I’m an avid runner and have had my fair share of injuries over the years. The one injury that seems to be bothering me the most is associated with the first metatarsal joint on my left foot. At first I thought it was a certain pair of shoes, but now I’m not sure. I had done a very modest mileage week, and had my last run on Wednesday. Fast forward to 3:00am Saturday morning and I was awoken with severe throbbing pain in my foot. This has been a common consistency with what I’m dealing with. The pain always sets in while I’m sleeping. The area is on the medial side of the metatarsal head, and hurts to touch, and often shows signs of redness. I have had issues with Gout in the past, but that always manifested in my left big toe, so I guess I’m not going to totally rule it out, but I’ve noticed it more following some hard trail runs that I’ve done. There is no pain on the top of my foot, or even on the joint. There is no pain on the bottom either. It literally is on the side of the joint. Ice has helped alleviate the pain, but I also took 2 Alleve at 10:00pm, and still woke up with throbbing pain. Laying down seems to make it worse. Any ideas?