Though the pain of a toe cramp can be enough to make a grown man cry, don’t let toe cramp pain fool you into thinking that toe cramps are caused by any terrible disease.

Searing pain doesn’t always translate to fatal illness. Toe cramps (big and smaller toes) are quite common and often occur in the middle of the night or during exercise.

Causes of toe cramps are many.

Have you ever wondered why toes cramp a lot more than do fingers? What happens to toes, that doesn’t happen to fingers? They’re confined to shoes!

A most common cause of a toe cramp is tight shoes, especially high heels, where the tips of the feet are crammed.

Even though a toe cramp may occur at 3 am while you’re shifting in bed, this can still be caused by the shoes you wore for hours the preceding day. Most common causes of a toe cramp:

Shoes and boots. This means tight dressy shoes/boots, especially high heels. Women’s shoes often converge to a point, squeezing out the toes.

Exercise. Runners, particularly distance, as well as long-duration walkers, may find that their activity causes cramping in the toes.

Think about the beating they take while running or long-distance walking. This includes the hard surface of a treadmill.

It’s no surprise that the cramping toe in the middle of the night is caused by that pounding hike you did the day before.

Dancing, as well, can cause a cramped-up toe, particularly ballet. Don’t rule out yoga as a cause of cramping toes.

Calcium deficiency. Not enough calcium has been known to cause toe cramps. If you’re limiting calcium-rich dairy foods due to calories or other reasons, your toes may be paying for it in the form of spasms and cramps.

Magnesium deficiency. “Magnesium assists over 300 enzyme actions in the body including the production and transport of energy, temperature regulation and the synthesis of protein, while it also relaxes muscles, preventing cramping–especially important to athletes and anyone suffering from toe cramps,” says Carolyn Dean, MD, ND – Medical Advisory Board Member of the non-profit Nutritional Magnesium Association at

Drugs. Ask your doctor if your prescription drugs might cause toe cramping, especially if you’re taking cholesterol, blood pressure and asthma drugs.

Solutions to cramps

Limit high heels. Wear them for short periods, but not for work all day. Make sure lower heeled shoes have a roomy toe fit. Next, include your toes in your exercise regimen.

Most people do not consider the importance of this. The muscles at the tips of your feet should be exercised.

The exercise that these muscles get from everyday walking, and from your cardio routines, is not enough, and here’s why:

Toe muscles need structured, gentle exercises that isolate them, and this includes stretching.

Walking and cardio routines do not isolate these tiny muscles in a gentle way, nor stretch them in a way that your hands can stretch them.

Several times a day for 30 seconds, gently pull toes towards you to stretch the underside muscles.

Then curl your toes and hold that position for a few seconds. In bare feet, spend a few minutes picking up socks off the floor by just curling your toes and forming a pincer-like grip. Finally, flex and extend toes for a minute here and there throughout the day.

These exercises will condition the tiny muscles in a way that will help guard them against cramping up.

Magnesium supplement: “One of the most absorbable forms of magnesium is a powdered magnesium citrate that is taken with hot or cold water,” says Dr. Dean.

Make sure you’re getting enough potassium as well. A vitamin C supplement will also help. Keep well-hydrated, especially if you exercise.

If you experience a cramp, let it run its course. It should be over in a few minutes. Remember, pain doesn’t necessarily mean a terrible disease. In the case of toe cramps, this is a benign (harmless) condition, though a royal nuisance. However, if you decide to seek medical attention, see a podiatrist, an MD who specializes in foot care.