at the bottom of the toe there's also two bones called the sesamoid bones people get stress fractures and irritation of that and then we see acute injury in athletics where you actually can injure the ligaments on the bottom of the toes turf toe and sometimes that could be serious as well and they present how severe sweats very painful a lot of swelling on the on the toe that's not rarely one of those injuries you're like oh and look what you have it's really a really quite dramatic episode but for sesamoiditis or stress fractures the sesamoid bones that sort of develops slowly and hurts on there