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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pain On The Big Toe Indicate?

Top of big toe has pain like a shoe rubbing a blister. But the toe lolls ok. Have also have swelling of the knees and weekend in the legs. Have trouble getting up but once I get walking I can walk but slow I am 66 and never had any trouble until the end of May.
Thu, 30 Nov 2017
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General & Family Physician 's  Response
Dear patient,
From what you describe, this seems to be gouty arthritis. It is an accumulation of uric acid minerals in the joints, and it usually starts to manifest with the toe. You need to use indomethacin for the acute pain, and then you will need to switch to chronic drugs that decrease the production of uric acid such as allopurinol and to drugs that help your kidneys get rid of the uric acid, such as probenecid.
Hope I have answered your question.
Wish you good health!
Manoku Eni M.D.
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What Does Pain On The Big Toe Indicate?

Dear patient, From what you describe, this seems to be gouty arthritis. It is an accumulation of uric acid minerals in the joints, and it usually starts to manifest with the toe. You need to use indomethacin for the acute pain, and then you will need to switch to chronic drugs that decrease the production of uric acid such as allopurinol and to drugs that help your kidneys get rid of the uric acid, such as probenecid. Hope I have answered your question. Wish you good health! Manoku Eni M.D.