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The response to the question below was authored by Marc Mitnick DPM

Gout? 2nd Toe Issues?

probable superficial frost bite

I work out at gym 4-5 times weekly. I wear flip flops all the time in locker room. Father and older brother have some history of gout. I never knew what it was until recently. Every so often, mainly my 2nd toe gets enraged, red, tender to the touch. Almost looks like a rash? Sometimes it seems to spread onto the Large toe as a simple DOT. You can see the dot on the big toe, 1-2mm dia, and tender to the touch. Not near a joint, just on the surface. I went to podiatrist and he had no idea what it could be and promptly asked for his $200 exam fee....It comes and goes. I seem to have very cold feet and hands (in good shape, but poor circulation to the ends of my 6'4" frame?). Problem tends to flare up if it's cold, then i put socks on or put feet under blankets. I wake up a couple hours later with the foot sweaty, beating, red, enraged. Or, if i work outside in the snow and socks get damp from sweat. It's always the 2nd toe and sometimes goes onto the 3rd toe. But never the 3rd toe or big toe alone. I've learned to just deal with it as it doesn't stop me from doing what i want to do (i.e. no work stopping pain). I've tried chemicals, epsom salt baths, tee tree oil, etc. The only thing that seems to work is a prescription topical steriod (topicort). It seems to calm it down, then a day or so later, you can see the red replaced with dark purple and tan/brown like a funus was just killed. Then, if i keep my foot under the blanket or in wet socks, it starts all over again. It's hard to control it from happening....but worst of all i have no idea what it is and if there is a permanent cure! Help. Photos attached.

Hi,
You do not mention whether you are male or female, nor your age but it appears if it is a circulation problem rather than gout. My first thought would be superficial frostbite which you can read about on my site.
See another doctor for confirmation (and call the first doctor and ask for your money back, he/she has a lot of nerve telling you they do not know what the problem is and then charging you for it)
Marc Mitnick DPM

Comments for Gout? 2nd Toe Issues?

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Apr 28, 2015
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Thank you!
by: Anonymous

Annie,
I forgot about this page as I posted it over 2 yrs ago. Thanks for the feedback. I have not run across Chilbains, but that sounds exactly like what it is. Anyone looking at it usually says "Reynalds" but can't really explain more. I tried blood thinner, didn't like the side effects. But, Chilbains sounds exactly what it is...especially the cold to warm aspect. I also find that shoes (mainly plastic - like snow boots and cheap shoes i.e. not leather) play a part in it. The lack of proper air flow would make my feet flare. May also be an allergic reaction to plastic?? I can feel it coming on...then i take my boots and socks and you can see it all flared up. Takes about a good 3-6 days to go away and the skin looks dead (like it's healed), then back to normal. I have not had a flare up in over a year. To anyone out there that has this, my advice is, avoid plastic shoes of any kind, drink lots of water (this helped a lot!) and for flare ups get prescription for topical steroid and apply thin coat. Good luck

Apr 25, 2015
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Chilblains
by: Annie

Hi,

I know this post is very outdated but I figured I would write a comment in case this issue was never solved. I think this is something call Chilblains. It's caused by your blood vessels shrinking in the cold and then being warmed up too quickly. It creates a bottle-neck affect. So, heating up the toes when you first get inside actually makes the problem worse. It's a common issue in Britain because it is very cold and damp there.

I hope this helps!

Dec 03, 2013
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raynauds cold red sore toes
by: Anonymous

Yes people on the raynauds . I am 47 just had it flare up again after not having issues for the last 1o years. I was diagnosed in my early twenties, went on norvasc with in issues and it cleared up. Norvasc helps dilate the blood vessels in order for blood to circulate. Hope this helps. You should see a circulatory specialist. Family physicians should refer you to one rather than misdiagnosing by taking a wild guess.

Jan 10, 2012
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Response
by: Anonymous

I solved a couple of problems related to cold, damp feet by applying "clinical" anti-perspirant to my feet every night. My feet stay warmer when they are dry, plus I get fewer blisters and athletes's foot rashes. My shoes smell a whole lot better, too. :)

Mar 01, 2011
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response
by: Anonymous

they said reynaulds. I get the feeling no one really knows for sure. I'm 43 yrs old, 6'4" and work out a lot. For some reason i'm suseptable to this and there's no magic cure. I seem to have had a good year since by just controlling it like i said....when i feel it coming on, i dry the feet, use topical steriods, change socks and all works out. I do believe it is a circulation issue.

Hope this helps.

Feb 28, 2011
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Gout ?
by: Anonymous

Erythromelagia or Raynauld's ?

Feb 28, 2011
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Feedback
by: Anonymous

Yes, my doctor ruled it as Reynalds (spelling?)(circulation issue). He prescribed a heart blood pressure med, but it made me drowsy. I think it kind of helped? But, mostly, i just control it better now. If i feel it coming on (and yes, you can feel it coming on) i change socks immediately. I also was prescribed a topical steriod that seems to help the flair ups.

Bottom line, no magical solution, just minimizing the flair ups.

jb

Feb 26, 2011
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any answers yet
by: Anonymous2

Hi. I found your comments interesting as I have had the same thing. My doctor mentioned circulation issues but ruled them out due to my age and small size. Defintely no frostbite where I live. I've tried several treatments with no luck...creams, antibiotics. Did you ever find anything out?

Jan 17, 2011
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So what is this condition ?
by: Anonymous

Definitely NOT frostbite. So what is this conditon... athlete's foot or rheumatoid arthritis ?

Jan 10, 2011
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I'm so glad I'm not the only one!
by: Sophia

Hey,
I seem to have the same problem as well. It started last year in the fall. I remember wearing sandels and someone stepped on my toes and it took at least ten mintues for the burning pain to calm down. It hurts so bad. Its doing it again this year. I understand what you mean about 2nd toe. I don't get it on my 1st but I do on my third. And maybe fourth. My blood also doesn't cirrculate very well to my hands and feet eitherr. But I don't think height has anything to do with it cause I'm 5'5". Well I went to the doctor last year and pretty much all he say was that it was inflammation. Do they come out as slightly raised bumps as in swolen and like right befire the nail kinda close to the joint? I have no idea what it is. Cold weather deffinatly does affect it though. Well please email me back or something. My email is [email protected] Thanks!

Apr 01, 2010
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Feedback
by: Anonymous

42 yr old, male. I wish going back to the dr for a refund were as easy as contacting you. Would you recommend a podiatrist or some other specialist?

thank you,
Joel

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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

MY PRODUCT RECOMMENDATIONS(items I prescribe in the office)

Orthotics for multiple types of foot pain best buy in a pre-made orthotic click link below

Orthotics for heel and arch pain for those who must wear dress shoes click link below

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(location unknown)

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LH

(location unknown)

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(location unknown)

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(location unknown)

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Regards,

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Unknown location

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Unknown location

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New Zealand

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Arizona

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Florida

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Poland

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South Carolina

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unknown location

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San Clemente, CA

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location unknown

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location unknown

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Bre

location unknown

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anonymous

Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

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Poland

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Seattle, WA

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Bonnie

location unknown

Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.

Bill

New Jersey

Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.

Debbie

location unknown

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Evansville, IA

Dear Marc

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Russ W.

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location unknown

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San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

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Albany, NY

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Jill S.

location unknown

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Jackie

Whichita, KS

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mark

Boston, MA

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....Keep up what your doing. Your a life saver.

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Colorado

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annielou

Colorado

Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown

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Canada

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Wisconsin

Thank you for your response. You have provided some great insight (to my question)....

Julie

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Renae

North Carolina

Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

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Your webpage is excellent, I commend you on sharing your knowledge to the public.

Robert

New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

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I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!

Melody

Lenoir, NC

Thank you so much Doc for a quick and thorough response!

Rustam

Bellevue, WA

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!

Jodi

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Gout? 2nd Toe Issues?

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