What are the causes of fifth toe pain ( Fifth toe refers to the smallest toe, also known as the pinky toe)?

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Differential Diagnosis for 5th Toe Pain

  • The following categories outline potential causes of 5th toe pain, organized by likelihood and importance.

Single Most Likely Diagnosis

  • Bunionette (Tailor's bunion): A bony growth on the outside of the 5th toe, causing pain and discomfort due to friction and pressure from shoes.
  • Ingrown toenail: A common condition where the nail grows into the surrounding skin, leading to pain, redness, and swelling.

Other Likely Diagnoses

  • Hammer toe: A deformity of the toe where it becomes bent, causing pain and discomfort, especially in shoes that are too tight.
  • Morton's neuroma: A condition where a nerve in the foot becomes compressed, leading to pain and numbness in the toes, including the 5th toe.
  • Gout: A form of arthritis that can cause sudden, severe pain and swelling in the joints, including the joints of the 5th toe.
  • Osteoarthritis: Wear and tear on the joints of the 5th toe, leading to pain and stiffness.

Do Not Miss Diagnoses

  • Infection (cellulitis or abscess): Bacterial infections that can cause severe pain, redness, and swelling, and can lead to serious complications if not treated promptly.
  • Fracture: A broken bone in the 5th toe, which can be caused by trauma or stress, and requires proper diagnosis and treatment to prevent further complications.
  • Tumor: A rare but potentially serious condition, such as a benign or malignant tumor, that can cause pain and swelling in the 5th toe.

Rare Diagnoses

  • Frey's syndrome: A rare condition that causes sweating and pain in the toes, including the 5th toe, often associated with eating or smelling food.
  • Erythromacia: A rare condition that causes redness and pain in the toes, including the 5th toe, often associated with cold temperatures.
  • Sickle cell disease: A genetic disorder that can cause pain and swelling in the toes, including the 5th toe, due to sickling of red blood cells.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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