Why Do My Toes Feel Squeezed While Walking? Causes and Solutions - Orthopedics

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Feeling pressure on the toes while walking?


Today, I walked about 15 kilometers with the Dajia Mazu pilgrimage.
After roughly one-third of the distance, I started to feel my little toe and ring finger toe squished together, and the pain increased to the point where I could barely continue.
Could this be related to wearing shoes (since it was my first time using these shoes for a long walk), or is it due to poor posture? Thank you.

Miss Su, 20~29 year old female. Ask Date: 2021/04/10

Dr. Wang Shouji reply Orthopedics


Hello, if you usually do not walk that far and are experiencing localized pressure, it is indeed possible to have such symptoms.
Rest should help alleviate them.
However, if the symptoms do not improve after a few days of rest, it is advisable to visit a hospital for an examination.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2021/04/10

More Info


The sensation of your toes feeling squeezed while walking, particularly after a long distance like 15 kilometers, can be attributed to several factors, with footwear being a primary consideration. When you wear shoes that are too tight or not properly fitted, it can lead to discomfort and pain in the toes, especially in the smaller ones like the pinky and ring toes. This is often exacerbated during prolonged activities such as walking long distances, where the feet swell slightly due to increased blood flow and pressure.


Causes of Toe Discomfort While Walking
1. Footwear Issues: As you mentioned, this was your first time wearing those shoes for an extended period. Shoes that are too narrow or have a pointed toe box can compress the toes together, leading to pain. It's essential to choose shoes that provide adequate space for your toes to move freely. Look for shoes with a wide toe box and good arch support.

2. Foot Structure: Individual foot anatomy plays a significant role in how shoes fit. If you have flat feet, high arches, or other structural issues, certain types of shoes may not provide the necessary support, leading to discomfort. Additionally, conditions like bunions or hammertoes can cause the toes to be misaligned, resulting in pain when walking.

3. Improper Walking Technique: If your walking posture or gait is off, it can lead to uneven pressure distribution across your feet. This can cause certain areas, including the toes, to bear more weight than they should, leading to discomfort.
4. Swelling: After walking for a long time, it's common for feet to swell. This swelling can make shoes feel tighter and exacerbate any existing discomfort.
5. Nerve Compression: Conditions like Morton's neuroma, which involves thickening of the tissue around a nerve leading to the toes, can cause pain and a squeezing sensation. This is often felt between the third and fourth toes but can affect other areas as well.


Solutions to Alleviate Toe Discomfort
1. Choose the Right Footwear: Invest in shoes that fit well, provide ample toe room, and offer good arch support. Consider visiting a specialty running or walking store where staff can help you find the right fit based on your foot type.

2. Break in New Shoes Gradually: If you purchase new shoes, wear them for shorter periods before using them for long walks. This allows your feet to adjust to the new footwear.

3. Use Orthotic Inserts: If you have specific foot issues, custom orthotic inserts can provide additional support and help distribute pressure more evenly across your feet.

4. Stretch and Strengthen Your Feet: Regular foot exercises can help improve flexibility and strength, reducing the risk of discomfort. Simple exercises include toe stretches, picking up small objects with your toes, and rolling a tennis ball under your foot.

5. Take Breaks: During long walks, take breaks to rest your feet. Remove your shoes if possible to allow your feet to breathe and reduce swelling.

6. Consult a Specialist: If the discomfort persists despite making adjustments, consider consulting a podiatrist. They can assess your foot structure, gait, and any underlying conditions that may be contributing to your discomfort.

In summary, the squeezing sensation in your toes while walking is likely related to your footwear, but it can also be influenced by your foot structure and walking technique. By addressing these factors, you can improve your comfort during long walks and prevent future issues.

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