Local injury to the big toe, problems with the toenail, arthritis, gout, sesamoiditis, bunion, fracture, etc., are causes of big toe pain. It can be associated with swelling and movement restriction due to pain. Based on the causes, skin redness, pus discharge, bruise, etc., can also be present. Painkillers, antibiotics (in the presence of toenail infection), rest, cold compress, foot elevation, and surgery are available treatment options.
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Query: Hi doctor, I have been having joint pain in my left foot on the first joint of big toe for two weeks. It came on upon waking. The pain was inconvenient, but bearable for the first 36 hours. Then, it was extremely painful on the second day ( a worse pain I have ever had). Then, it has got slightly be... Read Full »
Answer: Hi, Welcome to icliniq.com. There is a strong possibility that this is gout. Considering that it occurred relatively acute, it is possible that it is gout. The diagnosis of gout is by crystal examination in joint fluid and on clinical examination of joints. Of course, osteoarthritis is one of the le... Read Full »
Query: Hello doctor, I am writing this on behalf of my father. He has lately been experiencing a bump and some inflammation at the base of his big toe (only the right foot). I have also attached some photos of the same. This has occurred on several occasions throughout the past years and he is wondering ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. I have gone through the images you have attached (attachment removed to protect patient identity). This looks like skin and subcutaneous tissue infection with inflammation. I want to know a few more things first. Let me know is he... Read Full »
Query: Hi doctor, I have been suffering lately from pain in my big toe joint. It is very severe that I could not sleep two nights when I ran out of painkillers. I thought it might be a gout attack. Because I do have gout. Though my uric acid levels are mostly high, I do not really watch what I eat. My tr... Read Full »
Answer: Hello, Welcome to icliniq.com. From your detailed description, it is gout unless proven otherwise. The reason I say this is your past medical history of gout. Swelling of the great toe and adjoining area with excruciating pain is called podagra. It is the most common presentation of gout. Even nor... Read Full »
Query: Hello doctor, My left foot big toe has been swollen and painful for a couple of months. I first thought it was an ingrown toenail. I consulted a doctor who thought it was a fungus or grout. I have checked for both, and they are negative. I cannot get an appointment with the specialist for more tha... Read Full »
Answer: Hello, Welcome to icliniq.com. It appears from the description that you have an infection in the great toe. the question is which type If fungal culture has been done and found to be negative then remaining options are bacterial (staphylococcus) or gram-negative infection. The treatment is loca... Read Full »
Query: Hello doctor, I have been diagnosed with gout. Pain in the big toe is gradual for over four to five days until acute on the sixth day with swelling. During the early stages of pain, I continued with my running. I had no prior knowledge of gout. Could I have made the condition wo... Read Full »
Answer: Hello, Welcome to icliniq.com. You would not have done any damage to your toe or made gout worse by running on it. The pain and tenderness are likely to last for a few more weeks but should gradually resolve completely. The attack was probably brought on by the beer and the dehydration. If you a... Read Full »
Query: Hello doctor, I have a painful foot after dancing the whole night. It has bruised toes along the area of my big toe on the inside of my foot. It is painful to touch and walk. Any idea what is this? Read Full »
Answer: Hello, Welcome to icliniq.com. The possibility is that this is just a burst vein and ice and rest will help it. It could be a soft tissue bruise if you have accidentally knocked you toe while dancing. It could be a fracture too. Treatment is more or less the same. Rest, ice, and NSAIDs (nonsteroid... Read Full »
Query: Hello doctor, I have had this ongoing pain in the toe of my right foot since some time now. If I wear shoes for a long duration, then invariably small blisters develop. Recently, pus had collected after a four-hour journey wearing shoes and as soon as I plucked the skin tip which I generally keep do... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and went through your images (attachment removed to protect patient identity). There could be two possibilities in your case: Your shoes have been ill-fitting and have caused trauma because of which you have repeated infection and pain due to pressu... Read Full »