What is the cause of a burning sensation on the toe?

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Differential Diagnosis for Burning Lump on Toe

  • Single most likely diagnosis
    • Ingrown toenail: This condition is characterized by the growth of the toenail into the surrounding skin, leading to pain, swelling, and a burning sensation. It is a common issue, especially in individuals who wear tight shoes or have poor foot hygiene.
  • Other Likely diagnoses
    • Paronychia: An infection of the skin around the nail, which can cause pain, redness, and swelling, and may feel like a burning lump.
    • Bunion or bursitis: A bony growth or fluid-filled sac on the toe joint can cause pain and a burning sensation, especially if it becomes inflamed or infected.
    • Wart: A plantar wart on the toe can cause a burning sensation and may feel like a lump.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Osteomyelitis: A bone infection that can cause pain, swelling, and a burning sensation in the toe. If left untreated, it can lead to serious complications, such as sepsis or amputation.
    • Cellulitis: A bacterial skin infection that can cause redness, swelling, and pain, and may feel like a burning lump. If left untreated, it can spread to other parts of the body and become life-threatening.
    • Diabetic foot ulcer: A wound on the foot that can become infected and cause a burning sensation. In people with diabetes, these ulcers can lead to serious complications, such as amputation, if not properly managed.
  • Rare diagnoses
    • Gout: A form of arthritis that can cause sudden, severe pain and swelling in the toe, which may feel like a burning lump.
    • Erythromelalgia: A rare disorder that causes burning pain, heat, and redness in the hands and feet.
    • Neuroma: A benign growth on the nerve tissue that can cause pain, burning, and numbness in the toe.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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