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Long-standing Big Toe Injury Causing Discomfort

6/25/2025, 5:50:22 PMMale25-34

Greetings, I am a woman aged 51. Approximately 35 years ago, I sustained a fracture in my big toe, which unfortunately went untreated and was never properly aligned. A few years back, I aggravated the injury by accidentally kicking an object, an incident I would prefer to forget. Lately, I have been experiencing increasing discomfort in my toe, particularly when I wear sandals. I suspect this is due to the lack of support they provide compared to my usual sneakers. Is it possible to address this issue at this stage in my life? If so, what treatment options are available? Thank you!

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

6/25/2025, 5:50:36 PM

OpenHealth AI

Main Points: Your long-standing big toe injury can lead to discomfort due to improper alignment and support. Treatment is still possible and involves both self-care strategies and appropriate footwear.

Explanation: A fracture that wasn't properly treated can lead to chronic pain, discomfort, or even conditions like arthritis in that toe. When you mentioned that sandals are causing more discomfort, it makes sense, as they often lack the arch support and cushioning needed. Given your history and current discomfort, it’s wise to consider ways to alleviate the pain and improve mobility.

Next Steps:

  1. Footwear Modification: Start wearing shoes with good arch support and cushioning. Look for sandals that have adjustable straps and proper arch support. Avoid completely flat sandals. Your sneakers may have suited you better due to their support, so when possible, opt for those or similar styles.

  2. Padding and Support: Consider using over-the-counter orthotic inserts or gel pads specifically designed for the big toe. These can provide additional cushioning and potentially alleviate some pressure.

  3. Gentle Exercises: Incorporate gentle toe exercises and stretches to maintain flexibility and strength. Focus on movements like toe curls or flexing your toes, which can help improve mobility without overdoing it.

  4. Pain Relief: For discomfort, you might find relief with ice packs applied 15-20 minutes several times a day. Over-the-counter pain relievers (like ibuprofen or acetaminophen) can also be effective for pain management.

  5. Monitor Your Symptoms: Keep track of your pain levels and how they change with different footwear and activities. If symptoms persist or worsen, consider seeking further evaluation, possibly with a specialist in podiatry or orthopedics.

By focusing on your footwear and gentle care strategies, you can significantly improve comfort in your toe. Let me know if you need further assistance or specific recommendations!

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