The fourth toe of the right foot, which hurts when pressed, may be caused by soft tissue injury, fracture, purulent dactylitis and other reasons. 1. Soft tissue injury: soft tissue injury will lead to capillary rupture, blood leakage, and then the tension of the soft tissues will be elevated, and the fourth toe of the right foot will hurt when pressed. 2. Fracture: trauma and other causes will lead to interruption of the continuity of the bone, which will compress or damage the nerves, and then pressure pain will occur, so the fourth toe of the right foot hurts when pressed. 3. Purulent dactylitis: bacterial infection of the finger will form a pus cavity with high pressure, which will compress the surrounding nerve tissues and also cause pain when pressing the fourth toe of the right foot. The fourth toe of the right foot pain may also be seen in the nail groove inflammation, lumbar disc herniation and other diseases, if the fourth toe of the right foot pain symptoms, persistent and unrelieved, you need to consult a doctor to check the cause of targeted treatment.