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Old 06-22-2013, 02:11 PM
 
135 posts, read 171,705 times
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I have pain under my left toe and I can't walk on it. My podiatrist says it is sesamoiditis and my rheumy says it is gout. I've been on the gout medicine for 3 days (today was my 4th pill) and prednisone since yesterday. It hurts to lift my toe up too. Any thoughts?
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Old 06-22-2013, 10:21 PM
 
Location: OH>IL>CO>CT
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There is an inexpensive blood test for gout. Tests for uric acid level. Normal range is 4 - 8 mg/dl. Which gout med are you taking ?? In my experience ( 2 major attacks and multiple minor attacks) indomethacin and allopurinol are slow to relieve attacks. Colchicine is sometimes used to quickly stop an attack, but has unpleasant side effect (gastrointestinal upset). My pain was always on the side of base of big toe, like a needle was being push into side of foot. Constant pain no matter position.
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Old 06-23-2013, 07:16 AM
 
135 posts, read 171,705 times
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@reed303 Thanks so much for responding! I'm taking Colchicine and alot of my pain is starting to subside. However, I suffer from plantar fasciitis as well and when I lift my big toe toward me the pain is awful at the base of the big toe.
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Old 09-04-2014, 03:55 PM
 
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I have not been properly diagnosed, I think. My podiatrist says I have sesamoiditis and three others in the past have said gout. I have extreme big toe joint pain along with swelling and redness. If I raise my toe there is great pain as well. Endomethacin seems to really help. I've done everything, orthotics, pads, soft shoes, titanium inserts. My podiatrist wants to do surgery. I'm at the end of my rope. What should I do?
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Old 09-04-2014, 05:18 PM
 
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The only definitive test for gout is crystal analysis. Toe joint needs to be aspirated and if there are uric acid crystals seen then you have your diagnosis. Your rheumatologist should be able to aspirate the joint if he thinks its gout.

Blood test for uric acid is not definitive, you can have elevated serum uric acid and not have gout and vice versa.
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Old 09-05-2014, 01:43 PM
 
135 posts, read 171,705 times
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Is your orthotic very rigid? That is what worked for me. My orthotic is made of hard plastic would not allow my big toe to bend. Have you had an MRI?
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