Conversation: The conversation between human and AI assistant.
[|Human|] I ve been on a doctor monitored low carb high protein diet for about 7 weeks with great success . About 3 weeks ago I noticed my tail bone started hurting no matter where I sat or layed. Yesterday I woke up and had bad pain in my right ankle (front of ankle & top of foot) with no swelling.This morning I woke up and it was so bad I have to use a cane. I read on line that it may be gout do to my high protein diet.
[|AI|]  HiT hank you for asking ChatDoctorI have gone through your query. Gout is usually presented with swelling and reddish appearance. Mostly it will be on metatarsophalangeal joints of toe. Even ankle, knee or hip or hand joints can be involved. If you have such symptoms you can run a blood level of uric acid test. But if that is normal it can be most likely sciatica. An orthopedic examination followed by an x-ray and MRI if needed will rule out that. In such case NSAIDs like fetoprotein, muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor.  If it is present for long term then I advise muscle strengthening exercises and physiotherapy. Hope this may help you. Let me know if you have any further query. Thanks.