BMWZ4MC said:It's hard to know as many things can cause a tender, warm MTPJ - that just indicates that it's inflamed - in your demographic, trauma or gout is the most likely though. You need an experienced eye to be cast and then perhaps bloods and an XR. All else is largely speculation. You can have an acute attack of gout with normal serum urate levels and rheumatoid arthritis without being Rheumatoid Factor positive though. Also, an XR will likely be normal unless you have recurrent attacks, so the experience behind the "eye" is the most important element in making a diagnosis. I presume you have no systemic symptoms (fever, rigors, malaise) nor other concurrent joint involvement?
You're not stretching the rules of a car forum - how can you drive with a gammy foot goddamit?!
I'll get an 'eye' on ot today if possible. No systemic symptoms or other joint involvement. Just got through an awful night which felt like hot needles under my nail?! Eased up a bit now but incredibly sore to walk on.
Thanks to you, Ruby and all that have offered up advice. I'll hopefully be sorted soon and back in the driving seat!
By the seaside...
At the summit of the picturesque fens
