I have a severe soreness that develops on my 2nd. smallest toe on my right foot, apparently when I wear shoes that may fit somewhat tightly or if I tie my shoelaces tightly. It feels like a pinched nerve or something, when it s flared up it s nothing short of agonizing. I really can t recall exactly how far back this goes, though I d say no less than 15 years, give or take (I m 46, by the way). Can you give me any idea what it could possibly be, maybe gout?