Members do not see these Ads. Sign Up. Help - I have two different diagnoses for pain/discomfort under the great toe on my left foot. One is sesamoiditis, the other a compressed digital plantar proper nerve? How do I get this problem diagnosed correctly? This discomfort has been driving me crazy for years. By the way, my right foot is fine. I have had this problem for 3 1/2 years, with little relief except for a month or two. The pain is worse in tennis shoes and least in sandals and hard-soled shoes. I have gout which is now under control with allopurinol. I have had x-rays, CT scan and an MRI on my left foot. One doctor is now recommending a bone scan on my left foot to confirm a medial sesamoid problem. Any ideas? Thank you in advance.