Symptoms
Big toe pain
Pain at the big toe in runners commonly refers from FHL, EHL and tibialis anterior.
Overview
Pain at the big toe in runners commonly refers from FHL, EHL and tibialis anterior. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Rule out hallux rigidus and gout.
Red flags — when to refer
Acute red hot toe with fever — rule out septic/gout.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction