Why only a localized point on planter side of my toe pain like an inci

Why only a localized point on planter side of my toe pain like an incised stabbing when i walk too much or wear shoes that are to much tight

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foot corns calluses

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NHS corns calluses foot symptoms treatment shoe pressure

A very localized, sharp “stabbing” pain on the underside of a toe that appears with walking or tight shoes is most often caused by pressure on a small spot of skin or tissue, especially:

A corn: a small, hard, thickened area of skin with a central core. It can feel like a needle or pebble pressing into the toe.
Callus or pressure point from footwear, toe shape, or how you walk.
Plantar wart: often has a rough surface, may interrupt normal skin lines, and sometimes has tiny black dots.
Less commonly: a tiny retained splinter/foreign body, a small blister beneath thick skin, or irritation around a toe joint/nerve.

Tight shoes make a corn or pressure lesion much more likely because they concentrate force on one point. Corns are specifically linked to pressure or rubbing, and may have a central core that causes pain over bony areas, as described by the NHS guidance on corns and calluses.

What to do now:

Stop wearing the tight pair and use shoes with a wider toe box and enough depth.
Use a soft toe pad, donut-shaped corn pad, or cushioned insole to off-load the exact spot. Do not place adhesive medicated pads on broken skin.
After bathing, gently use a pumice stone only on thick hard skin. Do not cut, dig, or shave it yourself.
If it persists, see a podiatrist or clinician. They can identify whether it is a corn, wart, or another lesion and safely remove thickened skin if appropriate.

Do not self-treat with salicylic-acid corn removers or blade trimming if you have diabetes, poor circulation, reduced sensation/neuropathy, or immune suppression. Get foot-care advice instead.

Seek an in-person assessment sooner if there is redness, warmth, swelling, drainage, an open sore, fever, numbness, pain even when not walking, or if it is not improving after 1-2 weeks of avoiding pressure.

There is no cone on my feet. It's like on upper medial right side of my feet. 2 inches from the middle part of foot

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medial foot pain accessory navicular

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medial top of foot pain tight shoes accessory navicular NHS

That location changes the likely causes. You mean the upper-inner (medial) side of the right midfoot, roughly near the arch/navicular area, rather than under the toe.

With pain brought on by lots of walking and tight shoes, possibilities include:

Pressure from the shoe over the navicular bone or an “accessory navicular”: some people have an extra small bone/bony prominence on the inner side of the midfoot. It may hurt only when shoes rub or the foot is overused.
Posterior tibial tendon irritation: this tendon runs behind the inner ankle and attaches at the inner midfoot. It can become sore with prolonged walking, flat feet, or unsupportive footwear.
Irritation of the top-of-foot extensor tendons from tight laces/shoes, especially if the pain is more on the upper surface than the side.
Less commonly, a stress injury of the navicular or another midfoot bone, particularly if pain is becoming steadily worse, occurs with less activity than before, or there is focal bone tenderness/swelling.

An accessory navicular typically produces focal tenderness and pain around the inner arch, sometimes with a noticeable bump, and supportive shoes or an insole can reduce strain on the attached posterior tibial tendon. The AAOS overview and NHS information describe this pattern.

For now:

Avoid tight footwear, hard shoe edges, and tightly tied laces over the painful point.
Use a roomy, supportive trainer and consider a cushioned arch-support insole.
Reduce long walks/running for 1-2 weeks. Ice wrapped in cloth for up to 20 minutes can help after activity.
Consider paracetamol or an anti-inflammatory only if you can take it safely.

Please get examined by a clinician or podiatrist if the pain is sharply focal over bone, there is swelling/redness, you limp, it hurts at rest/night, you had an injury, or it has not clearly improved after 1-2 weeks. An examination and, if needed, an X-ray can distinguish shoe pressure/accessory bone from tendon or bone injury. Urgent care is appropriate if you cannot bear weight, the foot becomes hot/swollen, or it looks deformed.

No medial to medial planter nerve at 1st metatarsal

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medial plantar nerve entrapment foot

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medial plantar nerve entrapment first metatarsal pain tight shoes medial plantar digital nerve

Yes, that is more anatomically consistent with a branch of the medial plantar nerve.

At the plantar-medial side near the first metatarsal / base of the big toe, the medial plantar nerve gives:

a proper plantar digital nerve to the inner side of the big toe, and
a common plantar digital nerve that runs toward the first web space between the big and second toes.

So a very focal, incision-like or electric/stabbing pain triggered by walking or tight shoes could be local compression or irritation of one of these small plantar digital nerve branches, rather than a corn or a midfoot tendon problem. The medial plantar nerve supplies much of the medial forefoot and the plantar surface of the first three toes, including the hallux region. - Gray’s Anatomy for Students, medial plantar nerve section

It is not the usual location for classic Morton’s neuroma, which is much more often between the 2nd-3rd or 3rd-4th metatarsal heads. But a less common first-web-space digital nerve irritation or local pressure neuritis can happen.

Clues favoring nerve irritation:

burning, stabbing, electric, or “cut” pain
tingling, numbness, or sensitivity to light touch on the big toe or adjacent side of the second toe
pain reliably worsened by narrow/tight footwear and relieved after removing it
pressing or tapping one exact spot reproduces a shooting sensation toward the toe

Use a wide toe-box shoe, avoid tight laces or tight socks, and avoid walking barefoot on hard floors for 1-2 weeks. A soft metatarsal/forefoot pad or insole may reduce local pressure, but it should sit just behind, not directly on, the painful point.

If the pain is persistent, a podiatrist, sports-medicine clinician, or foot/ankle specialist can localize the nerve on examination and rule out a sesamoid problem, first MTP joint issue, stress injury, or skin lesion. Seek assessment sooner if you have numbness that persists, increasing pain, swelling/redness, weakness of the big toe, or difficulty bearing weight.

It's not in place of 1st web space

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Joplin neuroma medial plantar proper digital nerve great toe pain first metatarsal

I understand. I was wrong to place it in the first web space.

If the painful point is on the plantar-medial side along the first metatarsal, but not between the big and second toe, it may be near the course of the medial proper plantar digital nerve to the big toe or near soft tissues under/along the first metatarsal. This nerve runs along the inner plantar side of the big-toe ray, not in the web space. Local pressure from tight shoes, repetitive walking, or a prominent first metatarsal can irritate it and cause a sharp, stabbing or electric pain. A rare form of local nerve irritation in this region is called Joplin’s neuroma, but it cannot be diagnosed from symptoms alone. The nerve’s superficial course makes it susceptible to repeated minor trauma, as described in this ultrasound anatomy study.

Other nearby causes include:

pressure/irritation of the abductor hallucis muscle along the medial arch
a sesamoid or first metatarsal plantar-surface problem, especially if the point is closer to the ball of the foot
a very small skin lesion or foreign body even when no obvious corn is visible

For now, avoid the tight shoes that trigger it, choose a wide toe box with cushioning, and reduce long walks until it settles. Do not press a pad directly on the tender spot. Place cushioning around it, or use a supportive insole.

A podiatrist or foot-and-ankle clinician can check whether pressing/tapping the point causes pain or tingling that travels into the big toe, assess the first metatarsal and sesamoids, and use ultrasound if a nerve lesion is suspected.

If you can upload a photo of the sole/inner side of your foot with one finger marking the exact painful point, I can help identify the structures at that precise location.

Its most likely at the root of 1st metatarsal

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medial plantar nerve entrapment abductor hallucis

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plantar medial base first metatarsal pain medial plantar nerve abductor hallucis anatomy

If the painful point is at the plantar-medial base (root) of the first metatarsal, near the first tarsometatarsal joint, then it is not the first web space and is less likely to be a typical Morton’s neuroma.

The important structures there are:

Peroneus longus tendon insertion
This tendon wraps under the foot and attaches to the plantar base of the first metatarsal and medial cuneiform. Repetitive walking, particularly with an unsupportive shoe, can irritate it. Pain is usually localized to that exact plantar-medial midfoot point and worse with pushing off.
First tarsometatarsal joint / medial cuneiform-first metatarsal area
Joint or ligament irritation here can give a sharp focal pain with walking. It should be considered particularly if pain increases when you push off, bend the forefoot, or press directly on the base of the first metatarsal.
Medial plantar nerve branches
The main medial plantar nerve travels under the abductor hallucis and branches around the metatarsal bases. It can be irritated there, but a nerve cause is more likely if the pain is burning/electric or produces tingling or altered sensation into the big toe. The nerve’s course and branching can vary between people, as shown in this anatomical report.

So, based on the site you have clarified, I would put local tendon or first tarsometatarsal pressure/strain ahead of a digital neuroma, unless you have tingling, numbness, or a shooting sensation into the big toe.

For 1-2 weeks:

Avoid the tight shoes that reproduce it.
Use a firm, supportive shoe with a wide toe box, not a flexible thin-soled shoe.
Reduce long walks and running.
Ice after activity for 15-20 minutes, with cloth between ice and skin.
Do not massage aggressively or press a pad directly under that point. A full-length supportive insole may be more useful than a small pad.

Arrange a podiatry, sports-medicine, or foot-and-ankle assessment if it continues beyond 1-2 weeks, recurs every time you walk, or becomes more focal. Examination can distinguish tendon pain from joint/bone tenderness; an X-ray is sometimes needed to assess the first tarsometatarsal area, and ultrasound can assess the tendon or a superficial nerve. Seek care promptly if there is swelling, bruising, pain at rest, inability to bear weight, or pain after a twist/fall, because those features raise concern for a bony or ligament injury.

1000215703.jpg

The pain os exactly at the point where a of medial is written in this image

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medial arch plantar foot pain medial plantar nerve entrapment abductor hallucis tight shoes

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medial plantar nerve entrapment foot

I can see the spot you mean: the “a” in “Medial” on the right sole. That is the plantar-medial mid-arch, not the first web space and not the ball of the big toe.

At that location, the main nearby structures are:

Medial plantar nerve, running forward in the groove between the abductor hallucis muscle on the inner arch and the flexor digitorum brevis muscle.
Abductor hallucis muscle/fascia, which forms the prominent soft tissue along the inner arch.
The medial arch bones and joints, especially nearer the navicular-medial cuneiform area, rather than the first metatarsal head.

The medial plantar nerve passes deep to abductor hallucis and can be compressed or irritated where it travels through this area. - Gray’s Anatomy for Students, medial plantar nerve section

Given your description of one precise stabbing/incision-like point, worse after lots of walking or in tight shoes, the more plausible explanation is medial plantar nerve irritation/entrapment, sometimes called jogger’s foot, or irritation of the nearby abductor hallucis fascia/muscle. It can cause sharp, burning, electric, or stabbing pain in the inner arch and may sometimes spread toward the big toe. Tight/narrow shoes and activity can aggravate it, as summarized in this review of foot nerve entrapments.

This does not sound like classic Morton’s neuroma, which is usually farther forward between the metatarsal heads.

What to try for 1-2 weeks:

Stop using the tight shoes completely.
Use a wider, cushioned but supportive shoe and avoid tight lacing over the medial arch.
Reduce long walks, running, and barefoot walking on hard surfaces.
Ice the area after activity for 15-20 minutes with a cloth barrier.
A supportive full-length insole or arch support may help, but stop if it presses directly on the painful point.
Avoid aggressive massage or pressing hard on the spot, since that can further irritate a nerve.

Arrange an examination with a podiatrist, sports-medicine clinician, or foot-and-ankle specialist if it keeps recurring or does not improve within 1-2 weeks. They can check for a localized nerve Tinel sign, abductor hallucis tenderness, foot mechanics such as flat feet or high arches, and distinguish this from navicular or joint pain. Ultrasound may help when a nerve or soft-tissue cause is suspected.

Seek care sooner if you develop persistent numbness/tingling in the big toe or sole, marked swelling/redness, pain at rest/night, a limp, or inability to bear weight.

My pain resolves in a minute or 2 by itself. Is it still joggers foot

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medial plantar nerve entrapment foot

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medial plantar nerve entrapment symptoms pain relief rest activity tight shoes

Yes, it could still be medial plantar nerve irritation, sometimes called jogger’s foot, but the rapid resolution makes it sound more like temporary pressure-related irritation than a persistent or severe nerve entrapment.

A pain pattern that:

occurs only after walking more or wearing tight shoes,
is sharp, stabbing, or electric,
is at the plantar-medial arch where the medial plantar nerve runs under the abductor hallucis muscle, and
eases within 1-2 minutes after you stop or remove pressure,

is compatible with a nerve being briefly compressed or stretched. It is not enough by itself to diagnose jogger’s foot. The same pattern can come from local irritation of the abductor hallucis muscle/fascia or pressure from an insole or shoe edge.

More established medial plantar nerve entrapment often also causes one or more of:

burning or tingling in the medial sole, big toe, or second toe
pain radiating forward into the toes
reproducible tenderness just behind the navicular/along the inner arch
symptoms that recur predictably with activity and may linger after it stops

The medial plantar nerve runs deep to abductor hallucis in the inner arch, and narrow shoes and activity can aggravate symptoms in that region, as described in this foot nerve-entrapment review.

For now, treat it as a reversible pressure problem:

Do not wear the tight footwear that triggers it.
Try a roomy, supportive shoe for 1-2 weeks.
Check that an arch support is not pressing directly at that exact medial-arch point.
Reduce long walks temporarily, then return gradually if symptom-free.
Avoid repeatedly poking or deep-massaging the point.

If it begins lasting longer, happens at rest, produces numbness/tingling into the toes, causes a limp, or continues despite 2-3 weeks of footwear and activity changes, see a podiatrist or foot-and-ankle clinician for an examination.

It resolves when i planter flexes my toes at the time of walking

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toe plantar flexion relieves medial arch plantar pain medial plantar nerve abductor hallucis plantar fascia windlass

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plantar flexion toes medial plantar nerve entrapment

That detail makes plantar fascia or medial-arch soft-tissue tension at least as likely as medial plantar nerve irritation, and possibly more likely.

When the toes extend upward during normal push-off, the windlass mechanism tightens the plantar fascia and raises the arch. Flexing your toes downward reduces that tension. So if toe plantar-flexion quickly stops the pain, it suggests the painful structure may be being tensioned during normal toe extension, such as:

a small focal area of plantar fascia / medial arch fascia
the abductor hallucis muscle or its fascia
less specifically, a nearby nerve that is being compressed or stretched as the arch tightens

It does not rule out medial plantar nerve irritation, but it is not the classic pattern needed to confidently call it “jogger’s foot.” Jogger’s foot more often includes burning/tingling, altered sensation, or pain radiating toward the big toe/second toe. The medial plantar nerve does run in that region beneath the abductor hallucis. - Gray’s Anatomy for Students, medial plantar nerve section

Your short-lived, activity-and-position-dependent pain is reassuring against a stress fracture or major injury, though it cannot establish the diagnosis.

For now:

Do not deliberately walk with your toes clenched for long periods, as that can create other strain.
Avoid tight shoes and prolonged walks for 1-2 weeks.
Use a cushioned, supportive shoe. If an arch support presses on that exact point, discontinue or reposition it.
Gently stretch calves, but avoid stretches that reproduce the focal arch pain, especially big-toe upward stretching.
Arrange a podiatry or sports-medicine exam if it keeps recurring, worsens, or fails to improve in 2-3 weeks.

Seek assessment sooner for persistent numbness/tingling, pain at rest or at night, swelling/redness, bruising, or trouble bearing weight.

So what is it now, give differential diagnosis from top to low priorities

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plantar foot pain nerve entrapment

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medial arch plantar foot pain differential plantar fascia medial plantar nerve entrapment review

Based on the location you marked, your symptoms, and the fact that plantar-flexing your toes relieves it, my priority list would be:

Priority	Possibility	Why it fits or does not fit
1	Focal plantar fascial strain/irritation in the medial arch	Best overall fit. During normal push-off your toes extend upward, which tightens the plantar fascia through the windlass mechanism. Flexing the toes downward reduces that tension and can stop the pain quickly. The plantar fascia supports the longitudinal arch.
2	Abductor hallucis muscle or fascial irritation	This muscle forms the soft medial edge of the sole in exactly that region. Walking and shoe-related compression can irritate it. It may also hurt when the arch is loaded or the big toe is extended.
3	Mild medial plantar nerve irritation, “jogger’s foot”	Still plausible because the nerve runs deep to abductor hallucis along the medial arch and can cause sharp pain with activity or constricting footwear. However, it is less convincing if you have no burning, tingling, numbness, altered sensation, or radiation toward the big toe/second toe. Jogger’s foot commonly involves medial arch pain and may produce sensory symptoms.
4	Local pressure from footwear or an insole, superimposed on one of the above	Tight footwear can alter arch and forefoot mechanics even if the shoe does not directly press the sole. If a specific shoe or arch support reliably causes it, this moves higher on the list.
5	Flexor hallucis longus/flexor tendon irritation near the medial arch	Possible, though less likely. It would be more suggestive if pain is triggered specifically by forcefully bending the big toe downward or by resisting that motion.
6	Navicular, medial cuneiform, or first tarsometatarsal joint problem	Lower likelihood because these tend to cause more persistent, pressure-on-bone pain and may not switch off immediately when you flex your toes.
7	Stress fracture or significant ligament injury	Currently low likelihood because your pain is brief, position-dependent, and resolves rapidly. It becomes more concerning if pain becomes persistent, progresses with less activity, produces swelling/bruising, or hurts at rest/night.

Most likely working explanation

A minor medial-arch plantar fascial or abductor hallucis overload, possibly with brief secondary irritation of the medial plantar nerve, is more likely than a true established nerve entrapment.

Toe extension during walking tightens the plantar fascia. Your observation that toe plantar-flexion turns the pain off is a meaningful clue toward a structure tensioned by toe extension, rather than a bone injury. The windlass mechanism is described in Campbell’s Operative Orthopaedics, where extension of the metatarsophalangeal joints increases plantar-fascia tension. The medial plantar nerve also travels between the abductor hallucis and flexor digitorum brevis in this region. - Gray’s Anatomy for Students, medial plantar nerve section

What would shift the diagnosis toward nerve entrapment?

Medial plantar nerve irritation becomes more likely if you notice:

burning, electric shocks, pins-and-needles, or numbness
pain shooting into the big toe, second toe, or medial sole
tapping the exact spot produces tingling forward into the toes
symptoms reliably occur with running or narrow footwear and not merely with toe extension

A recent review of nerve entrapment in the foot describes medial plantar nerve entrapment near the medial arch and abductor hallucis, sometimes termed jogger’s foot.

Sensible next step

For 10-14 days, use comfortable supportive shoes, avoid tight footwear and long walks that provoke it, and avoid an arch support that presses directly on that spot. Do not force yourself to walk with your toes flexed, since that changes gait and can cause other problems.

See a podiatrist, physiotherapist, sports-medicine clinician, or foot-and-ankle clinician if it remains recurrent after this trial. They can distinguish plantar fascia, abductor hallucis, and medial plantar nerve irritation by palpation and movement tests. Seek care sooner if pain becomes persistent, you develop numbness/tingling, swelling, redness, bruising, pain at rest/night, or difficulty bearing weight.

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