Toenail loss can happen for several reasons and is often painful. Injuries from stubbing the toe or dropping something on it are common causes. Fungal infections may also damage the nail and make it loosen, over time. Runners are at risk of toenail loss caused by repeated impact against the inside of the shoe, especially during long distances or downhill strides. Some people may develop a bony growth under the nail, called a subungual exostosis, which puts pressure on the nail until it detaches. Illness, certain medications, or poor circulation may also cause nail loss. Once the toenail falls off, it will not grow back in the same spot. A new nail must grow, which can take several months to a year. If part of the nail is still attached, do not pull it off. That can lead to infection or injury. A chiropodist can examine the toe, remove a damaged nail safely, and guide proper regrowth. If your toenail falls off, it is suggested that you schedule an appointment with a chiropodist for advice.
Toe pain is common and can have a variety of causes. Causes can range from a broken toe to an ingrown toenail. Many types of toe pain can be corrected, but any toe pain that inhibits your activities for an extended period should be discussed with a chiropodist. If you suffer from toe pain, please consult with Cynthia Chan, B.Sc., D.Ch from Healthy Advantage Foot & Orthotic Clinic. Our practitioner can help you maintain the health of your feet.
Common Causes of Toe Pain
- Trauma or fracture
- Cuts, sores, or bruises
- Rheumatoid arthritis
- Gout
- Turf Toe
- Morton’s neuroma
- Blisters
- Corns
- Bunions
- Hammertoes
- Ingrown toenails
- Plantar warts
- Athlete’s Foot
Symptoms of Toe Pain
- Toe deformity
- Burning
- Numbness
- Toenail deformity
- Wart or ulcer
- Swelling
- Redness
When to See a Chiropodist
- Bleeding or severe swelling
- Trauma, such as a broken bone
- Discoloration or extreme swelling
- Inability to bear weight
- Persistent pain
- Wounds that won’t heal
Diagnosis of Toe Pain
A chiropodist can conduct a thorough examination of the painful toe or toes in order to determine the best course of treatment. The exam may include assessing the tenderness of the area, taking an X-ray or other diagnostic test, or assessing your gait and range of motion. A discussion of what led to the advanced pain issue may follow. Included will likely be a health history, as well as a list of medications you are taking and other previous injuries you may have sustained.
Treatment for Toe Pain
With such a wide range of possible causes for toe pain, treatment can be varied in scope and length. Sometimes, the chiropodist will recommend lifestyle and activity changes. In cases of trauma or other injuries, X-rays or imaging tests will likely be used to determine the severity of the problem, particularly if any bones have been broken. Treatment may also include injections of pain-relief medication or anti-inflammatory drugs. Certain injuries will require the splinting, bracing, or wrapping of injured toes. Orthotics or special shoes may be prescribed in cases of bone deformities and gait issues. Removal of warts, calluses, and corns may be needed. In other cases, such as with patients who have diabetes or rheumatoid arthritis, ongoing treatment may be required to avoid more serious problems.