Gout can affect any joint, but classically it appears in the second joint of the big toe.
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The big toe often drifts toward the second toe and can affect the position of the other toes.
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"To make it firmer on one side, to slow him down and keep him off the big toe, " Harken explains.
The severity of the big toe's misalignment is what surgeons rely on to decide on the type of surgical approach to take.
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The procedure is usually only used in cases where there is no angular deformity or drifting of the big toe, doctors say.
WSJ: Young People Also Weigh Surgery to Relieve Ugly, Painful Bunions
Investigators recorded 1, 247 gout attacks during the 1-year follow-up period, with 92% occurring in the joint at the base of the big toe.
The risk of developing bunions - bony growths on the big toe - is linked to your family, not your shoes, a US study has shown.
The main sign of the condition is the big toe pointing towards the other toes, which forces out the bone attached to it - the first metatarsal.
Gout is most commonly associated with pain in the joint of the big toe of middle-aged and older men who are obese, diabetic, hypertensive and drink alcohol, but gout can occur in any joint of adult men and women of any health status and any age.
Bottom line: Do not put yourself through the inevitable damage to the phalanges of your big toe or the tearing out of your heart.
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Boucher fractured his left big toe after he was struck on the foot by a yorker from Australian fast bowler Shaun Tait in the third one-dayer in Sydney in January.
Come July each year, fans are more interested in which Bronco bruised a big toe in training camp than they are in the Rockies score.
West had already dipped his toe into the world of fashion design, so this was not such a big stretch for him.
Livesey, 24, has patella tendonitis - a disease in the tendon that causes inflammation in the knee while Bridge Wilkinson is recovering from an operation to remove floating bone in his big toe.
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