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Mystery toe pain of great proportions

ommani

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While I haven't received a medical diagnosis, I'm pretty sure that I'm currently experiencing a gout flare up, for the first time. It started suddenly, yesterday, as some foot pain, and has been steadily progressing since then. At this point, it's an intense pain coming from my big toe and spreading to the rest of my foot, which corresponds to the descriptions of gout that I've read so far. I haven't really taken OTC painkillers for upwards of two decades, but will probably need to get some. I don't meet most of the risk factors for this condition, except for eating lots of seafood (anchovies, sardines, herring, scallops), which apparently can cause this type of arthritic flareup. I also drink lots of tea and wonder if the diuretic effects might have been a contributing factor. I'm unfortunately at work right now, and recently took some ibuprofen that a coworker gave me, which took the edge off the pain. I wonder if Rue could help with this (I plan to test it out). Any experiences or suggestions would be most welcome.
 
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Are you confident that you don’t have a pinched nerve? I have had numbness in the very tip of my right toe for a decade and it’s from arthritis causing pinched nerves and inflammation in the SI joint. It never entirely goes away.

Probly go see a doctor.
I don’t really know… it happened really suddenly and fits all the criteria for gout that I’ve read (sudden, intense pain arising from the big toe)… it was interesting to watch the pain affecting my mental and emotional state, as it ramped up in intensity, pushing me towards an emotionally charged, panic-y state that is out of the norm for me… I work in supportive/helping roles and am regularly needing to be there for others, so this was a good empathy building experience, if nothing else… I’m sure you’re right about seeing a doctor, which I may do if this issue persists/gets worse… anyway, I appreciate you chiming in, Jamie… mush love
 
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Low dose rue and psilocybin has proven effective at mitigating the toe pain. However, I’m still on the mend, and it remains to be seen how long it will take for the apparent inflammation in my foot to fully subside. If my (inferential) self-diagnosis is accurate, drinking more water, less (store-bought) kombucha, and eating less anchovies/herring/sardines ought to prevent further flare ups of this sort from occurring.

While I’m not against the modern medical system (it’s obviously a mixed bag), I would prefer not to avail myself of that option before exploring more holistic alternatives. As it stands, it has forced me to slow down, in a radical way, while motivating me to imbibe some of the medicines that I’ve been wanting and needing, toe pain, or not.
 
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Glad you feel better. I dont blame you for feeling that way. I went to the dr a bunch about it 10 years ago and they were total useless idiots. I told them my mom has spondylitis stuff the ER and because I’m a gardener they told me I had a “neuro muscular disorder” aka something like sciatica from “labor”. They refused an MRI at the time cus you know…

So I thought I had sciatica lol for years. I would get throbbing pain in my toe at times and then back to just slightly numb but I’d have to be in bare feet to notice etc.

Then one day it got so bad it went up my entire leg, parts of my leg were kinda numb and I got some foot drop. It was the most pain I have ever been in in my entire life…like electric burning. I couldn’t sleep and wanted to scream…ended up in the hospital after 1200mg Advil did nothing. By this point I had seen a Rheumatologist who finally ordered an MRI after she saw my x rays…it took 10 months to get in for an MRI. The hospital already had my MRI results and told me right there every test showed I had ankylosing spondylitis. I had 3 trapped nerves all showing up on the MRI and within 2 days on proper meds I went from almost crawling to surfing again.

Lol a lot of things could have been explained way earlier if the dumb doctors had listened to me, and requested a damn MRI.

and so many things can cause one little pinched nerve.
 
That sounds like an incredibly frustrating experience to go through @Jamie01 . Glad to hear that you were finally able to get it sorted out. Unfortunately, it seems like there’s a lot of that kind of thing going on. I’m reminded of a memoir that I listened to as an audiobook, The Body is a Doorway, by Sophie Strand - it’s an expansive, heart wrenching account of her journey through chronic illness, which is worth checking out.

The pain in my toe has lessened and I’m able to bear more weight on my foot, both of which are a relief. While it was gratifying to see that the rue and psilocybin appeared to be helpful yesterday, I took more ibuprofen at night, which has seemed to have the biggest impact. I plan to continue with this combination today and tomorrow, before hopefully returning to work on Monday, and limiting myself to the ibuprofen, from there.

I’ve decided to stop being stubborn/willful and go see a doctor for this thing (I’ve been meaning to schedule a physical exam for a while, and now seems like a good time). I’m in my early 40’s and haven’t had a physical since my early 20’s, so it’s been around two decades haha Up until recently, I would have “no complaints” for the doctor (the plethora of complaints that I bring to my therapist, notwithstanding), but now have a very specific thing I could use some clarity with (I’m also interested in my hormone levels and hope to get some bloodwork done).

While everything that I’ve been experiencing matches what I’ve read about gout, it will be helpful to (hopefully) get an accurate, medical diagnosis about what’s going on. From what I’ve read about gout, it seems to be associated with unhealthy lifestyle habits, most of which don’t apply to me. Yet, the symptoms that I’ve been experiencing perfectly match that condition, as it’s described. If I was to narrow it down, my best guess would be that a combination of genetic predisposition, stress, and dehydration led to this flare up. I typically drink lots of water, but haven’t been doing so these last few weeks, while dealing with some heightened stress, and drinking lots of (sugary) kombucha, so those factors, alone, could explain it.

I’m reminded of the words of Thich Nhat Hanh who spoke about the lack of appreciation that humans typically have for the absence of a toothache. Similarly, I have definitely had a lack of appreciation for a lack of toe pain, and the ability to walk and stand without any issues. In this sense, I would say this experience has been something of a “mindfulness bell” for me, waking me up to things I normally take for granted, which are, in fact, very much worth being grateful for.
 
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The pain is definitely localized in the area between my big toe and the rest of my foot, spreading midway across the side of my foot, and thankfully ending there.
 
Check your kidney function (especially serum uric acid). Use NSAIDS for acute pain if kidneys okay, you’re not asthmatic, never had a gastric bleed or ulcers and you eat something first eat cherries, turmeric, ginger, vit C, eggs, dairy, tea, coffee, whole grains good, drink lots of water, lose weight if you’re overweight, and avoid food with high purine like offal, mussels, lobster, crab, sardines, mackeral, herring, haddock, anchovies, game meats, prawns, oatmeal, legumes, beans, peas, spinach, asparagus, mushrooms, cauliflower, fructose, beer and spirits. Gout is horrifically painful, get some conventional meds. Rue is a traditional anti-inflammatory but can be toxic to liver and kidney and cause skin issues like photosensitivity. You don’t want to mess with your kidneys especially if you are prone to gout.
 
Check your kidney function (especially serum uric acid). Use NSAIDS for acute pain if kidneys okay, you’re not asthmatic, never had a gastric bleed or ulcers and you eat something first eat cherries, turmeric, ginger, vit C, eggs, dairy, tea, coffee, whole grains good, drink lots of water, lose weight if you’re overweight, and avoid food with high purine like offal, mussels, lobster, crab, sardines, mackeral, herring, haddock, anchovies, game meats, prawns, oatmeal, legumes, beans, peas, spinach, asparagus, mushrooms, cauliflower, fructose, beer and spirits. Gout is horrifically painful, get some conventional meds. Rue is a traditional anti-inflammatory but can be toxic to liver and kidney and cause skin issues like photosensitivity. You don’t want to mess with your kidneys especially if you are prone to gout.
Thank you for sharing all that. I hope to see a doctor and get it sorted out. I’m not overweight and rarely drink alcohol. I do eat a lot of the fish you mentioned, along with venison, and lots of oatmeal. I wonder if all the kombucha that I’ve been drinking has had a similar detriment, in this regard, as alcohol would, otherwise. I typically drink lots of water, but less so, these last few weeks. I’m just taking the rue (and psilocybin) over the weekend, and it seems to be helping, a good amount. I’m saving the ibuprofen for the night time. Thinking of adding a bit of amanita tonight, to support sleep.
 
Do you have any source for this happening at normal doses?
@Roo , after reading up on common rue (Ruta graveolens), could you have been referring to that one? Which indeed seems to be hepato and nephrotoxic.

Here "rue" usually refers to Peganum harmala, AKA Syrian rue. Which despite the name is not related to common rue.
 
Hope it works, just be mindful of your precious kidneys. I’d get full bloods done if I were you just so you have a baseline and see if there’s a link to flares. Homemade Kombucha if lots if sugar/fermentation might cause gout flares. You’ll probably be able to manage it with diet but if not, I would defo speak to GP, it’s so painful, a prescription might help kick start a proper recovery
Do you have any source for this happening at normal doses?
if you give me normal dose I can see what I can find, but I don’t have access to alt medicine guides but I do know that levels vary between individuals and if your liver or kidneys are not optimised or you’re having a purine-rich diet it might be more toxic hence the build-up of crystals. Especially as you mentioned a familial streak.
 
Ah, yes I was, thanks for pointing that out!
If you’re new to the topic of Syrian Rue, it’s a fascinating, traditional, medicinal plant used across North Africa and the Middle East, which is chemically related to banisteriopis caapi, the Ayahuasca vine used to make the infamous brew.

Here are a couple of journal articles for further reading:


 
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So I made it to see a doctor last week, who confirmed the issue with my toe, as being a case of gout. He seemed to think that it may have been caused by eating shellfish (I had been eating lots of shrimp, lately), along with all the venison jerky that I had been eating (I'd also been eating lots of ground venison). It's not hard for me to stop eating those foods, so hopefully those dietary changes will be sufficient to prevent further flare-ups.

Given the anti-inflammatory effects of syrian rue and psilocybin, I think it was worth a try to utilize them for the purpose of reducing the pain and inflammation in my foot, and they did seem to make a difference in this regard. However, based on the level of relief that I was getting from taking low doses, I would have needed to take psychedelic doses to reduce the pain and inflammation in a significant way. In the end, I accepted the reality of the situation, which was that ibuprofen was a much more effective and efficient remedy for that particular issue.

On the flip side, I learned that the combination of rue and psilocybin seems to work well with my particular body and mind, such that low doses of both, together, along with a bit of cannabis, seemed to have a good synergy that brought me to the edge of a psychedelic headspace, which definitely brightened my mood, in spite of the toe pain. Additionally, getting past my resistance to taking ibuprofen for pain relief has made me excited to explore SP cactus again, as the cactus tends to give me severe headaches (going back to around 2007 when I first started working with it), but is otherwise one of my favorite psychedelics/plant medicines.

As for my doctor's visit, the very nice and respectful doctor was originally from Columbia and looked to be around the same age as me (one of us took school seriously). I had included depression in my intake form, which he brought up during the visit. I mentioned that psilocybin helps me in this regard, and he asked if I take micro doses. I reflexively replied that I like taking micro doses, low doses, and high doses, in response to which, he gave me a sideways glance haha In actuality, I prefer low to medium doses and don't really care for micro doses, or what I would consider high doses. I also brought up Yage in the context of his Columbian background, to which he responded that he knows about Ayahuasca and that you need a shaman to drink it - I didn't tell him that it was way too late for that, which I suspect would have led to another sideways glance, at best haha

Anyhow, it was a textbook case of gout, including severe pain in my big toe, and significant swelling/inflammation in the rest of my foot. The doctor gave me the go-ahead to keep taking high doses of ibuprofen, which continued to be super helpful. It's been about two weeks since this issue started, and it seems to have mostly run its course. Thankfully, I'm back to walking without a limp again, and have only been taking low doses of ibuprofen these last few days. Thanks to everyone who participated in this thread, which made the whole experience a little lighter and more connective than it would have been, otherwise.
 
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Glad to hear you've got the appropriate medical attention and that it appears to be working out for you so far. It had to be gout, really.

Keep your feet nice and warm, this should also help prevent formation of uric acid crystals.

Interesting experience you seem to have had with your doctor there (lol)
 
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