Swelling and pain in the big toe joint needs to be treated according to the specific cause, such as gouty arthritis, rheumatoid arthritis, excessive exercise, soft tissue injuries, etc., and after a clear diagnosis, general treatment, physical therapy, and medication can be taken. 1. Gouty arthritis: gouty arthritis can cause swelling and pain in the big toe joint, colchicine can be used to lower uric acid, and analgesic drugs, such as celecoxib and rosoprofen sodium, can be taken if necessary. 2. Rheumatoid arthritis: Rheumatoid arthritis can involve multiple joints in the body, causing localized swelling and pain. Patients can use methotrexate for treatment and acetaminophen and ibuprofen for pain relief if necessary. 3. Excessive exercise: Long distance walking, long time running, mountain climbing, etc. may cause inflammatory metabolites, which stimulate the peripheral nerves and thus lead to swelling and pain in the big toe joints of the feet. Patients should pay more attention to rest, can take the local hot compresses, so as to relieve the pain. 4. Soft tissue contusion: accidental injury to the big toe joint during sports can also lead to ligament and muscle soft tissue injuries, resulting in swelling and pain, the patient needs to rest, if necessary, take ibuprofen, nimesulide to relieve pain. There are many reasons for swelling and pain in the bunion joint of the foot. In addition to the above factors, bunion, osteoarthritis, septic arthritis, etc. can also cause swelling and pain, and it is recommended to consult a doctor in time after symptoms appear. All of the above medications should be used under the guidance of a doctor, and should not be used indiscriminately, so as not to lead to adverse consequences.