According to some studies, low back pain (LBP) affects approximately 50% to 80% of Americans. Of course there can be many varied reasons for LBP, and sometimes it's not coming from the back at all.

One culprit that many overlook is the big toe. I know it sounds wacky, but hear me out. The body is brilliant at compensating for pain and dysfunction, and that often creates symptoms we feel in seemingly unrelated areas. The big toe and how it can relate to LBP is just one example.

Is your big toe stiff? This can lead to more than just a painful toe. Lack of toe movement can lead to knee, hip, or back pain. The first toe joint should be able to extend as much as 65 degrees, but many people lack full range of motion due to osteoarthritis or injury.

This limited range of motion may not stop people from running around, but the lack of big-toe mobility means the body is forced to compensate further up the kinetic chain. By altering the foot’s natural movement patterns, limited metatarsophalangeal dorsiflexion, otherwise known as the ability to point one’s toes toward their nose, can lead to an unstable gait and seemingly “mysterious” knee, hip, or back pain.

If your big toe is stiff or lacks range of motion, try gentle distraction. Stabilize the affected foot by grasping the ball with one hand, and with your other hand gently grasp and lengthen the big toe to create space in the joint. You can also move the toe up, down, and side to side in a pain-free range. Remember, all movements should be in a pain-free range.

Certainly, getting assessed by your provider can make a world of difference. Sometimes the issue is right where you feel the symptoms, sometimes it is not.

If you need help with this or other muscle and joint concerns, reach out to Brandon Stretch and Neuromuscular Therapy at 401-345-7464.