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Bad pain in left toe and reduces slightly during day. Suggest a remedy?

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Answered by

Orthopaedic Surgeon
Practicing since : 1998
Answered : 4917 Questions
Question
Good evening Dr.

some times my left toe have a huge pain and during day time it reduce slightly.
Posted Tue, 22 Oct 2013 in Bones, Muscles and Joints
 
 
Answered by Dr. Vaibhav Gandhi 30 minutes later
Brief Answer:
Possibility of gout

Detailed Answer:
Hello

I have studied your case,

As per your symptoms first possibility can be gout.
In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot.
This can also be due to repeated micro injury to toe.

Bunion may lead to nerve compression due stretching of tissue but extent of numbness will be less,
nerve compression is also a differential which 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, X XXXXXXX foot.

Till time take analgesic and neurotropic like methylcobalamin.
If gout is confirmed you may need medicine accordingly and diet restriction. Bunion causing discomfort need to be surgically managed.

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
Above answer was peer-reviewed by
 
Follow-up: Bad pain in left toe and reduces slightly during day. Suggest a remedy? 1 hour later
sir sorry to bother you again.. have attach blood test and urine test reports
pls advice.
 
 
Answered by Dr. Vaibhav Gandhi 13 hours later
Brief Answer:
Uric acid is on higher side.

Detailed Answer:
Hello again,

Your blood test shows uric acid on higher side .
You need to reduce it to 3-4.You will need diet restrictions like avoiding non veg, beer,soft drink ,fructose,sweet corn.

To my patients I advise febuxostat for lowering uric acid,you can consult your doctor for it.
All other test looks normal.

Take care.
Above answer was peer-reviewed by
 
Follow-up: Bad pain in left toe and reduces slightly during day. Suggest a remedy? 51 minutes later
thank you sir
 
 
Answered by Dr. Vaibhav Gandhi 4 hours later
Brief Answer:
ok

Detailed Answer:
Have a nice day.
Above answer was peer-reviewed by
 
Follow-up: Bad pain in left toe and reduces slightly during day. Suggest a remedy? 3 days later
febuxostat tab 80mg or 40 mg
 
 
Answered by Dr. Vaibhav Gandhi 9 hours later
Brief Answer:
Hello

Detailed Answer:
Hello

febuxostat 80 mg once a day.

Take care.
Above answer was peer-reviewed by
 
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