Dr. Jordan Sudberg Explains Sharp Foot Pain: Is Arthritis in Your Toes the Hidden Culprit?
Foot pain is often brushed off as a side effect of standing too long, wearing the wrong shoes, or overexertion. But when the pain becomes sharp, persistent, or localized in the toes, it may point to something more serious: arthritis. This joint-related condition can silently creep into even the smallest parts of the body—including your toes—and severely impact your ability to move comfortably.
Dr. Jordan Sudberg, a seasoned pain management specialist with extensive experience in musculoskeletal disorders, emphasizes that toe arthritis is not just an inconvenience. It’s a legitimate medical issue that can disrupt your quality of life if left unaddressed.
In this post, Dr. Sudberg helps us understand the symptoms, causes, and warning signs of arthritis in the toes, especially when that sharp pain starts interfering with daily activities.
What Is Toe Arthritis?
Arthritis is a general term for inflammation of the joints. While most people associate it with the knees, hips, or hands, toe arthritis is surprisingly common, especially in the big toe joint (first metatarsophalangeal joint).
According to Dr. Sudberg, arthritis in the toes can result from wear and tear (osteoarthritis), autoimmune diseases (rheumatoid arthritis), or crystal buildup (gout).
“People often ignore foot pain until it becomes unbearable,” says Dr. Sudberg. “But pain in the toes—especially sharp, stabbing pain—is your body’s way of signaling that something deeper is going on.”
Common Symptoms of Toe Arthritis
While each type of arthritis presents slightly differently, the following symptoms are commonly reported in toe arthritis cases:
1. Sharp or Stabbing Pain
A sudden, sharp pain in the toes, particularly when walking, pushing off the foot, or standing, is often the first sign something is wrong. The pain may feel localized at the base of the big toe or spread across the forefoot.
“Sharp pain is a red flag,” Dr. Sudberg explains. “Unlike dull aches, stabbing sensations are often linked to joint inflammation, cartilage damage, or joint space narrowing.”
2. Joint Swelling and Redness
Swelling around one or more toe joints—especially with redness or warmth—may indicate active inflammation. This is common in both rheumatoid arthritis and gout.
3. Stiffness and Reduced Range of Motion
People with toe arthritis may notice that their joints feel stiff, particularly in the morning or after long periods of inactivity. Over time, this stiffness may limit the ability to bend or flex the toe.
“Patients often say it feels like their toe is locked or frozen in place,” Dr. Sudberg notes.
4. Pain That Worsens with Activity
In osteoarthritis, pain tends to intensify with use. Long walks, climbing stairs, or prolonged standing can lead to increased discomfort.
5. Bony Growths or Deformities
Over time, chronic arthritis can lead to visible deformities like bunions or bone spurs. The joint may appear enlarged or misshapen.
Risk Factors and Causes
Dr. Sudberg highlights several key risk factors for developing arthritis in the toes:
- Age: Joint wear and tear increases over time, especially in weight-bearing areas.
- Previous injuries: Trauma to the foot, including sprains or fractures, can increase arthritis risk.
- Repetitive stress: Athletes and individuals with physically demanding jobs may wear down toe joints prematurely.
- Autoimmune conditions: Diseases like lupus or rheumatoid arthritis often affect the smaller joints early on.
- Genetics: Family history plays a role in the likelihood of developing joint-related issues.
Diagnosis and Treatment Options
If you’re experiencing sharp pain in your toes, it’s important not to self-diagnose or ignore the problem. Dr. Sudberg recommends a thorough medical evaluation that may include:
- Physical examination
- X-rays or MRIs to assess joint space and bone structure
- Blood tests to identify inflammatory or autoimmune markers
Treatment Approaches
Fortunately, there are a number of treatment options to relieve toe arthritis symptoms:
- Anti-inflammatory medications: NSAIDs can reduce swelling and pain.
- Corticosteroid injections: In some cases, targeted injections into the joint can provide temporary relief.
- Custom orthotics: Shoe inserts can redistribute pressure and improve foot mechanics.
- Physical therapy: Stretching, strengthening, and mobility exercises can help maintain joint function.
- Surgery: In severe cases, joint fusion or replacement may be necessary.
Dr. Sudberg stresses the importance of early intervention: “The earlier we can diagnose and treat toe arthritis, the better the outcomes. Don’t wait until the pain affects your ability to walk.”
When to See a Specialist
If you’re experiencing persistent or sharp pain in your toes—especially if it’s accompanied by stiffness, swelling, or deformity—it’s time to consult a pain management expert.
“Arthritis in the toes can rob you of your mobility and independence,” says Dr. Jordan Sudberg. “But with the right diagnosis and a personalized treatment plan, most people can manage their symptoms and stay active.”
Final Thoughts
Toe arthritis may be small in size, but it’s big in impact. That sharp pain in your foot isn’t something to push through—it’s a signal that your body needs care. Thanks to experts like Dr. Jordan Sudberg, patients can get the answers they need and find relief before the condition worsens.
If you’ve been sidelined by toe pain, don’t ignore the signs. Early action could be the step you need to walk pain-free again.
