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A 63-year-old member asked:

What can help relieve big toe pain known not be related to gout; i do have quite flat feet and am active.?

4 doctor answers7 doctors weighed in
Dr. Ralph Morgan Lewis
Family Medicine 39 years experience
Check shoes: Make sure athletic shoes are long enough & fit properly to prevent big toe from jamming against the end. Also make certain toenails are cut properly (not too short) or may develop ingrown toenail & possible infection (paronychia) which may require topical antibiotics or doc visit to resolve. Pain in joint may be gout or pseudogout, where crystals are deposited in the joint, cause pain & inflammatn.
Dr. Ralph Morgan Lewis
Family Medicine 39 years experience
Provided original answer
(more) if joint pain, see doc for tests for gout or pseudogout & appropriate treatment for those conditions
Jan 30, 2012
Dr. Thomas Namey
Rheumatology 49 years experience
Maybe not your flat: The first joint (dp), or larger second (mcp)? Is is the pain located on the side, top, or bottom of the joint, if it is the first dp, it can be traumatic; it can be arthritis; psoriatic arthritis loves this joint. If on the bottom of the first, could be tendonous. If at the bottom of the mcp joint, you have two sesamoid bones that can be fractured, or inflammed.See a good specialist who can sort!
Dr. David Laha
Podiatry 39 years experience
Stiff shoes: You may have hallux limitus. This limited movement of the big toe joint can be secondary to abnormal foot function, trauma and/or arthritis. A good stiff shoe and good support can help. See your foot specialists. Dr l.
Dr. Ronald Oberman
Podiatry 32 years experience
Depends: On the diagnosis. It could be from arthritis, a bunion, limited range of motion of joint, arthritis etc. Temporary rest, anti-inflammatory medications, immobilization and orthotics to provide stablity to the foot and joint. See a podiatrist for evaluation. X-rays will probably be taken.
Last updated Jun 29, 2019

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