Q. What could be the reason for the pain in my right big toe?
Hi doctor,
I have pain in my right foot in my big toe, the inner side of the top of my foot, and the outer side of my ankle, just below the knob of ankle. It comes and goes and is sometimes fine, but when it is there, it is pretty bad, burning, and very intense, and I sometimes get pins and needles. It is usually worse when sitting down, but sometimes I cannot put any weight on my big toe without a bit of pain. It has been going on for about a month, but it was not that bad. First, it was just on the top of my foot, but the pain has spread this week and has gotten a lot worse. I thought I would be sick earlier; it was so painful and hard to concentrate on my job. I cannot think what has caused it, I have tried Tablet Paracetamol, Ibuprofen and Aspirin, and the Deep Heat cream, but none of them have helped.
Hi,
Welcome to icliniq.com.
Thank you for writing, and I understand your concern.
There are various reasons which can cause such pain. The most common ones are due to injuries and other causes are vitamin D deficiency or calcium deficiency. Elevated uric acid can also lead to such pain, so I will have to differentiate between all these and prescribe medicine accordingly.
Please take tablet Etoricoxib 90 mg twice a day after meal for five days. It will help. Please tell me, Do you have any history of injury to your toe or leg? Have you done any tests so far? If yes, kindly send a report. Is there any swelling? Please send me a picture of your toe where you have pain.
Thank you.
The Probable causes:
The probable cause can be injury.
Investigations to be done:Take an X-ray of the foot, AP (anteroposterior) to lateral view, uric acid, CBC (complete blood count), and vitamin D3 test.
Differential diagnosis:The differential diagnosis can be a vitamin deficiency.
Probable diagnosis:The probable diagnosis is pain.
Treatment plan:Take tablet Etoricoxib 90 mg twice a day after meal for five days.
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