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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pain In The Toes Indicate?

I suddenly have a strong pain in the base of my big toe and also on the same toe, I just started experiencing pain in the toenail. It feels like I have an ingrown toenail but I don t. The nail bed of this toe is also damaged (my doctor thought from running last year) The pain is in the base of the toe in between the big toe and second toe. It came on suddenly with no trauma (didn t stub the toe or drop anything on it). I noticed it today while walking because it was painful to walk. I am extremely healthy with no prior health issues
Thu, 18 Jan 2018
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Internal Medicine Specialist 's  Response
hello welcome to healthcaremagic.
I am Dr. Arpit varshney and i will surely help you out.
your condition as you described is most likely an inflammatory etiology.
i suspect gout in your case. so to establish gout i would like to know few facts-
are you a young male?
do you drink alcohol?
are you on any medical drugs eg-diuretics like furosemide or thiazide?

for time being please take an nsaid like diclofenac or a stronger medicine like hydroxyquinone and get following investigations done-
xray of great toe
synovial fluid examination
s.uric acid levels.
CBC with ESR
KFT

i would also like to keep rheumatoid arthritis in my differential diagnosis although it is less likely.

I hope this helps.
please feel free to revert back in case of any further concerns/queries.
i wish for your good health
thank you.
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What Does Pain In The Toes Indicate?

hello welcome to healthcaremagic. I am Dr. Arpit varshney and i will surely help you out. your condition as you described is most likely an inflammatory etiology. i suspect gout in your case. so to establish gout i would like to know few facts- are you a young male? do you drink alcohol? are you on any medical drugs eg-diuretics like furosemide or thiazide? for time being please take an nsaid like diclofenac or a stronger medicine like hydroxyquinone and get following investigations done- xray of great toe synovial fluid examination s.uric acid levels. CBC with ESR KFT i would also like to keep rheumatoid arthritis in my differential diagnosis although it is less likely. I hope this helps. please feel free to revert back in case of any further concerns/queries. i wish for your good health thank you.