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Thanks, Keith for your thorough response. I am trying to get into a highly rated rheumatologist. There is an incredible waiting period. I am still on the allopurinol and will talk to my PCP on my next visit when I see if my uric acid is still below 5.0. I still have been having pain but only in late afternoon to evening. Tramadol was prescribed because almost every podiatrist suspected it was nerve-based. My pain med doctor assumed that as well. The fact that I have issues with pain several times a week make me wonder if it is gout. And, the lack of any redness or heat is odd. So I’m hoping the rheumatologist can rule gout in or rule out.SuselewParticipant
Thanks, Keith. The specialist I saw was an orthopedic surgeon. There are no longer any rheumatologists near my home so I’m going to have to search for one near where I work. This will be the 10th physician/specialist that I’ve seen for this painful problem over 2 years.
I do have a question about increasing my allopurinol. Will that increase my attacks? I’m not sure I could go through what I went through back in mid-July again due to my job. Do I need to increase allopurinol with 4.6 as my latest uric acid level? I’m working on my fourth day of pain that starts in late afternoon. As I write this, I have a cold bag on my toe so I can tolerate the pain while sitting at my desk. It’s a miserable existence.