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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Extreme Pain In Toes Due To An Accident

While on a trip in Cuba I experienced extreme pain in some toes... When one too unbearable I went to a medic who said it was nothing and I probably just bumped it. I just said okay and went on with the trip and after awhile it went away. I figured it was nothing. Now it s back and it s extremely painful. It started in just the side of my big toe and is still there but now I have pain in my fourth toe as well. I m sure I haven t bumped it and it feels as someone dropped a piano on the toes! They can t even brush up against anything without extreme discomfort! What could be causing this?
Fri, 24 Nov 2017
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Orthopaedic Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Sudden onset of foot pain especially in great toe joint most likely is caused by gout. This condition is characterised by increased serum uric acid which gets deposited in joints as crystals which leads to acute inflammation and pain.

Get yourself checked for serum levels of uric acid. Other test is x-ray of involved foot anteroposterior and oblique views. You need to consult orthopaedic surgeon with reports.

Treatment of gout is the drugs like febuxostat which reduce production of uric acid in the body and reduce its levels. Decrease protein intake in your food.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Jayesh Vaza
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Suggest Medication For Extreme Pain In Toes Due To An Accident

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Sudden onset of foot pain especially in great toe joint most likely is caused by gout. This condition is characterised by increased serum uric acid which gets deposited in joints as crystals which leads to acute inflammation and pain. Get yourself checked for serum levels of uric acid. Other test is x-ray of involved foot anteroposterior and oblique views. You need to consult orthopaedic surgeon with reports. Treatment of gout is the drugs like febuxostat which reduce production of uric acid in the body and reduce its levels. Decrease protein intake in your food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza