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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Swollen & Painful Big Toe Suggest Gout?

Gout or something else? Left big toe has been sore for several days.was limping on it then it became very painful & swollen. Not able to put any pressure on it and its started to itch.. been off of for 3 days taking ibuprofen. It feels a little better today,but pain is still shooting through it
Fri, 20 Jun 2014
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Orthopaedic Surgeon 's  Response
Hi,
IF there is no previous history of injury to the great toe, it is most likely to be GOUTY in origin.This is the most common site of affliction in gout.Please get serum uric acid levels checked.IF significantly high, it confirms the diagnosis. However please do not use any uricosuric drugs in these acute stages as it is contra indicated.In this phase , the only treatment is REST,COLD PACKS with analgesics which you have already been taking.
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Does Swollen & Painful Big Toe Suggest Gout?

Hi, IF there is no previous history of injury to the great toe, it is most likely to be GOUTY in origin.This is the most common site of affliction in gout.Please get serum uric acid levels checked.IF significantly high, it confirms the diagnosis. However please do not use any uricosuric drugs in these acute stages as it is contra indicated.In this phase , the only treatment is REST,COLD PACKS with analgesics which you have already been taking.