Hello ,
From what you have described , it can be anything from
uric acid arthropathy (gout) or autoimmune arthritis of any kind. If possible , pls post a pic of the swollen toe . Get your uric acid , RA factor, Esr ,
Crp checked and consult an orthopaedic surgeon or a rheumatologist. You can also consult me online.
Next Steps
Investigations and consultation