 [ Symptoms ] how do i know if i have a compression fracture in the joint at the base of my big toe redness pain swelling after wearing shoes that became uncomfortably tight after standing for a long time used ice elevation rest and treated for cellulitis though a blood test revealed normal white count uric acid normal and gout was eliminated after 2 rounds of z pack swelling has gone down redness gone but pain persists mostly in joint at base of my big toe i can not put any shoe on and walking is painful as i try to roll my foot forward as in a normal gait [ Disease ] by having an x ray this is really the only way to know definitely if you have a fracture if you see a good podiatrist many have their own x ray machines and the expertise to determine if there may be a different non fracture reason for your pain