Our 8-yr-old son has had intermittent night-time pain in his big toe for FOUR years. It's severe enough to wake him and keep him up, sometimes crying, for hours at a time. It started when he was about four. Warm compresses and Tylenol usually help but not always. The weird thing is he'll go weeks or months with no complaints then all of a sudden it starts back again for a several night stretch. It's always the same foot, same toe and the exact same description of the pain (he said it feels like the "bone hurts"), and it's almost always at night. Occasionally he'll mention it hurts in the morning.
There's no redness, no swelling and no outward sign of injury. We've seen the pediatrician for it a few times over the years, been referred to an orthopedic surgeon who examined and x-rayed and found nothing wrong. He did say to come back if he keeps having the problem, and we did that once only to be told the same thing... again. Our son doesn't play soccer, football or any other sport that might result in "turf toe."