There may be many causes of pain in the big toe joint.  Pain in the big toe joint may be due to injury, trauma, or due to a bony deformity such as a bunion.  If your big toe joint appears warm, red and swollen, it may be due to an infection, or it may be due to an arthritic condition called gouty arthropathy, or gout.  Patients often describe the pain as sudden onset with the inability to walk or touch the joint, and sometimes even describe the pain as so severe that a bed sheet touching the toe causes excruciating pain.  If you think you may have any of these causes of pain as described above, it is imperative to make an appointment with one of our doctors as soon as possible.  Our doctors will perform a detailed exam complete with X-rays as needed, and determine a diagnosis and a complete treatment plan.  We will be able to rid you of your pain in no time!