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Problem #1: Osteoarthritis. Often referred to as the âwear and tearâ arthritis, osteoarthritis is caused by the wearing down of the protective cartilage that covers the ends of your bones. On your foot, it is most likely to strike at the joints where your toes meet your foot (metatarso-phalangeal or inter-phalangeal).
These are the most common cause of top of foot pain affecting the toes. What Are They: Deformities in the toes affecting the positions of the small toe bones. Causes: Poor fitting footwear is the most common cause of this type of top of foot pain, either high heels or shoe with a narrow toe. They can also develop secondary to a toe injury, a neural or vascular problem or arthritis. Symptoms: Pain and stiffness in the toes. Abnormal toe positions.