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Suggest Treatment For Extreme Pain On The Toes And With Blisters
Question: I have an extremely painful red right middle toe. It deviates to the right. It has a white blister like growth toward the inside/bottom of my toe-about 1cm in circumference. I noticed a small pinlike red area to the top of the inner toe last evening. It has been hurting for some time and is getting worse. Last evening I noted my toe had become red-not warmer than the other toes. It is painful every step I take. I have partial paralysis of my right side. My great toe deviates to the right-like a hammer toe.
Brief Answer:
painful toe, early management required
Detailed Answer:
Hi!
Welcome to health care magic!
I am Dr. Saddiq Ul Abidin. I have read your problem in detail and will try to help you in best way possible.
It would have been appreciable if you had shared the picture of the lesion, but based on the history, it seems as if it is some abscess or cellulitis which is imparting pressure symptoms on sorrounding nerves.
It needs to be reviewed urgently by a surgeon. If signs of pus or debris accumulation is found, then incision and drainage followed by antibiotic cover should be ensued. You may be asked for complete blood count and cultures of blood or pus along with uric acid levels as involvement of toe or joint swelling may sometimes point towards high uric acid levels.
Meanwhile using anti inflammatory drugs like ibuprofen will help with pain and swelling. Antibiotic like augmentin or cephalosporins should be started if fever spike is observed or inflammation progresses further.
The deviation of toe needs urgent review with the orthopedician or neurosurgeon and relieving pressure symptoms with drainage may help. Xrays of feet should be done to rule out extension of infection to the bone.
Hope this has answered your query, if you have any more questions, feel free to ask. kindly rate me before closing, and leave your feedback if possible.
Regards,
Dr. Saddiq Ul abidin.
painful toe, early management required
Detailed Answer:
Hi!
Welcome to health care magic!
I am Dr. Saddiq Ul Abidin. I have read your problem in detail and will try to help you in best way possible.
It would have been appreciable if you had shared the picture of the lesion, but based on the history, it seems as if it is some abscess or cellulitis which is imparting pressure symptoms on sorrounding nerves.
It needs to be reviewed urgently by a surgeon. If signs of pus or debris accumulation is found, then incision and drainage followed by antibiotic cover should be ensued. You may be asked for complete blood count and cultures of blood or pus along with uric acid levels as involvement of toe or joint swelling may sometimes point towards high uric acid levels.
Meanwhile using anti inflammatory drugs like ibuprofen will help with pain and swelling. Antibiotic like augmentin or cephalosporins should be started if fever spike is observed or inflammation progresses further.
The deviation of toe needs urgent review with the orthopedician or neurosurgeon and relieving pressure symptoms with drainage may help. Xrays of feet should be done to rule out extension of infection to the bone.
Hope this has answered your query, if you have any more questions, feel free to ask. kindly rate me before closing, and leave your feedback if possible.
Regards,
Dr. Saddiq Ul abidin.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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