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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8770
Experience:  Doctor of Medicine
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My big toe hurts during the night when I have been in bed some

Resolved Question:

My big toe hurts during the night when I have been in bed some hours. It calms down when I sit on the edge of the bed or put my sleepers on. No pain during the day at all. I take pain killers and use Voltarol in order to be able to lie down again but the cause has not been discovered by doctors.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. SH replied 2 years ago.
Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

Is there any swelling or redness of the toe?

Dr. Shahzad MD :

Do you have any other medical problems?

Dr. Shahzad MD :

Are you on any medications for anything?

Dr. Shahzad MD :

Please let me know.

Customer:

I have got a pacemaker and take Walfarin

Customer:

Toe slightly red

Customer:

I take one tablet/day METFORMIN (level of diabetis very low)

Customer:

I also take Bisoprolol and Isosorbide

Dr. Shahzad MD :

ok

Dr. Shahzad MD :

Have you had your uric acid levels checked?

Customer:

Yes was negative

Dr. Shahzad MD :

ok

Dr. Shahzad MD :

Have you been evaluated for arthritis of your toe?

Dr. Shahzad MD :

Do you have pain in other joints of the body?

Customer:

No

Customer:

No real pain but difficulty walking

Dr. Shahzad MD :

I personally think that you could be having what is called as osteoarthritis or degenerative arthritis of your toe joint which is causing your pain.

Dr. Shahzad MD :

I would like that you should have an x ray of your joint and you will most likely require regular pain medications starting from the mildest pain medication i.e. paracetamol.

Dr. Shahzad MD :

If paracetamol is helping then I would just continue with that.

Customer:

But the big question remains Why at night when I am making no effort

Dr. Shahzad MD :

Actually pain at night and not during the day is typical of inflammation.

Dr. Shahzad MD :

When there is inflammation in any joint of the body the pain improves with activity and worsens with rest.

Dr. Shahzad MD :

So there certainly is an element of inflammation in your joint which is causing your pain to be worse during period of inactivity and improves with activity or during the day.

Dr. Shahzad MD :

Are you with me?

Customer:

Well that is helping. Nobody had said that yet. Thank you for the information.

Dr. Shahzad MD :

You are most welcome
Wish you all the best.
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Kindest regards

Dr. SH and 2 other Medical Specialists are ready to help you