If u wake up suddenly at night due to excessive pain at great toe of feet...Then it may be
uric acid disturbance ..But it's not as common ...
May be your small joints of toes getting some arthritic changes ..May be muscles of lower leg supplies to great toes and near areas in trouble
Next Steps
so approach to a good sports physio with expertise in myofascial trigger points release therapy manually or with dry needling and kinesiolocial taping application
Health Tips
u will be alright in 10 session