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Treatment of painful big toe :

• NSAIDS and cholchicine for acute attack of pain .
• if it is due to repeated attacks of gout you can take allopurinol to prevent attacks of gout .
• if it is due to spetic arhtritis ,you should take antibiotic .

Diagnosis of painfull big toe :

• medical history and clinical evaluation .
• CBC 
• toe x ray 
• arhtrocentesis to determine the cause .

causes of painfull big toe :

• gout which is the most common cause .
• osteoarhtritis 
• spetic arthritis .

Instruction :
I think you should see rheumatologist .
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