It could be due to osteoarthritis.
Raised esr suggests inflammation .
If swelling present,Rest +ice+elevation might help.
Anti inflammatory medicines required to reduce inflammation.
Wear proper footwear.
Orthopaedic consultation suggested to rule out other causes
The medicine Febuget works by decreasing the level of uric acid by blocking the xanthine oxidase enzyme. This enzyme helps the body to make uric acid from xanthine. When there are high levels of uric acid in the blood, it can lead to gout and the symptoms associated with it.. Your level of uric acid is not dangerously high and the Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dL) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females. Hence it is also not dangerous and is normal
Which side toe is affected ?
Homeopathic remedies for high uric acid provide an excellent cure.homeopathic remedies not only lowers the levels but also treats body’s defective tendency to hold excess of uric acid. Homeopathic medicine like urtica urens, benzoic acid , Colchicum, Ledum , Guaiacium etc .you can consult me online for homoeopathic treatment without side effects.
You can take ashwashila patanjali capsules for fatigue and general health Drink at least 3-4 liters per day to remove the uric acid from the body. You can include buttermilk, coconut water, lemon water, green tea etc to increase your overall fluid intake. Reduce intake of purine rich food- Uric acid is formed by breakdown of proteins called Purines