Toes appear red, swollen and painful commonly have the following two reasons: 1, the soft tissue of the toes infection, the most common is the patient with inguinitis, usually after clipping the nails or accidentally kicked, resulting in nail side of the skin lesions and bacteria, through the skin lesions invade to the local soft tissue infections caused by red, swollen and painful. Generally in addition to the symptoms of redness, swelling and pain, there will also be local inflammatory secretions, or even pus, there may be inflammatory granuloma formation. 2, toe arthritis, commonly gouty arthritis or rheumatoid arthritis. If you usually have elevated uric acid, and before the onset of the disease, you have to drink alcohol or eat seafood, eat animal offal and other high-purine food, it is likely to be gouty arthritis. If you want to confirm which kind of arthritis, you can go to the hospital to check the blood uric acid or rheumatism triple test, basically can confirm the diagnosis.