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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Inflammation On Foot?

My middle toe on my left foot has been getting really hot and swells, and it looks like a burn blister on it. The swelling and hot redness can make it become very itchy. It has now spread to the toes on each side, although not as severe. I also have the 2nd toe on the right foot which will do the same only not as severe. When they become swollen and fire engine red (hot) and with the swelling become itchy. Would appreciate any help on this matter. This has been happening every winter and usually starts about 5:00. pm. sometimes I feel that I need to scratch it on the rug to get some relief.
Sat, 24 Jan 2015
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Orthopaedic Surgeon,  's  Response
Hello

I have studied your case,

I would like to keep possibility of gout first as per your history and symptoms.
In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot.
Another differential can be nerve compression leading to tingling and swelling.
Bunion may lead to nerve compression due stretching of tissue but extent of numbness will be less, nerve compression can be due to spinal disc bulge, you may need clinical examination to rule out causes.
I will advise to do blood inv like complete blood count ,uric acid level, if required EMG –NCV[ nerve study]

Till time take analgesic and neurotropic like methylcobalamin.
If gout is confirmed you may need medicine accordingly and diet restriction.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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What Causes Swelling And Inflammation On Foot?

Hello I have studied your case, I would like to keep possibility of gout first as per your history and symptoms. In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot. Another differential can be nerve compression leading to tingling and swelling. Bunion may lead to nerve compression due stretching of tissue but extent of numbness will be less, nerve compression can be due to spinal disc bulge, you may need clinical examination to rule out causes. I will advise to do blood inv like complete blood count ,uric acid level, if required EMG –NCV[ nerve study] Till time take analgesic and neurotropic like methylcobalamin. If gout is confirmed you may need medicine accordingly and diet restriction. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care