We went to Marriott's Newport Coast Villas this past August. While wearing flip flops and admiring the view of the Pacific, I walked full stride into a concrete barrier that separates a parking lot from the lawn. I was afraid I broke my big toe, but it felt ok the next morning, and I did a lot of walking (about 6 miles a day) for three days with no problems.
On the day we flew home (4 days after the trauma) my foot started to throb and was very hot to the touch. When I went to urgent care, they took X-rays and tested for uric acid, and both tests were negative. Then I went to a foot specialist who took a series of detailed X-rays and who told me that my toe was definitely not broken and I must have gout. My primary care physician and the foot specialist both concluded it was gout even though the blood tests were negative. I took an antibiotic for a week and then took colchicine for the gout.
The intense pain to my toe remained for a few weeks, and even though the pain gradually subsided, it remained for over a month. I found that putting a hard plate in my shoe/sneaker was helpful.
Good luck.
