Since you seem to be offline, ill leave a response here which we can discuss later on
Well this can be due to a number of conditions, the first one which comes to mind is that you could have gout which is a condition in which you can have uric acid deposited into the joints of the big toe. This would be diagnosed on a clinical examination along with a uric acid level. The treatment would be based around NSAIDs or even uric acid lowering drugs.
Another cause of this could be due to peripheral arterial disease which is a condition in which there is narrowing of the arteries of the lower limbs., This can lead to pain, swelling, color changes in the feet,numbness etc. The diagnosis is made with the help of a simple doppler ultrasound and then treated with medications like plavix or cilastozol. In severe cases stents may be used.
Another cause of this could be a condition in which there is damage to the nerves themselves such as peripheral neuropathy. In the early stages of neuropathy only a few toes would be involved. This would need a EMG/NCS to be done and then treated with specialized medications like lyrica or neurontin.
Lastly this could also be arthritis which could be one of the causes here and a xray of the feet would be required to diagnose the condition. I would suggest that you talk to your doctor regarding these possibilities and at the same time start using OTC motrin or aleve
Do you have any more questions?
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