Pain in big toe again. happened 4 months ago. no trauma, what should i do?

See a doctor: If this keeps happening you need to be seen to rule such things as gout, bursitis, arthritis.

See a physician : Even though its not a big structure there a lots of possible answers. See a foot specialist to assist you in this diagnosis and guide you in treating this.

Have it evaluated: May have capsulitis, inflammation of the joint. This can be secondary to foot function, overuse or shoe gear. Try a stiff shoe with good arch supports, ice and antiinflammatories if persists, see your foot specialists. Dr l.