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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intense Pain On Cuticle Of Right Big Toe While Having High BP?

I am a 36 year old male, 5 11 , 235lbs in relative good health, though I have medication controlled high blood pressure. I have begun having fiery shooting pain around the outside cuticle of my right big toe. The joint is not painful & there s no noticeable swelling, redness or heat. It almost feels like intense pain related to an ingrown toenail (only lots worse), though I had the nail bed killed off between 15 & 20 years ago after chronic ingrown nails. The pain usually doesn t last long & can be triggered by extending my foot fully or if it is stepped on/bagged on something. It seems to be increasing in frequency.
posted on Fri, 1 Jan 2016
Twitter Fri, 5 Feb 2016 Answered on
Twitter Fri, 19 Aug 2016 Last reviewed on
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General & Family Physician,  's  Response
HI, thanks for using healthcare magic

It is possible that the pain may be related to abnormal nerve function-neuropathy.

This can cause the type of pain that you are describing.

There are different possible causes for neuropathy such as: (1) vitamin b12 or folate deficiency
(2)diabetes
(3)trauma
(4)liver or kidney disease
(5)infection
(6)side effect of medication
(7)idiopathic- cause is not known

Since the pain is triggered by specific movements , it is more likely trauma related, meaning that a nerve supplying the area is compressed by a structure eg bone

Imaging of the foot, blood tests may be needed.

I hope this helps
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What Causes Intense Pain On Cuticle Of Right Big Toe While Having High BP?

HI, thanks for using healthcare magic It is possible that the pain may be related to abnormal nerve function-neuropathy. This can cause the type of pain that you are describing. There are different possible causes for neuropathy such as: (1) vitamin b12 or folate deficiency (2)diabetes (3)trauma (4)liver or kidney disease (5)infection (6)side effect of medication (7)idiopathic- cause is not known Since the pain is triggered by specific movements , it is more likely trauma related, meaning that a nerve supplying the area is compressed by a structure eg bone Imaging of the foot, blood tests may be needed. I hope this helps