If the thumb of the foot is painful, if it is traumatized, you need to go to the hospital to improve the examination, take a film to see if there is a fracture, according to the specific situation of the fracture to deal with, if necessary, need to carry out surgical treatment. If there is no fracture, it should be considered a soft tissue injury, pay more attention to rest, avoid prolonged standing and walking, 2 days after the injury can be localized hot compresses, do not massage, oral anti-inflammatory and analgesic drugs, such as loxoprofen sodium. If there is no trauma, most of the cases may be caused by bunions, bunions formed synovitis, you can apply local heat, wear looser shoes, and if necessary, surgery is needed to correct. There is also gout, due to prolonged exertion, cold, large fish and meat, eating seafood, and drinking alcohol lead to elevated blood uric acid in the body, there will be blood uric acid deposited in the joints, resulting in joint pain, often waking up at night after feeling pain, and no obvious relationship with exercise. There is also local inflammation of the fascia caused by prolonged standing and walking and wearing unsuitable shoes, which can also cause pain in the big toe and needs to be actively treated.