Arthritis is always something to consider.
I had a lot of pain in my big toe for several months, so i made an appointment with my podiatrist worrying I might need surgery. He has done a lot of corrective surgeries on my daughter with wonderful results and I trust this doc with my life.
I go in, get the x-rays, exam, etc. He prescribes an orthopedic addition to the bottom of my show. Sounded pretty crazy but went ahead to make the doc happy and when I went back, we could get down to business. By the time of my next apppointment, the pain was almost entirely gone. If I tried to wear other shoes the toe would start hurting again. At first I had to almost sleep in those shoes. He even wanted me to wear them on nightly trips to the bathroom. Now I only make sure I wear them if I am going to be on my feet and walking for a while such as shopping. When the foot pain had cleared up, I noticed my foot was very painful along the outside edge an inch or so from the heel. This has also cleared up. A lot of the success has a lot to do with the shoe maker. I had my first pair done by one and my second by another. The first pair worked much better. What it came to, they put a piece of sole material on the bottom of the shoe so there was at least a 1/4 inch or so drop off at the ball of the foot. It started at the heel/arch area and slowly tapered up to the ball of the foot.