Big toe pain, the following common causes: 1, arthritis: the first metatarsal phalangeal osteoarthritis or interphalangeal arthritis, can lead to big toe pain, swelling and restricted movement, usually seen in elderly patients. Women wearing high heels or narrow slippers, the symptoms are particularly obvious, and X-rays will reveal narrowing of the joint space and arthrosclerosis. 2, gout attack: gout crystals deposited into the joint part of the big toe can cause localized redness, swelling, heat, pain and other clinical symptoms, the patient’s pain is very intense, and even unable to walk and bear weight. 3, trauma: trauma to the big toe, such as bunion fractures, can cause severe local pain and activity Restricted. X-rays may reveal a fracture of the bone cortex or loss of joint alignment. Early diagnosis and treatment of pain in the big toe can lead to rapid relief of clinical symptoms. These conditions should be prevented in order to avoid localized pain.