Many things,: There may be an extra small little bone at the bottom of the joint, or just pressure from walking. If you have any stiffness around the first metatarsophalangeal joint, you will get excess pressure on the bottom of the big toe whan doing any activities. It could be arthritis, capsulitis, tendonitis, etc. As well. See a podiatrist for a full exam and treatment.
Answered 6/3/2016
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/: If there is only early spuring, even with a bad joint surface the pain and loss of motion is due to the kissing spurs at the mt-pp joint. Simple exostectomy can be done and I have had huge sucess with this. Lay up time is minimal and patirnts are happy. Even return to all prior exercise and activity. I my wife had it done and no pain nor. I have it, but need to find a syrg. To do it my way.
Answered 4/1/2019
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