The symptoms of swelling and pain in the big toe joint are commonly due to local trauma, gout and other causes, as follows: First, local trauma: the toe joint remains weight-bearing for a long time and is prone to injury during exercise, such as joint capsule, ligament, strain of the surrounding tendons, or even local fracture, which can cause symptoms of swelling and pain, and can be accompanied by limited movement of the toe joint. If a fracture occurs, an X-ray can confirm the diagnosis. Second, gout: human purine metabolites disorder, will make uric acid rise, the first metatarsal toe joints appear gout crystals, the patient will appear acute inflammatory response, manifested as toe joint swelling, pain, and accompanied by local fever, recent experience of eating seafood and drinking beer, the patient’s serum uric acid will be significantly higher.