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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Swelling And Pain In The Big Toe?

I am a 65 yr old female, my right big toe has had some issues over the hears, its been years since I hsd a cortisone shot, my Arava and celebrex seemed to work fine as I am taking them for RA and OA. Its very painful, seems swollen, I do not want a shot. Trying to decide if my family Dr can recommend something or drive 30 minutes to the Rheumatologists. Seems like an arthritic toe, could it be something else. Hard to walk now. Thank you, didn t realize I was on with anyone st first.
Wed, 13 Apr 2016
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General & Family Physician,  's  Response
Hello dear,

Following are the causes of swelling, tenderness and pain in toes:
1. Injury
2. Infection
3. Blister, callus, corns
4. Gout
5. Very rare: Osteoarthritis

In your case most common cause is injury/infection, and may be gout.
So take following medicine first:
1. Tablet naproxen 500 mg BD for Three days
2. Tablet rantac 40 mg BD for three days
3. Tablet zifi 400 mg BD for three days.
4. Take rest

If not resolved
Consult with doctor and do following test:
1. CBC to rule out infection
2. serum Uric acid to rule out gout
3. XRAY of foot to rue out injury

Hope this may help you
Wish you good health
Best regards
Dr. Sagar
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What Causes Severe Swelling And Pain In The Big Toe?

Hello dear, Following are the causes of swelling, tenderness and pain in toes: 1. Injury 2. Infection 3. Blister, callus, corns 4. Gout 5. Very rare: Osteoarthritis In your case most common cause is injury/infection, and may be gout. So take following medicine first: 1. Tablet naproxen 500 mg BD for Three days 2. Tablet rantac 40 mg BD for three days 3. Tablet zifi 400 mg BD for three days. 4. Take rest If not resolved Consult with doctor and do following test: 1. CBC to rule out infection 2. serum Uric acid to rule out gout 3. XRAY of foot to rue out injury Hope this may help you Wish you good health Best regards Dr. Sagar