Swollen Toes Diagnosis
This article answers the short gout question “swollen toes diagnosis”. It also addresses a point raised in a recent comment about infection and gout.
Swollen toes are a common sign of gout, but there could be other reasons.
If you go to the doctors with swollen toes, they will usually start by asking about any possible recent injury. Often swelling can happen a few days after an injury, and this is one of the most common causes. Very tight footwear is another common cause of swollen toes.
Swollen joints have many causes, and if gout is suspected, the procedure is the same for all joints – not just swollen toes.
If there is no obvious trauma explanation, the best diagnosis comes from testing fluid from the affected joint. Some family doctors will do this themselves. Others will refer you to a specialist. In either case, the procedure is quite painless, and not nearly as bad as it sounds.
The procedure is often referred to as aspiration, or arthrocentesis. The doctor draws fluid from the joint with a very fine needle, and arranges for the fluid to be tested.
Where gout is suspected, the lab should be looking for 3 possible outcomes.
First they should rule out infection. Septic arthritis is often mistaken for gout, and vice versa. If septic arthritis is ruled out, the fluid must be examined under microscope for existence of crystals. In fact, this test should always be done as septic arthritis and crystal arthritis can coexist.
The crystal tests are for uric acid crystals (monosodium urate or MSU) and for calcium crystals (Calcium Pyrophosphate Dihydrate or CPD). If the tests show MSU crystals, you have gout. If they show CPD crystals you have pseudogout.
If you are very unlucky, you can have two or even all three of these conditions at the same time.
This should tell you all you enough about swollen toes diagnosis so that you can find out exactly what is wrong and start getting the correct treatment If you need to know more, see the Gout Questions page.
Swollen Toes Diagnosis: Related Topics
Please see these articles for explanations and more information:- Swollen Joints & How To Fix Them
- When you have swollen joints, you need to fix them fast. This is how to find the best information on swollen joints.
- Which Swollen Joint Has Gout?
- A swollen joint can mean gout. If you thought it was only the big toe, think again. See which joints are most affected by gout.
You can also search for related topics (arthrocentesis OR swollen toe OR swollen toes OR swollen joints):
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Comments
My feet are burning.All my toes on both feet are extremely sore. The big toe is not as sore as the last four toes.They are red and swollen and even shiny. I cannot even touch them.I just cannot wear closed shoes. I am a woman of 41 years, weigh 52 kg. The toenails are also so sore that I cannot even touch them. Its very sore after I wash my feet with hot water.
Please use the Main Gout Forum if you are new to discussions here.