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numbness in left big toe

For the past three weeks or so my left big toe has been tingly and kinda painful. I work at a fast food place where I am on my feet all the time. Ive been there for over two years and have been wearing the same shoes for the past year or so. They have never been uncomfortable to me so i don't know why this is starting now. What could be causing this because it really is starting to get annoying.
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
You must seriously consider gout. This is due to high uric acid in the body that gets accumulated in the joints. Gout usually attacks the big toe (approximately 75 percent of first attacks). Another possibility is Chondrocalcinosis which is similar to gout but caused by deposition of calcium pyrophosphate rather than uric acid. Diagnosis is by finding the elevated levels of uric acid in the blood. However most confirmatory is study of fluid aspirated from joint to detect urate crystals. The third possibility is rheumatoid arthritis. This can be diagnosed by positive RF and ANA.
Alternatively it could be pinched nerve in lower lumbar or sacral spine area. It is difficult to comment on net. If the above tests are negative then a MRI of the lower spine and nerve conduction study may be required.
It could also be faulty footwear causing all body pressure to center around the great toe. Try and wear flat soles and not put pressure on that foot and see.
It is difficult to comment beyond this at this stage.  Please let me know if there is any thing else and do keep me posted. Take care!
Helpful - 0
1058961 tn?1272295321
go to a clinic or a doctor.
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Avatar universal
ill try that. thanx
Helpful - 0
1289299 tn?1274810946
maybe you have poor circulation in your toe.try to keep it up for a little bit.
Helpful - 0
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