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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hard Lump On Top Of Big Toe?

I have a hard lump on top of my big toe, on the distal phalanges portion. It's inbetween where the distal phalange joint it, and beneath the big toe nail. It only hurts when something bumps into it or if certain shoes touch it. I still run 5 miles without pain. It's oval...maybe the size of two peas next to each other. My other big toe looks like it's starting to get a much smaller one in the same location. Any ideas?

I'm 42 years old- femail- 5'8...160 lbs. Relatively healthy...excersize and run. Thanks! NC
Tue, 22 Jul 2014
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General & Family Physician,  's  Response
welcome to Health care magic.
1.Generally ganglions are seen in that region -arises from tendon/nerve-sheet.
2.In this case i would get an ultrasound done to find the content and extensions of the lump/lesion.
3.If its not causing any discomfort and growth you can leave it alone.
4.But if it hurts - after the scan and a plain x-ray - plan for excision.
Anything to ask ? do not hesitate. Thank you.
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What Causes Hard Lump On Top Of Big Toe?

welcome to Health care magic. 1.Generally ganglions are seen in that region -arises from tendon/nerve-sheet. 2.In this case i would get an ultrasound done to find the content and extensions of the lump/lesion. 3.If its not causing any discomfort and growth you can leave it alone. 4.But if it hurts - after the scan and a plain x-ray - plan for excision. Anything to ask ? do not hesitate. Thank you.