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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Painful Toes

Hello sir, under my toes and slight on the side of my toes are extremely painful. It started 4 days ago and keeps getting worse... if I bend my toes onwards it feels slightly better but if I bend it outwards or when I m walking it is extremely painful ... it was only when I was moving but now even when I m lying down I feel a lot of pain.
Mon, 22 Jan 2018
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Orthopaedic Surgeon,  's  Response
Hello 

I have studied your case,

I would like to keep possibility of gout first as per your history and symptoms.
In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot.
Another differential can be nerve compression leading to tingling and swelling.
Bunion may lead to nerve compression due stretching of tissue but extent of numbness will be less, nerve compression 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, if required EMG –NCV[ nerve study]

Till time take analgesic and neurotropic like methylcobalamin.
If gout is confirmed you may need medicine accordingly and diet restriction.

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
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Suggest Remedy For Painful Toes

Hello  I have studied your case, I would like to keep possibility of gout first as per your history and symptoms. In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot. Another differential can be nerve compression leading to tingling and swelling. Bunion may lead to nerve compression due stretching of tissue but extent of numbness will be less, nerve compression 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, if required EMG –NCV[ nerve study] Till time take analgesic and neurotropic like methylcobalamin. If gout is confirmed you may need medicine accordingly and diet restriction. 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