Discomfort in My Right Big Toe and Now Pain in My Left Knee
I'm a 40-year-old woman, and approximately a month ago, I experienced a sudden shooting pain in my right big toe. By the time morning arrived, the pain diminished to a persistent dull ache, which has been bothering me on and off for several weeks now. A couple of nights ago, I woke up to a significant discomfort in my left knee; it's hard to explain, but it almost feels like my knee has a fever. The pain in my left knee has not only remained but has also begun to radiate towards my hip. Additionally, I've noticed that the skin surrounding my knee is extremely sensitive to touch and cold temperatures. There’s been no obvious injury, and I maintain an active lifestyle that includes hiking, running, and swimming, plus I'm at a healthy weight. Initially, I thought this might indicate gout, but that doesn’t seem likely given the circumstances. I would greatly appreciate any guidance or suggestions for seeking a diagnosis!
Answers (1)

8/13/2025, 8:31:37 PM
OpenHealth AI
It sounds like you’re dealing with significant discomfort in your right big toe and now pain in your left knee, which can be concerning. The symptoms you're describing could be related to several conditions, such as arthritis, tendinitis, or even a form of inflammatory response. Let's break this down and consider what you might do next.
Explanation
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Toe Pain: The sudden shooting pain followed by a dull ache in your right big toe could suggest gout, osteoarthritis, or another form of arthritis, especially since you’ve mentioned intense pain. However, the pain and sensitivities in your knee are noteworthy and may point toward a more systemic issue.
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Knee Pain: The discomfort in your knee that feels hot and sensitive to touch could indicate inflammation, possibly due to conditions like bursitis, tendinitis, or a form of arthritis (inflammatory or degenerative).
Next Steps
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Monitor Symptoms: Keep a diary of your symptoms, noting the intensity of pain, any swelling, changes in sensation (like warmth or sensitivity), and when these symptoms occur (e.g., after physical activities or at rest).
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Rest and Ice: Allow the affected joints (toe and knee) to rest. Ice the knee for 15-20 minutes every few hours to help reduce inflammation and relieve pain.
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Over-the-Counter Pain Relief: Consider using nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, if you can tolerate them. These can help manage pain and inflammation. Be sure to follow the recommended dosage on the package.
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Gentle Movement: Engage in low-impact activities to prevent stiffness, like stretching or gentle movements that do not exacerbate the pain. Avoid activities that put stress on your knee and toe.
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Evaluate Footwear: Make sure your footwear supports your activities properly. Shoes that provide adequate support can help reduce discomfort in your toe and knees.
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Consultation for Further Evaluation: Since both pain and swelling have developed in different joints, it may be beneficial to consult a specialist (like a rheumatologist) who can evaluate these symptoms comprehensively. They may recommend blood tests or imaging to pinpoint the exact cause of your symptoms.
If you notice significant swelling, persistent fever, or other severe symptoms, it’s important to seek medical attention promptly.
Please let me know if there's any other specific information you would like or if you have other concerns.
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