Potential causes of intense pain in the big toe include a fracture resulting from injury or trauma, gout or arthritis, explains Foot Vitals. Big toe pain may also be caused by a vascular issue, a disease or a structural deformity.
People often experience pain in the big toe when they have an ingrown toenail, inflammation of the ligaments and tendons that surround the big toe, osteoarthritis, bunions or a bone tumor, according to Foot Vitals. Big toe pain can produce symptoms such as redness or discoloration, stiffness in the joints, bruising, swelling, and pain while walking, standing or resting. Some people experience difficulty with footwear and notice drainage from the big toe when coping with intense pain.