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Big Toe Pain

by Pam
(Frankfort, IL USA)

A couple of month ago (sometime in March) I started to get an aching pain in the base of my big toe. It progressively got worse over the course of the day to the point where I couldn't walk on it. I didn't think I did anything, but thought that I might have hurt it while putting on a pair of running shorts. My toe got caught in the lining and yanked up and to the side. It hurt a little, but not enough to think anything of it at the time. My entire foot swelled up over the course of the next couple of days. I had two sets of x-rays taken. The first doctor said there was some calcification, but it wasn't broken. The second took blood test for signs of infection or ghout, both came bake normal. She said it looked like there was some extra bone, but it didn't look broken. I haven't done any exercise for two months, and started running again in late May. It is still bothering me and I have limited range of motion, particularly while trying to "point" my toe. When the pain started, I couldn't sleep at night because it would throb and felt really warm. (Not warm to the touch, but like I had warm liquid inside my toe.) It hurt to put pressure on it, but when keeping it elevated for a long period of time, it felt like I needed to put it down.

Hi Pam,
I do not know how old you are but gout occurs primarily in postmenopausal women so if you are not there yet, then it probably is not gout.
Two things come to mind in the area that you state hurts; that would be turf toe or perhaps sesamoiditis. Read my articles on each subject.
Because this has been going on for more than two months and has not "run its course" I think you may need additional tests such as an MRI or ultrasound to better examine the area.
You do not mention what kind of treatment if any, you had but oral anti-inflammatory medication along with physical therapy might be called for. But first you need an accurate diagnosis which hopefully is what more tests will give you.
Marc Mitnick DPM

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