Most Common Toe Injuries from Running
The big toe may only be small, but that doesn’t mean it doesn’t escape injury. This is particularly true for runners, as the big toe serves a critical function. The big toe creates leverage to generate forward momentum when you run. As a result, big toe injuries are common, particularly overuse injuries. While these injuries may only be minor in pain and treatment, they may upset your training programme or your running progression as they take considerable rest time to heal.
Four Most Common Toe Injuries
Hallux Rigidus
This is a form of degenerative arthritis that causes rigidness in the joint at the base of the big toe. It causes pain and stiffness, and over time makes it increasingly difficult to bend the big toe. When it comes to treatment, orthotics are recommended to reduce the stress on the joint. It is also recommended for anti-inflammatories to reduce the swelling. In addition, investing in a pair of runners with rocker-bottom soles or a large toe box can help relieve the pressure on your toe. However, as this is a degenerative condition, surgery may be needed in the long term.
Hallux Valgus
This is the medical term for a bunion, a bump that occurs on the outer side of the big toe. While a bunion is known as the bump that occurs, it is a reflection of the big toe leaning inward. This throws the bones out of alignment. As bunions are progressive and get worse over time, surgery may be needed in the long term. However, most people can comfortably live with them by making some adjustments. One adjustment is to change your running shoes to take pressure off the outside of your foot or investing in special bunion pads that help minimise pain. Anti-inflammatories and ice therapy may also be recommended if the bunion is particularly swollen and painful.
Turf Toe
This is a sprain of the big toe ligaments. It is one of the most common toe injuries that occurs in runners. An x-ray is typically ordered to ensure no bone is broken. Similar to an ankle sprain, recovery can be lengthy as the ligaments need time to heal. Rest, ice, compression and elevation is recommended. In addition, sometimes a doctor may recommend an air-cast to immobilise the joint while it is healing. Also, taping the toe for a few weeks while you return to running to reduce the stress on the area.
Sesamoiditis
This is chronic inflammation of the sesamoids just beneath the big toe. The sesamoids is the small bones embedded in the tendons that are located in the ball of your foot. The sesamoids act as a lever for tendons, helping move the big toe, and so this injury occurs as a result of overuse. This is generally easy to diagnose as pain can be felt while pressing down on the ball of your foot. Padding can be used to cushion the area or else taping the toe to relieve tension in the area, or in more serious cases immobilisation may be recommended.
If the pain is severe, it may not be a case of sesamoiditis, but a more serious stress fracture in the sesamoid. This could be the case if it is particularly sore to walk on the foot when barefoot and so an x-ray or MRI will be needed to confirm.
If you suspect you may need orthotics or would like a running assessment, please contact us here to arrange an appointment. At Ballsbridge Physiotherapy Clinic, we have a team of chartered physiotherapists to assist you if you have suffered a running related injury.
📞 Reach out today or book your assessment online and take the first step in your recovery.
Patient Testimonial
“Having attempted to return to running after a layoff, I found I couldn’t even run 3 Km without encountering severe knee and Achilles pain. Having run marathons in the past I really through my running days were over. When I first presented at Ballsbridge Physio, Aileen listened and understood the issue. After an examination, the problems were identified and solutions proposed. These were implemented by a combination of customized orthotics and selective strengthening of particular muscles, I am now back running, and with some advice on running form and drills, I am running better that ever before. Ballsbridge Physio comes highly recommended.”
Related Blogs
-
Foot numbness is a relatively common problem for runners and is normally easily remedied. You will find numbness in one part of your foot or just in your toes. Occasionally it may occur throughout the whole foot.
-
Knee pain is a common complaint among runners and often worse when you are just starting out, stemming from overuse, poor biomechanics, or underlying conditions. In this blog, we'll delve into the causes of knee pain after running and explore effective physiotherapy strategies for prevention and recovery.
-
Muscle cramps manifest as sudden, involuntary, and excruciating muscle contractions, an ordeal familiar to nearly every athlete. Among runners, calf cramps reign as the most prevalent. These spasms may strike during or after a run, even lingering for up to six hours afterward, catching one off guard during moments of rest.
-
Foot numbness can be a common problem for runners and most of the time it's easily remedied. Sufferers will find numbness in one part of their foot or just in the toes. Occasionally it may occur throughout the whole foot. However, there are conditions such as Morton’s Neuroma which require treatment and a bit more recovery time.
Meet Your Physio’s
Aileen Maguire, BSc (Physio) MISCP
Aileen is a Chartered Physiotherapist and Clinic Director with over 30 years’ experience. She specialises in lower limb injuries, biomechanics, and orthotics, with extensive experience treating runners and athletes.
A keen runner, she has completed events including the Dublin City Marathon, bringing valuable personal insight into training and injury prevention.
Lesley Lowe
Lesley is a Chartered Physiotherapist with over 10 years’ experience in private practice. She specialises in sports injuries, strength and conditioning, and rehabilitation, with a strong focus on keeping runners active and injury-free.
Lesley has worked with a variety of sports teams and has supported athletes at events including the Dublin City Marathon.
Physiotherapy
We specialise in the treatment and prevention of injuries and conditions. If you are suffering with any health aliments that you feel we could help you with, get in touch today. We provide treatment for a wide age range from 9 years to 90 years old.