The common causes of severe pain in the toes are as follows:1. Acute injuries, including toe crush injuries, crush injuries, contusions, etc., can lead to local bleeding, congestion, edema, inflammation, which can lead to localized swelling and pain, and in severe cases, can lead to fractures and deformities of the toes.2. Arthritis of the toes, including rheumatoid arthritis and gouty arthritis, can lead to redness, swelling, heat, pain and severe pain. 3. The symptoms of redness, swelling, heat and pain in the toes can be seen, and the pain is quite severe.3. Infection in the toes can be seen, if the toes suffer from trauma or localized infection exists, there will be localized redness, swelling, heat and pain, and severe pain will be produced at the same time. Patients since the pain is very serious, must go to the hospital, after a clear diagnosis to take appropriate treatment.