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Why Does My Fourth Toe Hurt?

Published in Foot Pain 2 mins read

Pain in your fourth toe can stem from several causes, with Morton's neuroma being a common culprit.

Understanding Morton's Neuroma

Morton's neuroma is a painful condition affecting the ball of your foot, most often between the third and fourth toes. It involves the thickening and swelling of the nerve supplying the toes, often caused by repeated injury to this nerve. [Source: Mayo Clinic, Cleveland Clinic, NHS]. This thickening creates pressure and pain, often described as a sharp, burning, or tingling sensation. The pain may radiate into the toes themselves. It commonly affects the area between the third and fourth toes, but can sometimes occur between the second and third. [Source: Fix My Foot, Reddit r/FootFunction]

Other Potential Causes

While Morton's neuroma is frequent, other conditions can also cause fourth-toe pain:

  • Hammertoe: This deformity affects the second, third, or fourth toe, causing it to bend abnormally at the middle joint. [Source: WebMD]
  • Injuries: Trauma, such as stubbing your toe or dropping a heavy object on it, can directly cause pain and inflammation.
  • Arthritis: Arthritis in the toe joints can lead to pain, swelling, and stiffness.
  • Ingrown toenail: A toenail growing into the surrounding skin can cause significant pain and inflammation.
  • Infections: Bacterial or fungal infections can also cause toe pain.

Symptoms to Watch For

To determine the underlying cause of your fourth toe pain, consider these symptoms:

  • Sharp, burning, or tingling pain: This is characteristic of Morton's neuroma.
  • Numbness or tingling in the toes: Can accompany nerve compression.
  • Pain that worsens with activity: Indicates a potential structural or nerve issue.
  • Swelling or redness: Suggests inflammation due to injury or infection.
  • Deformity of the toe: Points towards hammertoe or other structural issues.

If the pain is severe, persistent, or accompanied by other symptoms, it's crucial to consult a doctor for a proper diagnosis and treatment plan.

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