I have weird red spots on both of my middle toes. quite painful. any ideas as to what this may be?

See podiatrist: With significant pain it is best to see foot doctor because this is not something you can treat your self properly. Since it is bilateral it may be related to trauma to the toes while walking.

Need to see to ID.: These lesions would likely need to be examined and more history obtained to be able to provide you with useful input about the diagnosis or possible treatment.