• We focus on what has worked for 10,000+ patients & medical research.
  • The #1 goal is to keep costs LOW and treatment SIMPLE.
  • Just remember this is for educational reference only.
  • If you have a medical problem visit with your personal doctor.
  • Please comment if any questions!

Big Toe Joint, Hammer Toe & Bunionette Problems:

Throbbing Big Toe Pain At Night [Causes, Symptoms & Best Treatment]

95% of the time throbbing big toe pain at night is mostly due to nerves being irritated. This does not always mean you have a nerve disease! FIX IT!

Look:

  • We will show you an animated diagnosis & treatment guide, photos and the best FAST treatment options for big toe joint pain at night.
  • These are Simple & EASY options that we have seen success with.
  • Also included is our stiff big toe joint pain video guide!

So, Let’s Get STARTED!

Big toe pain at night causes:

bunion, hallux rigidus, gout, sesamoiditis, turf toe

Top 5 Big Toe Joint Causes Picture & Photo Gallery:

Look:

So, check out the big toe diseases by clicking on the photo gallery for descriptions!

« of 4 »

So, check out the big toe diseases by clicking on the photo gallery for descriptions!

Why Does My Big Toe Hurt At Night?

  • Most people are not doing anything wrong with their big toe at night while sleeping, so why are you feeling extreme pain at night?
  • Think about this like playing a sport, you could play a sport like soccer or run around for many hours, and you’re not really that sore.
  • But when you get home and lay on the couch, then EVERYTHING starts hurting!
  • This is called delayed onset muscle soreness.
Foot Pain Behind Big Toe: Causes, Symptoms & Best Treatment 2020
The most common foot pain behind the big toe is bunions, big toe joint arthritis, hallux rigidus, turf toe, and sprained big toe joints.
  • As you get sore during the day and spent hours and hours walking on your big toe doing damage, it will hurt later.
  • It would help if you imagined that the more walking and damage you do, the more microscopic cracks and biochemical damage develops in the ligaments, the bones, and the joints.
  • When you rest at night and your blood flow has slowed down, it will then start to pool in these small tears, and this causes throbbing pain.
  • Most people realize you start to feel better as you get up and start walking around, but this is only because that blood squeezed out from those microscopic torn and damaged regions.
 

Causes:

Bunion:

  • As a bunion gets really sore during the day, it can definitely give you a noticeable throb at night.
 
 
huge bunion deformity hallux abducto valgus
This is a very large bunion deformity. Something like this would require extensive treatment to repair.

Gout.

  • Gout can come on quickly, but almost overnight, it will lead to terrible throbbing pain.
gout on top of the foot, toe foot heel ankle knee
This is a gout tophus forming at the big toe joint.
 

Hallux rigidus.

  • Stiff arthritis and lack of bend in your big toe joint can lead to significant pain. This can get sore during the day and lead to throbbing at night time.
bunion hallux valgus hallux rigidus big toe joint arthritis
This is an example of big toe joint arthritis combined with a bunion. This is also known as hallux rigidus.

Sesamoiditis.

  • There are two small bones in your big toe joint; these can definitely have pain at night.
Dislocated sesamoid, sesamoiditis, chronic sesamoiditis
This is an example of the fibular sesamoid dislocated between the big toe joint and the 2nd toe joint.

Sprained Big Toe. 

  • If you hyperextend your toe, this can lead to pain.
big toe joint arthritis of the big toe joint great toe
A sprained big toe joint can cause swelling and pain. This is also known as a turf toe injury.

Turf toe.

  • A turf toe is an injury that occurs while jamming your big toe into the ground.
Turf Toe Causes Turf Toe Recovery Time
The turf toe is caused by hyperextension and dorsiflexion of the first metatarsal phalangeal joint. This can lead to a big toe joint sprain.

Broken Big Toe.

  • A broken bone can swell up and then cause nerve throbbing at night.
Throbbing Big Toe Pain At Night
This is a big toe injury that will lead to continued big toe joint pain at night. This is due to the C-fibers causing pain at night time.

Swollen Toe.

  • Many things can cause a toe to swell; click on the link above if you have extensive swelling.
Gout of the big toe joint and the 2nd toe joint
This is extensive swelling in the foot. If it is only one foot, this may be a significant injury. If it is both feet, it may be generalized swelling associated with your health.

Dislocated Toe.

  • If your toe looks dislocated or displaced, click on the link above.
severe bunion hallux valgus
This is a severe bunion to the point of dislocation. This can also occur secondary to a broken big toe joint.

Flexor Hallucis Tendinitis

  • If you have a sore tendon at the joint, it may be tendinitis.
Sesamoiditis Foot Pain in the Big Toe: Causes & Best Treatment 2020
This is a picture of the flexor hallucis tendon. This can cause difficulty in pushing off. This is very common in ballet dancers.

Foot Arthritis.

  • Arthritis can lead to extensive pain in the joint.
bunion hallux valgus, arthritis of the big toe joint
This is a big toe joint with arthritis and bunion formation.

Pinched Nerve in Big Toe.

  • If you have numbness, burning, and tingling, this may cause extensive pain.
Morton Neuroma Morton Neuralgia Dissection anatomy treatment guide
This is the anatomy of a dissected nerve under the microscope. This is what the digital plantar nerves look like when the epineurium is dissected. This can cause pain if compressed.

Pain to the Knuckle. 

  • If your big toe knuckle is hurting, click the link above.
Big toe joint arthritis hallux rigidus
The big toe joint knuckle is also known as MTPJ pain. This can also lead to extensive pain. Some treatment options are joint replacement or MTPJ fusion.
 

Symptoms:

If the big toe is throbbing at night, you might feel:

  • Numbness.
  • Burning.
  • Tingling.
  • Big toe joint deformity.
  • Difficulty fitting into shoes.
  • Difficulty standing for long periods of time.

Big Toe Joint Home Treatment Infographic:

Bunion, hallux rigidus treatment

Treatment:

How Can I Make My Big Toe Joint Feel Better At Night:

  • You have to think about this in two ways: how can I prevent this damage from happening first, and how can I make the pain go away now.
 

Immediate Pain Relief:

  • This is where most of the products and medications come in handy.
  • The single easiest thing to do is ice your foot before going to bed. Doing this for 20 minutes and 20 minutes off is a great combination to make the swelling and soreness go down.
  • Trying a cream or an ointment like icy hot or bio freeze works great as well. Many studies have been done that once you put on bio freeze, your toe will stop throbbing while it is on just about as good as ice (in our opinion, of course).
  • You can also try anti-inflammatory gels like Voltaren gel. These can work really well in terms of removing the swelling and pain.
  • Also, make sure you don’t have tight or heavy sheets pressing against the big toe joint.
  • The most important thing is to prevent the pain from happening in the first place.

Massage & Ice Products:

  • The metal ball is one of my personal favorites.

Best Foot & Ankle Manual Massage Devices:
Best Premium Massage Roller
Most Cost Effective Massage Roller.
Cost Effective Freezable Massage Roller.
Recoup Fitness Cryosphere Cold Massage Roller - 6 Hours Cold Relief - Ice Cup - Myofascial Release- Great for Recovery - Free Rolling Removable Ball - Deep Tissue Massage - Pain Relief - Ice Pack
TheraFlow Compact Foot Roller for Plantar Fasciitis Relief | Christmas Gifts for Mom and Dad - Portable and Small Foot Massager for Neuropathy | Travel Size Foot Massager for Plantar Fasciitis
THERABAND Foot Roller for Foot Relief, Massage Ball Roller for Arch Discomfort, Plantar Fasciitis Treatment, Heel Spurs Reliever, Tired Feet, Best Foot Massager with Ridges for Self Myofascial Release
Price:
Price not available
$7.99
$16.49
Overview:
Premium freezable metal ball that stays cold for up to 6 hours. Great for plantar fascia, neck, shoulders and calf muscles.
Amazing Price, Great Reviews – Non-Freezable Massage Rolling Stick
Great price and it is freezable. Budget friendly freezable massage roller.
Pros:
Great reviews – near 5 star. Stays cold for a long time with deep penetrating plantar fascia massage. Used by professional athletes. Stays cold for HOURS!
Great for what it does. You roll it back and forth along your plantar fascia massaging the swelling and irritation out. Decreases pain. Thousands of 5 star reviews on Amazon.
Excellent reviews. It massages and ices, so it is a step up over the massage rollers. Near 5 star reviews with >500 reviews.
Cons:
More expensive than some of the other options, but near perfect reviews.
Is not freezable like the other two options. Massaging a sore muscle without the cold sensation can be very painful and render it useless to you if really sore.
It does a great job doing what it is supposed to do. Main downside is that it does not stay cold as long as the premium metal ball.
Important Tips:
Use it with a sock to start (could be too cold). Massaging and icing definitely loosens you up and makes you feel better, but you still have to prevent the pain in the first place. You still need stretching, orthotics and good shoes to prevent the initial damage.
Two things: Without the freezing component, it may be really painful for a very sore arch (So make sure to use ICE also). Also this only reduces pain, it does not stop the cause! You still need good orthotics, shoes and stretching to stop the pain in the first place!
Start with socks at first, especially if you have peripheral neuropathy => don’t freeze your foot! Remember that you still need good orthotics, good shoes and inserts as well as temporary activity reduction.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Best Premium Massage Roller
Recoup Fitness Cryosphere Cold Massage Roller - 6 Hours Cold Relief - Ice Cup - Myofascial Release- Great for Recovery - Free Rolling Removable Ball - Deep Tissue Massage - Pain Relief - Ice Pack
Price:
Price not available
Overview:
Premium freezable metal ball that stays cold for up to 6 hours. Great for plantar fascia, neck, shoulders and calf muscles.
Pros:
Great reviews – near 5 star. Stays cold for a long time with deep penetrating plantar fascia massage. Used by professional athletes. Stays cold for HOURS!
Cons:
More expensive than some of the other options, but near perfect reviews.
Important Tips:
Use it with a sock to start (could be too cold). Massaging and icing definitely loosens you up and makes you feel better, but you still have to prevent the pain in the first place. You still need stretching, orthotics and good shoes to prevent the initial damage.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Most Cost Effective Massage Roller.
TheraFlow Compact Foot Roller for Plantar Fasciitis Relief | Christmas Gifts for Mom and Dad - Portable and Small Foot Massager for Neuropathy | Travel Size Foot Massager for Plantar Fasciitis
Price:
$7.99
Overview:
Amazing Price, Great Reviews – Non-Freezable Massage Rolling Stick
Pros:
Great for what it does. You roll it back and forth along your plantar fascia massaging the swelling and irritation out. Decreases pain. Thousands of 5 star reviews on Amazon.
Cons:
Is not freezable like the other two options. Massaging a sore muscle without the cold sensation can be very painful and render it useless to you if really sore.
Important Tips:
Two things: Without the freezing component, it may be really painful for a very sore arch (So make sure to use ICE also). Also this only reduces pain, it does not stop the cause! You still need good orthotics, shoes and stretching to stop the pain in the first place!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Cost Effective Freezable Massage Roller.
THERABAND Foot Roller for Foot Relief, Massage Ball Roller for Arch Discomfort, Plantar Fasciitis Treatment, Heel Spurs Reliever, Tired Feet, Best Foot Massager with Ridges for Self Myofascial Release
Price:
$16.49
Overview:
Great price and it is freezable. Budget friendly freezable massage roller.
Pros:
Excellent reviews. It massages and ices, so it is a step up over the massage rollers. Near 5 star reviews with >500 reviews.
Cons:
It does a great job doing what it is supposed to do. Main downside is that it does not stay cold as long as the premium metal ball.
Important Tips:
Start with socks at first, especially if you have peripheral neuropathy => don’t freeze your foot! Remember that you still need good orthotics, good shoes and inserts as well as temporary activity reduction.
Affiliate Link (Buying through these links will connect you to Amazon):

Menthol Based Gels:

  • Biofreeze is one of our favorites.
  • These gels have been studied to work 2x as long as ice.

Best Foot & Ankle Muscle/Ligament Pain Relief Products
Best & Proven Pain Relieving Gel.
Roll On Version of Biofreeze Gel.
A giant container of value size biofreeze.
Menthol Based Ointment with Hemp Extract
Biofreeze Pain Relief Gel, Arthritis Pain Reliver, Knee & Lower Back Pain Relief, Sore Muscle Relief, Neck Pain Relief, Pharmacist Recommended, FSA Eligible, 3 Pack (4 FL OZ Biofreeze Menthol Gel)
Biofreeze Pain Relief Roll-On, 3 oz. Roll-On, Fast Acting, Long Lasting, & Powerful Topical Pain Reliever, Pack of 3 (Packaging May Vary)
Biofreeze Menthol Pain Relieving Gel 1 Gallon Bottle With Pump Topical Pain Relief For Sore Muscles, Arthritis, Backache, And Joint Pain, Original Green Formula, (Packaging May Vary)
HEMPACTIV Joint & Muscle Relief Cream, Infused with Hemp, Menthol, MSM & Arnica, Soothe Discomfort in Your Back, Muscles, Joints, Neck, Shoulder, Knee, Nerves - 2 Fl Oz
Price:
Price not available
$37.88
$149.99
$19.99
Overview:
The Proven and Scientifically Published Menthol Based Gel
Same as biofreeze gel, but the roll-on is prefered by some people for their feet, less messy.
8.1 lbs(3.67 kg) of Value Sized Biofreeze!
This is an alternative cream: Basically Biofreeze + hemp extract.
Pros:
Scientifically proven to loosen up and relief pain up to 2x longer than Ice. Less effort than ice and great reviews. 900+ 5 star reviews on Amazon.
The roll-on application of this biofreeze can be easier to apply. Less overall mess.
If you know you already love it and trust the reviews. This is a great value that lasts a long time.
It has great reviews, loved by the all natural crowd. 100s of 5 star reviews with a near perfect rating.
Cons:
Don’t put this on open sores or mucous membranes, it will burn! It can run out quick and doesn’t prevent pain, just helps it.
Not as easy to spread in other areas, main difference is the roll on applicator, same solution.
A gigantic bottle that could fall over and injure you! Seriously this could be too big in some situations.
Basically looks like menthol(active Biofreeze ingredient), but with hemp extract SKYROCKETING the price.
Important Tips:
Menthol is the active ingredient in this and other hemp based creams. It works similar to ice, but once you apply it you can just move on rather than waiting 20 minutes. **Works great to get your through the night if you have pain sleeping**
Roll-on method is best for the bottom of the feet. No other real advantage. Most patients like it prior to bed for easy sleeping without foot pain.
If you know you love it, this stuff works all over the sore areas in your body not just your foot. I have had many people get me to order this for them in the past and LOVED IT!
The hemp extract is almost nothing and likely a marketing gimmick. It’s basically Biofreeze with some hemp extract raising the price.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Best & Proven Pain Relieving Gel.
Biofreeze Pain Relief Gel, Arthritis Pain Reliver, Knee & Lower Back Pain Relief, Sore Muscle Relief, Neck Pain Relief, Pharmacist Recommended, FSA Eligible, 3 Pack (4 FL OZ Biofreeze Menthol Gel)
Price:
Price not available
Overview:
The Proven and Scientifically Published Menthol Based Gel
Pros:
Scientifically proven to loosen up and relief pain up to 2x longer than Ice. Less effort than ice and great reviews. 900+ 5 star reviews on Amazon.
Cons:
Don’t put this on open sores or mucous membranes, it will burn! It can run out quick and doesn’t prevent pain, just helps it.
Important Tips:
Menthol is the active ingredient in this and other hemp based creams. It works similar to ice, but once you apply it you can just move on rather than waiting 20 minutes. **Works great to get your through the night if you have pain sleeping**
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Roll On Version of Biofreeze Gel.
Biofreeze Pain Relief Roll-On, 3 oz. Roll-On, Fast Acting, Long Lasting, & Powerful Topical Pain Reliever, Pack of 3 (Packaging May Vary)
Price:
$37.88
Overview:
Same as biofreeze gel, but the roll-on is prefered by some people for their feet, less messy.
Pros:
The roll-on application of this biofreeze can be easier to apply. Less overall mess.
Cons:
Not as easy to spread in other areas, main difference is the roll on applicator, same solution.
Important Tips:
Roll-on method is best for the bottom of the feet. No other real advantage. Most patients like it prior to bed for easy sleeping without foot pain.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
A giant container of value size biofreeze.
Biofreeze Menthol Pain Relieving Gel 1 Gallon Bottle With Pump Topical Pain Relief For Sore Muscles, Arthritis, Backache, And Joint Pain, Original Green Formula, (Packaging May Vary)
Price:
$149.99
Overview:
8.1 lbs(3.67 kg) of Value Sized Biofreeze!
Pros:
If you know you already love it and trust the reviews. This is a great value that lasts a long time.
Cons:
A gigantic bottle that could fall over and injure you! Seriously this could be too big in some situations.
Important Tips:
If you know you love it, this stuff works all over the sore areas in your body not just your foot. I have had many people get me to order this for them in the past and LOVED IT!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Menthol Based Ointment with Hemp Extract
HEMPACTIV Joint & Muscle Relief Cream, Infused with Hemp, Menthol, MSM & Arnica, Soothe Discomfort in Your Back, Muscles, Joints, Neck, Shoulder, Knee, Nerves - 2 Fl Oz
Price:
$19.99
Overview:
This is an alternative cream: Basically Biofreeze + hemp extract.
Pros:
It has great reviews, loved by the all natural crowd. 100s of 5 star reviews with a near perfect rating.
Cons:
Basically looks like menthol(active Biofreeze ingredient), but with hemp extract SKYROCKETING the price.
Important Tips:
The hemp extract is almost nothing and likely a marketing gimmick. It’s basically Biofreeze with some hemp extract raising the price.
Affiliate Link (Buying through these links will connect you to Amazon):

How do I prevent nighttime big toe joint pain?

  • The best way to prevent nighttime big toe joint pain is to stop your big toe from getting damage.
  • I can pretty much guarantee that if you were to just lay in bed all day for a couple of weeks, you probably would not have bad nighttime foot pain. This means that you don’t truly have a nerve disease (Unless you are in the <1% of people that do have something bigger going on, then see your podiatrist!).
  • You have to make sure to wear good shoes and good orthotics. If you do this, 90% of the pain will go away in most people. You will have to do anything else.
  • Most people don’t want to wear good running shoes and don’t want to wear orthotics in the running shoes. But this really is the key. You can’t just keep wearing high heels or flats or flip-flops and expect to be pain-free for the rest of your life. Especially while putting on weight and getting more stiff.

Get Great Shoes:

  • Getting a great supportive pair of shoes will make sure that there is pressure removed from your heel.
  • This is especially important if you have a calcaneal stress fracture, planer fasciitis or any other type of heel injury.
  • Consider shoes combined with a good supportive orthotic for best pain relief!.
  • The following link will show you what our favorites are.

Best Podiatrist Recommended Shoes

Good Orthotics:

  • Great orthotics can help take pressure off the ball of your foot.

Best full-length orthotics:

Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
Best Heavy Duty Orthotic (Thickest Fit)
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
Best Women’s Orthotics
PowerStep Original Insoles - Arch Pain Relief Orthotics for Tight Shoes - Foot Support for Plantar Fasciitis, Mild Pronation and Foot & Arch Pain - Shoe Inserts for All (M 8-8.5, F 10-10.5)
PowerStep Pinnacle Maxx Orthotic Insoles - Orthotics for Overpronation with Maximum Stability & Comfort - Firm + Flexible Angled Heel Style to Help Flat Feet - Heavy Duty Inserts (M 10-10.5, F 12)
220+ lbs Plantar Fasciitis High Arch Support Insoles Men Women - Flat Feet Orthotic Inserts Standing All Day - Work Boot Shoe Insoles - Shoe Sole Flat Foot Heavy Men
Superfeet All-Purpose Women's High Impact Support Insoles (Berry) - Trim-To-Fit Orthotic Arch Support Inserts for Women's Running Shoes - Professional Grade - Size 8.5-10 Women
Price:
$40.46
Price not available
Price not available
$59.00
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women’s cute shoes.
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
These are full length inserts, but softer. Great if you can’t tolerate the firmer ones. Best for very sore and sensitive feet.
Great Support & Better Fit
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Sleek, supportive and have a better fit than the orthotics above.
Cons:
Do not wear these in cute or dress shoes!
Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women’s shoe or dress shoe. This is meant for running shoes and boots.
Great to start with, but don’t correct long term as much as the other ones.
A little bit more expensive.
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don’t give up on them after 1 or 2 days. Everyone feels off at the beginning!
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn’t fit it into their shoes and gave up too quickly. You have been WARNED!
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don’t use the heavy duty ones to start with.
These will have a harder time fitting in flats and pointed shoes.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
PowerStep Original Insoles - Arch Pain Relief Orthotics for Tight Shoes - Foot Support for Plantar Fasciitis, Mild Pronation and Foot & Arch Pain - Shoe Inserts for All (M 8-8.5, F 10-10.5)
Price:
$40.46
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women’s cute shoes.
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
Cons:
Do not wear these in cute or dress shoes!
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don’t give up on them after 1 or 2 days. Everyone feels off at the beginning!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Heavy Duty Orthotic (Thickest Fit)
PowerStep Pinnacle Maxx Orthotic Insoles - Orthotics for Overpronation with Maximum Stability & Comfort - Firm + Flexible Angled Heel Style to Help Flat Feet - Heavy Duty Inserts (M 10-10.5, F 12)
Price:
Price not available
Overview:
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
Pros:
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
Cons:
Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women’s shoe or dress shoe. This is meant for running shoes and boots.
Crucial Tips:
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn’t fit it into their shoes and gave up too quickly. You have been WARNED!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
220+ lbs Plantar Fasciitis High Arch Support Insoles Men Women - Flat Feet Orthotic Inserts Standing All Day - Work Boot Shoe Insoles - Shoe Sole Flat Foot Heavy Men
Price:
Price not available
Overview:
These are full length inserts, but softer. Great if you can’t tolerate the firmer ones. Best for very sore and sensitive feet.
Pros:
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Cons:
Great to start with, but don’t correct long term as much as the other ones.
Crucial Tips:
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don’t use the heavy duty ones to start with.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Women’s Orthotics
Superfeet All-Purpose Women's High Impact Support Insoles (Berry) - Trim-To-Fit Orthotic Arch Support Inserts for Women's Running Shoes - Professional Grade - Size 8.5-10 Women
Price:
$59.00
Overview:
Great Support & Better Fit
Pros:
Sleek, supportive and have a better fit than the orthotics above.
Cons:
A little bit more expensive.
Crucial Tips:
These will have a harder time fitting in flats and pointed shoes.
Affiliate Link (Buying through these links will connect you to Amazon):

Best dress shoe orthotics:

Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4″)
Best Full Length Dress Orthotic.
Great Heavy Duty Insole for Men
Powerstep Signature Dress 3/4-Length Insoles – Dress Shoe Insoles for Men and Women
Powerstep Signature Dress Full-Length Insoles for Men and Women
Superfeet Casual Men's Easyfit Insoles - Comfort Shoe Inserts for Men - Anti-Fatigue Orthotic Insoles for Dress Shoes - Professional Grade - Size 7.5-9 Men
Price:
Price not available
Price not available
$34.90
Overview:
This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!
Best option if you can fit a full length orthotic. This does give you most control.
Great price and heavy duty insole for Oxford shoes.
Pros:
Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can’t go wrong in most cases.
Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4″ length.
These fit in most shoes and have really good predictable results
Cons:
Less correction than full length and heavy duty orthotics.
These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.
They are not full length and thus do not provide as much support
Crucial Tips:
If you haven’t used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.
This is will work great in most men’s shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4″ length.
Get these for Oxford and pointed shoes. This will provide best results.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4″)
Powerstep Signature Dress 3/4-Length Insoles – Dress Shoe Insoles for Men and Women
Price:
Price not available
Overview:
This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!
Pros:
Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can’t go wrong in most cases.
Cons:
Less correction than full length and heavy duty orthotics.
Crucial Tips:
If you haven’t used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Dress Shoe Orthotics:
Best Full Length Dress Orthotic.
Powerstep Signature Dress Full-Length Insoles for Men and Women
Price:
Price not available
Overview:
Best option if you can fit a full length orthotic. This does give you most control.
Pros:
Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4″ length.
Cons:
These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.
Crucial Tips:
This is will work great in most men’s shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4″ length.
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Best Dress Shoe Orthotics:
Great Heavy Duty Insole for Men
Superfeet Casual Men's Easyfit Insoles - Comfort Shoe Inserts for Men - Anti-Fatigue Orthotic Insoles for Dress Shoes - Professional Grade - Size 7.5-9 Men
Price:
$34.90
Overview:
Great price and heavy duty insole for Oxford shoes.
Pros:
These fit in most shoes and have really good predictable results
Cons:
They are not full length and thus do not provide as much support
Crucial Tips:
Get these for Oxford and pointed shoes. This will provide best results.
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Best 3/4 length orthotics:

Best Flat Shoe (Non-Lace Up) Orthotics:
Best Choice For Tight Women’s Shoes or High Heels..
Powerstep SlenderFit Fashion Orthotic-W
Price:
Price not available
Overview:
These are the best fitting for the most narrow shoes. Some but not great correction.
Pros:
They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.
Cons:
At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!
Crucial Tips:
**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Flat Shoe (Non-Lace Up) Orthotics:
Best Choice For Tight Women’s Shoes or High Heels..
Powerstep SlenderFit Fashion Orthotic-W
Price:
Price not available
Overview:
These are the best fitting for the most narrow shoes. Some but not great correction.
Pros:
They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.
Cons:
At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!
Crucial Tips:
**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.
Affiliate Link (Buying through these links will connect you to Amazon):

Good Shoes:

  • Another thing we have seen frequently is people switching from a pair of high heels, a pair of flats, to a pair of flexible and unsupportive shoes.
  • The switch is made into a good supportive running shoe.
  • A great running shoe combined with a great choice for an affordable over-the-counter orthotic leads to a near-instant offloading of pain.
  • This orthotic with an issue takes almost all the pressure off the second metatarsal joint.
  • This leads to near-instant relief of pressure along the joint to heal over the next few weeks or months.

Gout Treatment:

If you suspect gout, consider these treatment options!

Gout Supplements & Medication
Top rated gout specific cream on Amazon
Top rated cherry concentrate supplement.
Great Tumeric based anti-arthritis supplement.
Top rated overall Amazon anti-arthritis topical cream.
Gout and You Relief Cream for Joint Discomfort, Flare-Ups, Tendon - Fast Acting Muscle Ache Relieving Rub with Arnica/Ilex Leaf Extract, Aloe Vera and Tea Tree Oil
Sports Research Tart Cherry Concentrate - Made from Montmorency Tart Cherries - Non-GMO & Gluten Free (60 Liquid Softgels)
Turmeric Supplement with 1200mg Turmeric Powder Organic - Turmeric Curcumin Supplement. 95% Curcuminoids. Organic Turmeric Curcumin with Black Pepper. Tumeric Joint Support Supplement. 60 Curcuma Caps
Penetrex Joint & Muscle Therapy – Soothing Comfort for Back, Neck, Hands, Feet – Premium Whole Body Rub with Arnica, Vitamin B6 MSM & Boswellia – Non-Greasy 4oz Cream
Price:
$19.97
$20.95
$23.97
$30.99
Overview:
There are not many topical gout specific relief creams. This is the one with best results!
This has 3,000+ near 5 star reviews, there are some studies there supporting it.
Top rate Tumeric based arthritis supplement, About 3,000 near 5 star reviews on Amazon.
Top rated overall arthritis topical cream. Over 30,000+ near 5 star reviews between all sizes!
Pros:
Excellent overall reviews, not much other options for specific gout designed creams.
Great overall reviews, good reviews, people swear by this.
This is one that patients definitely swear by. The reviews are excellent near 5 star levels with thousands of reviews.
Some of the best overall reviews on Amazon in total, long track record, lots of loyal followers.
Cons:
The scientific literature is not very strong regarding these creams.
The results are not thought to be instantaneous, like most supplements, the evidence is not overwhelming.
Like most supplements, the studies are not overwhelming, but there is some evidence for sure.
This is not gout specific, this is overall arthritis specific.
Important Tips:
Use these at your own risk, these are anti-inflammatory creams with great reviews, but not strong scientific literature!
Make sure you read the reviews and do your research, but they do have great overall results with many people that swear by it!
Some patients swear by this stuff, there is mixed evidence, but if you are in severe pain and trust the reviews, it can help!
Like any natural supplement, the research is lacking, do your own research and check with your doctor!
Affiliate Link (Buying through these links will connect you to Amazon):
Gout Supplements & Medication
Top rated gout specific cream on Amazon
Gout and You Relief Cream for Joint Discomfort, Flare-Ups, Tendon - Fast Acting Muscle Ache Relieving Rub with Arnica/Ilex Leaf Extract, Aloe Vera and Tea Tree Oil
Price:
$19.97
Overview:
There are not many topical gout specific relief creams. This is the one with best results!
Pros:
Excellent overall reviews, not much other options for specific gout designed creams.
Cons:
The scientific literature is not very strong regarding these creams.
Important Tips:
Use these at your own risk, these are anti-inflammatory creams with great reviews, but not strong scientific literature!
Affiliate Link (Buying through these links will connect you to Amazon):
Gout Supplements & Medication
Top rated cherry concentrate supplement.
Sports Research Tart Cherry Concentrate - Made from Montmorency Tart Cherries - Non-GMO & Gluten Free (60 Liquid Softgels)
Price:
$20.95
Overview:
This has 3,000+ near 5 star reviews, there are some studies there supporting it.
Pros:
Great overall reviews, good reviews, people swear by this.
Cons:
The results are not thought to be instantaneous, like most supplements, the evidence is not overwhelming.
Important Tips:
Make sure you read the reviews and do your research, but they do have great overall results with many people that swear by it!
Affiliate Link (Buying through these links will connect you to Amazon):
Gout Supplements & Medication
Great Tumeric based anti-arthritis supplement.
Turmeric Supplement with 1200mg Turmeric Powder Organic - Turmeric Curcumin Supplement. 95% Curcuminoids. Organic Turmeric Curcumin with Black Pepper. Tumeric Joint Support Supplement. 60 Curcuma Caps
Price:
$23.97
Overview:
Top rate Tumeric based arthritis supplement, About 3,000 near 5 star reviews on Amazon.
Pros:
This is one that patients definitely swear by. The reviews are excellent near 5 star levels with thousands of reviews.
Cons:
Like most supplements, the studies are not overwhelming, but there is some evidence for sure.
Important Tips:
Some patients swear by this stuff, there is mixed evidence, but if you are in severe pain and trust the reviews, it can help!
Affiliate Link (Buying through these links will connect you to Amazon):
Gout Supplements & Medication
Top rated overall Amazon anti-arthritis topical cream.
Penetrex Joint & Muscle Therapy – Soothing Comfort for Back, Neck, Hands, Feet – Premium Whole Body Rub with Arnica, Vitamin B6 MSM & Boswellia – Non-Greasy 4oz Cream
Price:
$30.99
Overview:
Top rated overall arthritis topical cream. Over 30,000+ near 5 star reviews between all sizes!
Pros:
Some of the best overall reviews on Amazon in total, long track record, lots of loyal followers.
Cons:
This is not gout specific, this is overall arthritis specific.
Important Tips:
Like any natural supplement, the research is lacking, do your own research and check with your doctor!
Affiliate Link (Buying through these links will connect you to Amazon):

See A Podiatrist!

  • If you have a deformity, or broken bone, or some more significant damage, you should see your podiatrist or foot specialist. You may need an x-ray, and you may need somebody to evaluate your foot structure. In most people, it is just a chronic overuse injury.
  • If you do think that you have something more unusual going on, see your podiatrist for sure. You will feel much better, and you’ll know for sure that nothing dangerous is going on.
  • But with great shoes and great orthotics, you should feel 100% better within a month or two, but it’s not to be something that gets better overnight.

Big Toe Joint, Hammer Toe & Bunionette Problems: