Swollen Painful Big toes

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Nine months ago after cleaning and cutting my toenails the bottom of both of my big toes were so sore I couldn’t put weight on them. I am a little rough when cleaning them but I’ve done it the same way for years. The outside of my toe near the toenail also started swelling a little especially when on my feet for a while and became painful but not to the touch. No ingrown toenail. My family dr checked my Uric acid, no signs of gout. I was sent to a podiatrist who sent me for an mri. The hospital read the mri as nothing abnormal. My podiatrist says I have sesamoiditis. Says the bottom of my toe being so tender has nothing to do with my toenail region. But it didn’t start until that day. I have orthotics now. He says I need to wear them the rest of my life. That’s devistating to me seeing as how I can’t even wear sandals. The tenderness is still there after wearing them for four months now. The pain under and beside my toenails is still there. He said I could have surgery to remove the sesamoid bone but I’m not sure he’s even correct with the diagnosis. Especially since I hit my toe on the side it swells and hurts, not the bottom, and it made that part and the tenderness on the bottom worse. Someone please help me. My life has revolved around this for so long. I’ve walked on the side of my foot for so long. I didn’t even attend a wedding because I cannot wear heels.