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The big toe often points inward toward the second toe as a result of a bunion. Bunions are usually caused by the positioning of the bones in the foot causing enlargement and re-positioning of the joint at the base of the big toe. The big toe begins to point inward toward the little toes. This may cause redness, swelling, and irritation. There are both non-surgical treatments (such as looser shoes) and surgical treatments to be explored. (This answer provided for NATA by the Eastern University Athletic Training Education Program)Helpful? 1 person found this helpful.