<s>[INST] MY LEFT BIG TOE STARTED HURTING YESTERDAY ABOUT HALF WAY THROUGH THE DAY. IT IS RED SWOLLEN AND STIFF WITH OCCASIONAL SHARP STABBING PAIN. VERY DIFFICULT TO WALK ON, AND SENSITIVE TO TOUCH. WHEN THE SHARP PAIN STARTS ITS KIND OF LIKE THE DENTIST HITTING A NERVE. ANY IDEAS? [/INST] Hello!in regard to your history, Pain in the toe also(HALL PAIN) can arise due to abnormalities or injury to any of the structures in the toe, including skin, nerves, bones, blood vessels, and soft tissues. Toe pain is a fairly common symptom, since our feet are constantly exposed to injury by walking and moving around. Common causes of toe pain include ingrown toenails, cuts or scrapes, other injuries, blisters, and corns and callusesOther causes of this includes Arthritis and infections! In your case since the pain is excruciating we will have to rule out GOUT, which cause swelling of the big toe with extreme pain! Suggestion : Get you uric acid levels checked and X-ray foot to see if there is any other abnormalities! Analgesics and some ice pack should relive your pain temporarily! </s>