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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Severe joint pain in toe, A and E?

64 replies

Everybodyslookingforsomething · 15/08/2022 17:10

I've had a subtle dull pain in my big toe joint on and off for a couple of months. My Mum has arthritis and Grandma did too so likely runs in the family.
I've been in complete agony with it for 2 hours, it's like someone's hitting it with a hammer repeatedly.
Taken ibuprofen but it hasn't really done anything. I'm a community carer and I'm supposed to be doing it tonight but I don't think I can face it.
It's that sort of job where they beg you to come in even short staffed as they've got nobody else to do it, they still ask you to come in even if you're sick which isn't good.
I'm ringing my GP for an appointment tomorrow morning but I don't want to just be fobbed off, I want it X-rayed.
Feel like just going to A and E tonight, this pain is horrible. Not saying it's arthtis definitely, but knowing my luck I'll have it

OP posts:
Everybodyslookingforsomething · 15/08/2022 17:33

Amazingly work were ok with it

OP posts:
TheFairyCaravan · 15/08/2022 17:37

Everybodyslookingforsomething · 15/08/2022 17:17

If I'm in extreme pain like I have been then I'm perfectly entitled to go to A and E .

DS1 went to A&E a few weeks ago, after an accident. The waiting term was 14hrs and a lady actually collapsed and died in the waiting room.

DS2 is a nurse, he used to work in A&E but is now an outreach nurse. Some nights he has to go down to A&E to help out because they just don’t have the staff to cope.

It’s dire in hospitals atm. I’d not be going near unless I was absolutely desperate.

Everybodyslookingforsomething · 15/08/2022 17:40

Wow that's awful :( sad state of affairs

OP posts:
AliceS1994 · 15/08/2022 17:41

The joint pain itself is likely a chronic issue- will need to be seen by GP first and possibly specialist input/referral. However pain management IS worthy of A&E, just prepared to be fairly low on the list unfortunately. Possibly try 111 first or out of hours GP- may be able to prescribe a couple of days worth of suitable painkillers until it resolves?

InquiringMinds · 15/08/2022 17:42

Not being the A & E police. I had no idea the hell they are going through until my jerk chiropractor who damaged my abdomen recently! Hospitals are in deep crap and I was told walk in clinics are too. I feel awful for you about your pain as my feet give me sleepless nights and to be honest a CT scan is way more accurate than an XRay. Perhaps you can get one done locally.

russiandwarf · 15/08/2022 17:44

If you do find out it's arthritis I can recommend Capsaicin cream (if your gp will prescribe) I've been in agony with big toe for years and was told just to live with it, but recently saw a new gp who prescribed this. It's very good. Burns a bit but worth it!

Everybodyslookingforsomething · 15/08/2022 17:46

Thanks everyone. I hope it can get sorted

OP posts:
BrimFullOfAsher · 15/08/2022 17:55

Everybodyslookingforsomething · 15/08/2022 17:27

Ok that's really not helpful, I don't need the A and E police thanks

Erm...

In your title and your OP you're literally asking if you should go to A&E 😳

lawnmowers · 15/08/2022 17:56

A&E wil only tell you to take paracetamol anyway

gogohmm · 15/08/2022 18:00

Remember many areas have out of hours gp's and extended hours at your surgery. Ours does Tuesday-Thursday until 7.30pm for instance. Or call 111 and they can make you an out of hours gp appointment - less waiting than a&e. Ultimately only the op knows how acute the pain is

WhenISnappedAndFarted · 15/08/2022 18:01

Everybodyslookingforsomething · 15/08/2022 17:27

Ok that's really not helpful, I don't need the A and E police thanks

Aren't you literally asking people whether you should go to A&E or not?

Blue4YOU · 15/08/2022 18:04

It’s horrible being in pain OP but if I were you I’d take paracetamol and ibuprofen or co-codamol and rest up and see if you can see your GP tomorrow. It wouldn’t do you any favour ms to be in A and E (not being A and E police but it’s meant to be for life endangering situations, not management of severe pain just by itself though I understand how you feel)

Lillipops · 15/08/2022 18:06

Currently suffering from Gout in my big toe it started yesterday and I was awake at 4am with the pain. Ibuprofen and cherry extract capsules have really helped today. Make sure you drink plenty. Stick a bag of peas on it that really helped me. Drs will take a blood test to see if you have high levels of euric acid if you do they'll give you medication. The pain is like shards of glass stabbing my toe....agony! You have my sympathy

IthinkIsawahairbrushbackthere · 15/08/2022 18:09

I read in the news today that GP's have seen an increase in gout since the pandemic. I know it sounds like a disease that afflicts older, indulgent men but my mum has suffered from it and she would honestly say that it is one of the worst pains she has ever had. I had to get an emergency appointment with the GP for her because of the pain in her little finger. This is a woman who has severe osteoarthritis in her hips - so severe that by the time it was diagnosed it was too bad to operate. But the only pain that made her cry was the gout. I do hope you can get it sorted out. Mum had none of the lifestyle features that the GP would have associated with gout but he prescribed for it anyway and it worked!

5YearsLeft · 15/08/2022 18:11

I think some people are being really harsh.

OP is trying to determine if her pain is unbearable enough to be classified as an emergency, is what it sounds like to me. I have been to A&E for unbearable pain when there was no preceding accident, per se (chronic disease flare). OP, I recommend you look at a pain scale to determine how bad your pain is, from a medical view. Please look at the photo I’ve attached and think about whether you’re beyond an 8. My husband considers the hospital when I get above 8. When I went for pain, I was experiencing severe symptoms from the pain: I was in involuntary tears, dry heaving, had trouble speaking coherently, it was starting to trigger a related migraine, etc. I was a 10; I had to be wheeled into A&E. If you have no “loud” outward related symptoms from the pain, then at A&E, you will be triaged to the bottom of the list as the lowest category, you will have the longest wait, and all emergencies who have had accidents and who are showing these “louder” symptoms from pain will probably receive treatment before you. It may not be fair, especially if you’re a particularly stoic person, but that’s how it works.

If you are between 6 and 8 on the pain scale, have you tried a co-codamol? Because A&E will not give you enough tests to diagnose you with either gout or arthritis (or indeed, to diagnose you with most diseases - it’s not their purpose); an X-ray can’t do this; they will just give you stronger painkillers until your GP can send you for investigations to get you a diagnosis, so you might as well skip a possible eight-hour wait and just try the strong OTC painkillers? Also, before going to A&E in a borderline situation like this, think about what outcome you want. Something for the pain? Ok. Have you already tried the strongest OTC painkillers available? Do you instead want a note for work to “prove” your illness is real and so your bosses will leave you alone? While it’s unfortunate your work pressures you so much, nothing can ‘force’ them to leave you alone if you work somewhere that already pressures the sick to show up anyway, unless you’ve decided to take it to ACAS or the like; you should feel safe to self-certify while awaiting the GP, and then GP should handle this. Unfortunately, if this is the start of something like arthritis, you’re going to have to come up with a plan (with your GP maybe) of how to deal with days like this while awaiting an official diagnosis, which often takes anywhere from six months to 2 years. When you do speak to GP tomorrow, ask them what you should do.

Good luck, and I do hope the pain dies down and doesn’t return.

Severe joint pain in toe, A and E?
Katesboy8 · 15/08/2022 18:12

Everybodyslookingforsomething · 15/08/2022 17:10

I've had a subtle dull pain in my big toe joint on and off for a couple of months. My Mum has arthritis and Grandma did too so likely runs in the family.
I've been in complete agony with it for 2 hours, it's like someone's hitting it with a hammer repeatedly.
Taken ibuprofen but it hasn't really done anything. I'm a community carer and I'm supposed to be doing it tonight but I don't think I can face it.
It's that sort of job where they beg you to come in even short staffed as they've got nobody else to do it, they still ask you to come in even if you're sick which isn't good.
I'm ringing my GP for an appointment tomorrow morning but I don't want to just be fobbed off, I want it X-rayed.
Feel like just going to A and E tonight, this pain is horrible. Not saying it's arthtis definitely, but knowing my luck I'll have it

As a community carer you surely know this isn’t a&e worthy!!

Runmybathforme · 15/08/2022 18:16

Everybodyslookingforsomething · 15/08/2022 17:17

If I'm in extreme pain like I have been then I'm perfectly entitled to go to A and E .

It's a pain in your toe, I know gout is extremely painful, but please do not go to A&E. They are so busy with real emergencies. Contact your GP.

bestbefore · 15/08/2022 18:20

@Everybodyslookingforsomething it might be this? www.foothealthfacts.org/conditions/hallux-rigidus I think I have it too as really painful every now and again. Can't walk on it.

AnyFucker · 15/08/2022 18:23

You need a referral to rheumatology and only your GP can do that. Good luck, sounds horrible.

Darkness22 · 15/08/2022 18:25

@InquiringMinds

Bloody hell! What happened?? What did they do to you??

Crazycrazylady · 15/08/2022 18:29

To be fair my dad ( big tough farmer) suffered from gout in his big toe and said it was the most excruciating pain he ever felt.
He is now on preventative medication which works really well in preventing flare ups. Sticking in ice cold bath helps apparently . A&E probably would just send you home but I get where you're coming from.. gp straight away and I'd not be fobbed off as it's been ongoing for a while.

SummerNightsDriftingAway · 15/08/2022 18:30

Everybodyslookingforsomething · 15/08/2022 17:17

If I'm in extreme pain like I have been then I'm perfectly entitled to go to A and E .

Why ask if you're so "entitled"?

Putonyourshoes · 15/08/2022 18:34

You’d be absolutely unreasonable to go to A&E. The clue is in the title, you’ve neither had an accident or have an emergency. As a nurse I’d urge you to only use the service for its purpose.
I understand it is hard when you are in pain, you can take paracetamol and ibuprofen alternately. Each is supposed to be taken every four hours, if you alternate you can take a dose of pain relief every two hours. You can also get over the counter cocodamol until you can see your GP.
I hope you feel better soon

catsarebetterthanpeople · 15/08/2022 18:35

Another one thinking it's gout. Does the toe feel hot to the touch?

I used to get really bad bouts of it- it would come on quite quickly, though. A few times, I would go to bed absolutely fine, and wake up in the middle of the night because the pressure of the duvet on my foot was too much to bear.

Doctors in the morning, take ibuprofen, then two hours later, paracetamol, then keep alternating, in the meantime.

BasilParsley · 15/08/2022 18:39

Are you on statins OP? Gout (which is what this sounds like it is) is a well-known but not very well documented side effect of some types of statins.

My neighbours son suffered terribly a while ago until I pointed out research showing the correlation to her which she relayed to him. His GP changed the type of statin he was on and he has not been bothered with it again!