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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain On Big Toe That Intensifies At Night, Resembles Fasciitis. What Could It Be?

Hi Doc, I have been having pains on the big toe mound for 5 days now. The pain started after my regular walk. I have taken an X ray the doc said nothing wrong with the bones. He suggested i may have stepped on a stone or something and gave me anti inflamatory medication. Two days back i visited my general physician he said it looks like fasciitis . The feet is clean, the mound area is little swollen. The pain increases at nights especially. I do not have diabetes and I am not able to resume my normal walking and cycling. So please help out. There is no swelling on the upper part of the feet. Regards, Madhu
Thu, 31 Jan 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi,
Thanks for posting your query

According to your description , pain and swelling over your great toe and foot seems to be inflammatory in nature.It might be due to an acute attack of gout

I advice you to give you rest to the part affected, take anti-inflammatory drug as already advice by your doctor to reduce pain and inflammation and consult an orthopaedic surgeon for thorough examination of foot and great toe and rule out any infective cause.

I hope this is helpful to you.
Wishing you good health...
Regards.
Dr Saurabh Gupta.
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Pain On Big Toe That Intensifies At Night, Resembles Fasciitis. What Could It Be?

Hi, Thanks for posting your query According to your description , pain and swelling over your great toe and foot seems to be inflammatory in nature.It might be due to an acute attack of gout I advice you to give you rest to the part affected, take anti-inflammatory drug as already advice by your doctor to reduce pain and inflammation and consult an orthopaedic surgeon for thorough examination of foot and great toe and rule out any infective cause. I hope this is helpful to you. Wishing you good health... Regards. Dr Saurabh Gupta.