Athletes who participate in contact sports (American football, soccer, rugby) or who are involved in high-impact sports (dancing, running, gymnastics) are susceptible to first ray forefoot injuries. Common first ray disorders in athletes include hallux rigidus, turf toe, sand toe, sesamoid disorders, and fractures. First ray disorders in athletes frequently are treated by nonoperative methods including relative rest, ice, elevation, activity modification, shoe modification, and insoles.