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18 years
I've been suffering from pain in the big toe for almost two years. Only feels it when going into "demi pointe" (i dance ballet) and putting weight on toes. X-ray shows small deviation.any solution ?
Apr 8, 2015

Dr. Zakia Dimassi Pediatrics
This could be a bunion (medical term: hallux valgus), which is a deviation of the big toe bone due to increased pressure on the toe. It is quite a common condition, especially in females.
Management of hallux valgus is mainly conservative and includes the following measures:

Shoe modification: wide, low-heeled shoes, or specially altered shoes with increased medial pocket for the first metatarsophalangeal (MTP) joint to minimize deforming forces

Orthoses to improve support and alignment

Night splinting to improve toe alignment

Stretching and/or mobilization/manipulation to maintain joint mobility

Medial bunion pads to prevent irritation

Ice applied after activity to reduce inflammation

Analgesics: acetaminophen or NSAIDs

More advanced interventions may be deemed necessary should the above listed measures prove inefficient in producing improvement.

In any case, you need to have an orthopedic specialist assess the degree of deviation and advise you regarding practicing ballet, since tip-toeing can further exacerbate your condition (because of the applied pressure on the big toe).