u/RothMane

Hello I’m new here but certainly not new to big toe pain. I was hoping to confide in some other members of the gout community in hopes I can could get a self diagnosis. About 5 or 6 years ago in the winter months I experienced an intense flare up in the joint located just before my big toe on my left foot. Over the course of a few days it got so bad I could barely walk on it. I went to the doctor and was diagnosed with gout purely based on location and pain level. Over the next several years I would have flare ups maybe 2 or 3 times a year. The thing is that it only ever happens in my left foot. I’ve never had any other symptoms or pain in any of my other joints. That had me curious so I started digging into other options. I came across a condition called Turf Toe. Basically a sprain located in the same spot one might have a gout flare up in.

Allow me to give you some back story which might point to the possibility of it being a sprain related flare up and not gout. I’ve been in construction for over a decade now. For 7 years of that time I worked as a trim carpenter which involved me crawling around on my knees installing base. I quickly discovered that squatting on my toes or even getting on my knees with my toes bent while sitting back on my heels was the most comfortable position to be in to allow for speed. I did this for years and would always favor my left knee over my right when doing so. From what I’ve gathered turf toe happens when the toes are bent and pressure is applied to the joint either forcefully or with repeated use. That could explain why I have only ever experienced my flare ups in my left foot.

What baffles me is that the flare ups can be caused by something simple like wearing the wrong shoes or by bending my toes too much while working. Have I destroyed the joint in my left foot causing flare ups seemingly randomly or is it possible I do have gout and it’s only located in my left foot? I can go months and months eating red meat and drinking beers and have no issues. Just last weekend I decided to wear a pair of shoes that I don’t wear often that are a size too big for me. I had them on for maybe 5 or 6 hours and in that time I noticed a slight pain in my big toe that I ignored. The pain intensified over the work week and I continued to work on it and just the other day it got so bad I couldn’t bend my toes or really put any pressure on my foot. I’ve got it splinted and wore a boot yesterday and it’s already feeling much better.

Anyways if any one could give me some insight on what I’m experiencing I would appreciate it.

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