On Your Toes

Pity the poor toes. How would your hands feel if you walked on them all day? Those tiny appendages get stomped on by most of a couple hundred pounds for hours on end. Is it any wonder they have a complaint or two?

Athletes, in particular, are prone to a grab bag of toe woes, from ordinary to exotic:

Artificial Turf Toe
With the increased traction available from synthetic surfaces, it's become much easier to catch the toe of a shoe and roll the front of your foot under. Shoes with stiffer soles designed for artificial turf offer protection from this painful injury.

Corns and Callouses
Just because these areas of hardened skin are common doesn't mean they're insignificant. Persistent corns or callouses indicate an underlying problem such as a bone deformity or spur. If over-the-counter remedies don't banish them for good, look for professional help for better shoe fitting or to relieve the cause.

Nerve Damage
Long-distance runners and walkers are prone to develop burning pain or numbness radiating from between the third and fourth toes. Morton's neuroma, a benign tumor, can be avoided or controlled by fitting shoes with proper arch and foot supports.

Runner's Toe
Also common among hikers and guys who play team sports, what doctors call subungual hematoma happens when a toe presses hard against the front of a shoe. Blood pools under the nail, and the pressure can be quite painful. If you get medical help right away, the blood can be drained, relieving the pain. But prevention in the form of proper fitting shoes is the best approach.

Stress Fracture
High-impact activities such as running and dancing can actually stress bones to the point where they develop small fractures. Pain and swelling are the first symptoms, but the problem can only be confirmed by x-ray. Complete healing from a stress fracture is very important, because they can lead to a domino effect of spreading fractures.

Tennis Toe

Sports that require rapid changes of direction or repeated flexing of the toes can lead to hallux rigidus, a form of arthritis in the joint of the big toe. Pain and swelling, if ignored, can lead to surgery to remove bony growths in the joint. Rest is the first treatment, followed by a gradual return to activity using well-cushioned shoes fitted with appropriate foot supports.

Toes do have a hard time of it, but a little common sense in the form of proper footwear and moderation in your workouts can keep them tapping along in good time.

 

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