A member asked:

I have swelling every morning behind my 3rd and 4th mtp and my third mtp joint hurts to bend when i wake up. after walking the toe feels better but the mtp pad still hurts on hard surfaces. i had an x-ray & mri and only swelling showed in soft tissue?

2 doctors weighed in across 2 answers

You could have gout or early arthritis. But without exam and good work-up exact diagnosis is difficult to make

Answered 8/5/2022

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Your history is incomplete. You wake up swollen. Did you go to bed in pain? The type of pain? Shooting electrical sensation? As part of a differential diagnosis I would consider a Morton’s neuroma or joint capsulitis. Minus evidence on the MRI of a neuroma, consider joint capsulitis as a diagnosis

Answered 8/9/2022

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