best for you.
Understanding Toenail Fungus and Treatment Options

Toenail fungus is a common infection that affects the nails, causing them to become thick, brittle, and discolored. Symptoms may include yellow or white spots, nail crumbling, foul odor, and discomfort while walking. Causes often involve exposure to warm moist environments, such as public showers, gyms, or tight footwear that traps sweat. Risk factors include diabetes, poor circulation, weakened immunity, or repeated trauma to the nails. A podiatrist can diagnose the condition, provide effective treatments, such as topical or oral antifungal medications, or safe nail debridement, and offer advice on prevention. If you have symptoms of toenail fungus, it is suggested that you consult a podiatrist for treatment.
For more information about treatment, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How to Treat Your Toenail Fungus
While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.
There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.
Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.
While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.
Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.
Orthotics and Their Role in Foot Health

Orthotics are custom or prefabricated shoe inserts designed to support, align, and improve the function of the feet. They come in different types, including rigid orthotics for control, soft orthotics for cushioning, and semi-rigid devices that combine both benefits. People may need orthotics to relieve pain from conditions like plantar fasciitis, flat feet, bunions, or arthritis, as well as to improve posture and prevent injuries. A podiatrist can evaluate your gait, diagnose underlying issues, and recommend the right orthotic solution tailored to your needs. If you are experiencing foot or ankle discomfort, it is suggested that you consult a podiatrist who can determine if orthotics will benefit you and what type of orthotic is right for you.
If you are having discomfort in your feet and would like to try orthotics, contact Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions, please feel free to contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.