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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Mild Pain In Big Toes Frequently?

i am a healthy 54 year old male with normal weight and bmi of 24. i recently had surgery to repair a tear in my left lateral knee meniscus from skiing. i had significant swelling and both clear and yellow thicker fluid that the surgeon drained and cleaned up. My doctor suspects gout and is sending out to a lab to test. Can you shed any light on this. i have had some mild pain in my big toes that flares up from time to time. i have also alerted my primary physician. Wondering if i need to be on an antibiotic.thanks
Thu, 21 Apr 2016
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Physical Therapist or Physiotherapist,  's  Response
hi,

thank you for providing the brief history of you.

A thorough musculoskeletal assessment is advised.

As mentioned in history about the pain in the great toe which is on and off. it is true that any once will suspect as a gout arthritis. So a urine analysis is needed to help further. Also, this gout can be controlled by medicine.

But incase if the test comes negative, the. it's a soemthing else. Which may be related to the spine. As the L5 - S1 nerve root supply there. Well, you may need an MRI as well. Also, if it is gout then during the time of surgery all the tests are performed, so they would be able to catch that time. But well, for time being, get the test done now, and see if the result comes positive . if not the other option I already metioned.

Regards.
Jay Indravadan Patel
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What Causes Mild Pain In Big Toes Frequently?

hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As mentioned in history about the pain in the great toe which is on and off. it is true that any once will suspect as a gout arthritis. So a urine analysis is needed to help further. Also, this gout can be controlled by medicine. But incase if the test comes negative, the. it s a soemthing else. Which may be related to the spine. As the L5 - S1 nerve root supply there. Well, you may need an MRI as well. Also, if it is gout then during the time of surgery all the tests are performed, so they would be able to catch that time. But well, for time being, get the test done now, and see if the result comes positive . if not the other option I already metioned. Regards. Jay Indravadan Patel