Medical advice sought: Sudden onset burning foot/feet, excrutiating pain in big toe

Three nights ago when I went to bed, my right big toe joint became very painful and woke me up. I took ibuprofen, which is what works for me, and it alleviated the pain. Two days ago, I awoke again with the pain and put myself on a regimen of IB every four hours and that kept the pain at bay. (I don’t usually do this-- I take as needed and that works most of the time). Yesterday morning I awoke with the pain and started taking IB every four hours, but it did not help. The pain was a burning in my right foot with the added feature of feeling like someone was driving a nail through my big toe joint. There was some burning in my left foot, but not the toe pain. Last night I couldn’t sleep at all for the pain. I finally took some IB during the night and slept for two hours. When I woke up at 4, the toe pain was better, but now I’m getting the burning in both feet.

I walk every morning for 40-50 minutes. I had sciatic pain on the right side last year, and it got better, but lately it has come back, and it usually eases up as I get into the walk.

I’m thinking back to any changes in what I ingest on a daily basis, and the only thing I can come up with is: Last week I had a routine Zoom appointment with my oncologist and she suggested I start taking Vitamin D3. No levels established; she just said that it would be a good idea. She said she takes 5,000IU daily, but she wanted me to take 2,000IU per day. I’m 71 and five years out from lumpectomy. I see her or someone from her office once a year.

I ordered NatureWise Vitamin D3 2,000 IU from amazon and started taking it. Ingredients- Vitamin D3 (as Cholecalciferol); Other Ingredients: Organic extra virgin olive oil, softgel capsule (gelatin, glycerine, purified water). Contains no wheat, dairy, corn, soy, eggs, tree nuts, peanuts, fish, or shellfish. I noticed the whisper of foot pain starting right after that. This is the only recent change in anything I’m taking.

I’ve been searching for side effects of D3/cholecalciferol, and hives is one of them. Can hives manifest as burning foot pain?

Of course, the first thing that comes to mind is gout, which my symptoms fit pretty well. I don’t eat a lot of meat or drink sodas. I don’t drink alcohol at all. I don’t have high blood pressure. I drink lots of water. I’m about 15 lbs overweight. My kidney and liver function are both normal. (Recently had a complete blood count and the numbers were great.)

Other background:

  1. I have type 2 diabetes (for about 16 years) that is pretty well-controlled (A1c a month ago was 6.1. In the past it has been as high as 8.). I DO have neuropathy in my feet, which primarily takes the form of stiffness, not so much a loss of sensation. The burning I’m feeling in my foot isn’t “pins and needles,” it’s heat, and my foot feels hot to the touch.

  2. Also, as part of breast cancer treatment, I take 1mg of an estrogen-blocker called Arimidex (anastrozole), which is well known for causing joint pain, especially in small joints. I’ve had friends who have had to go off of it because the pain was intolerable. It has a whole raft of side effects, but the one I have experienced the most is constant hot flashes. In the last year or so those hot flashes all over have diminished and now occur (oddly) in my lower legs from the knees down. At different times, my skin feels on fire-- this lasts for a couple of minutes. I’m due to go off this drug as soon as my current supply runs out, which is in July. I’m counting the days. It seems unlikely to me that the joint pain would kick in after almost five years. <shrug>

  3. I am something of The Princess and the Pea when it comes to medication. I’m very sensitive and react to drugs quickly. If there’s a side effect, I’ll likely have it. I’m prone to anxiety and panic attacks. The current lockdown situation is messing with my head big time (as it is most of us-- I know that doesn’t make me special). When I was in high school I developed massive raised hives all down my back and the backs of my legs. I don’t remember what the treatment was-- they just eventually went away. A few years ago, I also developed hives on my face and lips (swelling) and my inner thighs. I went to the doc, but also don’t remember what she came up with. I think I took an antihistamine for that. I’ve thought about taking an antihistamine to see if it helps with the current sitch, but I’m not one to keep throwing meds at a problem. I’d rather wait it out.

I’ve decided to stop the D3 to see if that helps. I’m not doing any in-person visits to any doctors these days, and this doesn’t seem life-threatening, so I probably won’t call my PCP. I might call my pharmacy and ask about the D3 angle, as they always know a whole lot more about side effects and such than any doctors I know.

Any thoughts/advice/suggestions/similar stories? (If you’ve read this far, thanks. :slight_smile: )

Diabetes makes it more likely to get gout. A blood test would show if you have elevated levels of uric acid. It can also check your vitamin d levels.
Anecdotally I have heard that keeping your feet warm helps with the pain of gout.

Thanks. Will investigate. :slight_smile:

But anything touching the affected area will hurt…alot. Drink lots of fluids, especially cherry juice. Avoid alcohol and caffeine.

Right. Like air. :o

I don’t drink alcohol, and only have one cup of coffee most days. No sodas. I will put cherry juice in my next grocery delivery order. :slight_smile:

I have a video appt tomorrow with my PCP’s office to see about getting a blood test for uric acid. I do drink plenty of water.

Good luck! I hope it isn’t got because it’s so painful and nasty.

I hope it is, because I’m afraid of what else it might be. :slight_smile:

I’m thinking gout as well. That’s some horrendous pain.
I place the pain somewhere between childbirth and shingles.

Goodluck. I’d hug your feet but you’d probably kill me. :slight_smile:

It really sounds like gout. I’m glad you’ve got an appt scheduled with your doc. I hope they get you fixed right up.

These symptoms are classic for gout. You apparently do not eat a diet rich in the factors that usually cause gout, but diabetes throws those causes right out the window because your body is having trouble converting food into sugars and then processing the sugars and byproducts.

Treat for gout.

Me Too re the cherry juice. I have gout in one foot, a mild case, thank goddess. One of the things my Primary Care Physician recommended was cherry juice or supplements.

What are the treatments for gout? Any drugs I should know about? Do the attacks come and go? This bout has been pretty continuous for three days. Is there anything that relieves the pain?

So before you can get to the doctor try ibuprofen or naproxen sodium.

I hope you can get this sorted out. That kind of pain is no fun.

Big toe symptom reminded me of a painting I’d seen long ago…the “freeze frame” at right. Gout - Wikipedia

The doc’s office called a couple of hours ago and said I could come in for a blood test this afternoon, so I jumped in the car and drove out to the medical center. That’s the farthest I’ve driven and the farthest I’ve been away from my house in six weeks. Traffic on the road and in the building was way down. Total time from leaving the house, driving there, parking, going in, short wait, blood draw, driving home: 30 MINUTES. Un-fucking-heard-of. In normal times, that would be 1.5 to 2 hours. I was glad not to spend more time in the ginormous medical facility. They checked my temperature, before they would let me in. Everyone wore masks. Very strange.

The pain has been continuous since last night. Ibuprofen isn’t really touching it. At least the standard 2 X 200 mg dose isn’t. When it’s time for bed, I’m going to take a higher dose. When I’ve had prescription IB (after I broke my ankle) the pills were 800 mg… I’ve GOT TO get some sleep tonight.

Thanks, y’all. I appreciate the info and good wishes.

Lobotomy63, that picture captures the feeling very well. :stuck_out_tongue:

Sounds like gout. If you are on diuretics they can worsen symptoms. I would also not rely on a uric acid level. You can have gout attacks with normal uric acid levels and high levels without symptoms. You actually need to see crystals in the joint fluid for a definitive diagnosis although most diagnoses are made clinically.

“Severe pain in the big toe joint” sure sounds like gout to me.

In the meantime, avoid purine-rich foods like nuts and cured fish. My dad has had two gout attacks, and they followed him snacking on sardines, and later almonds. (He can have peanuts or peanut butter.)

Are they also going to x-ray your foot?

Yes there’s meds for this. And they usually work.
I hope they do an Xray.
Good-luck.

(Get that Cherry juice started)

In preparation for my Zoom appt tomorrow, the office ordered the blood work and pointed out that you can have it without the uric acid levels necessarily being elevated. I am on indapamide (Lozol) for blood pressure and gout is a potential side effect. Although I’ve been on it for at least 30 years.

I don’t eat any of those foods. Not even much tuna. Although right before this struck, I had a 6-inch tuna sub from Subway. Coincidence? <shrug>

Right now, no x-ray-- all I have is a Zoom appt. The office is seeing patients very selectively. The doctor might prescribe something for pain without bringing me in for an x-ray. If they could have drawn blood using Zoom, I’m sure they’d do it.

I’ve put off ALL medical appts, including my annual mammogram-- which I’m dying to have because it’s my fifth year post-lumpectomy-- a milestone. I suggested to the oncologist’s nurse that there oughta be a way for me to press my boob up against the web cam or screen or something… but no. :stuck_out_tongue:
ETA: Further research

I do eat a TON of dried beans (made in my Instant Pot). Almost every week. Since I don’t eat a lot of meat. I’m probably eating more dried beans during this lockdown than at any time during my life. May have to re-think that…