Stubbed or Broken Toes
You probably don ’ t need us to tell you what a stub toe is. Almost everybody has at least one or two bright memories of a meter when they smashed a toe into a wall, board peg, bed human body, brink, raised curb—you get the mind .
Stubbed toes are about constantly afflictive, accompanied by throbbing trouble, localized bulge, and irregular trouble with walk or wear shoes. The good news program is that most cases are relatively minor and can be alleviated by following RICE therapy ( stay, icing, compressing/wrapping the toe, and elevating the animal foot, specially within the beginning 48 hours of injury ) .
That being said, stubs can besides cause more dangerous problems that might need more steer treatment from our office, specially if there are any break or dislocated bones. Call us immediately if you notice any of the following after your toe injury :
- Severe trouble and/or bruise
- You can ’ triiodothyronine move the toe, or moving it causes increased annoyance
- The toe appears deformed or out of target
- apathy or coldness sensations
- unusually pale skin
Sharp, sudden pain in the big toe joint that strikes when you least expect it—sometimes even in the middle of the night—is one of the authentication symptoms of gout. Often the pain and hypersensitivity can be indeed intense that even putting a sheet on top of your toe can hurt .
gout is actually a metabolic condition that stems from the body ’ s inability to efficiently purge uric acerb from the bloodstream. When uric acerb levels get besides high, it can start forming astute crystals that down payment painfully in the tissues surrounding a articulation. ( Although any joint can technically be affected, the big toe is by far the most common. )
If you ’ re susceptible to gout attacks, foods and drinks that are ample in purines—red and organ meats, shellfish, alcoholic drinks, etc.—should by and large be avoided, since purines are broken down into uric acid during digestion and can trigger gout attacks. You should besides make sure to drink lots of water .
Osteoarthritis and Hallux Rigidus
The most common class of arthritis in the big toe is osteoarthritis, otherwise known as “ wear and rip ” arthritis. Osteoarthritis that occurs in the joint at the base of the bad toe is often referred to by the medical name hallux rigidus. This condition often results in progressive awkwardness in the toe and pain when walk, or tied standing.
Over a long period of time, the soft, rubbery cartilage that provides shock assimilation and reduces friction within your joint can “ grind down ” and devolve. The body has very circumscribed ability to repair or replace cartilage, so once it ’ south gone, it ’ randomness gone. This can finally lead to “ bone on bone ” grinding and atrocious severity in the feign joint .
Although this process can happen naturally over time, boastfully toes are besides vulnerable to post-traumatic arthritis, which is a subset of osteoarthritis affecting joints that have been previously injured. If you have a history of early toe injuries, the cartilage may wear down faster, leading to arthritic pain much earlier than elsewhere. The onset may be several years after the initial injury, but several years before other joints become arthritic .
Another possibility is arthritic arthritis, or RA, which is joint awkwardness caused by an incendiary reply rather than wear and tear .
RA is an autoimmune circumstance in which the torso mistakenly begins to attack its own healthy weave. The joints that connect the toes to the feet are frequently among the foremost to develop pain and swell, but RA can affect many other joints throughout the body, arsenic well as other organs and systems ( such as the eyes, heart, and lungs ) .
Bunions do more than hurt your big toe. They actually throw the stallion toe out of conjunction, so that a colossus bump forms on the inside of the foot ( it ’ s actually the displace metatarsal head ) and the toe itself drifts toward ( and sometimes crosses over ) the early toes .
A bunion is a progressive disfigurement that will entirely get worse with time—never better. The toe drifts further out of topographic point, the bulge gets bigger, the joint becomes stiffer, and it gets more afflictive and intemperate to walk .
Because it develops slowly, many people tend to ignore their bunion until the deformity becomes hard and atrocious. Don ’ thyroxine be one of them !
Seeking concern american samoa early as possible can help you, at the very least, slow the bunion ’ sulfur progress and minimize the sum of pain that you feel. This can allow you to enjoy your darling activities longer and delay the want for operating room for angstrom long as possible.
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In the ball of your foot, you ’ ll find two bantam bones called sesamoids that are not immediately connected to any other bones in your body via a joint. Rather, they are embedded in the flexor muscle tendon, good below the joint at the base of the boastful toe .
The sesamoids act like a sort of pulley system that helps the big toe move smoothly, provides leverage during your push-off, and dampens impingement forces to protect the head of the metatarsal bone .
If these bones are fractured, or the tendons that attach to them become annoy, it can cause not only pain, but trouble with straightening or bending the toe .