Big Toe – severe pain – not gout
(3 discussions)
For the last 2 months I have had a severely painful big toe. My doctor is baffled. He says it is not gout. X-rays show nothing wrong. Visually there is nothing to see. No swelling. No redness. The pain is in the fleshy ball of the big toe and sometimes the tip of the toe. The pain is not in the joints. The pain is there all the time. It wakes me up in the night even. Extremely painful to walk. Painful to touch. Recently the tips of the other 2 toes next to it are also sometimes painful. I’ve been living on ibuprofen to combat the pain.
I am desperate to find out what this could be. Have you ever heard of this?
3 comments
Georges
Thank you for your quick answer. I’ve already had x-rays done. They took x-rays from all angles. Would these fractures not show up on an x-ray?
Vivian Abrams DPM
Without examining you I can not be sure. From your description, it does not sound like gout. With gout there is always a red swollen joint. One of the more common probalems under the 1st metatarsal head is a fracture of either one or both of the sesamoid bones. If you have not seen a podiatrist yet, I recommend you do so.A MRI might also be helpful.
Vivian Abrams DPM
If it is a sesamoid, then it depends on the views and who took them and who looked at them. Based on your writing, I still think an MRI might be a good way to go.