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Another commonly painful accessory ossicle is available underneath the great toe. Called an os interphalangeus, this bone can be found within the big toe joint's 'knuckle' on the bottom in the toe. It often creates a callus to create only at that location, which enable it to occasionally be painful. In diabetics this could also cause a wound with the same site. A similar extra bone is available under any in the other toes, although these usually are smaller than usually the one beneath the big toe.

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