Last November 2016 I was involved in a lot of marching in combat boots and would walk about 5 miles a day. I was also running three days a week. I drink a LOT of coffee and gout runs in my family. I am very slender. I noticed pain and swelling in my big toe under the ball of my feet for the first time ever. I got up in the middle of the night and hit my second toe on my bed post in the Navy. I have had X-rays and they tell me the joint capsule may have been ruptured and there is a sprain and to buddy tape. I have been back three times for the deformity and swelling. They tell me to where the toe cot. It’s 10 months and still looks bad. No redness and slight pain. Could there be gout crystals in addition to the injury? Icing makes it worse. Thanks!