Gout can cause sudden episodes of severe pain in the joints of the foot. It is a form of inflammatory arthritis and often begins in the big toe, although the ankle and other toes may also be affected. A gout flare typically affects one joint at a time, and may begin suddenly during the night. The painful joint can become swollen, red, and warm. Symptoms usually improve within one or two weeks, but the timing between attacks varies. Some people experience frequent episodes, while others may go years without another flare. When gout affects the foot, the discomfort can make normal walking and movement difficult.
The underlying cause of gout is a long-term buildup of uric acid in the body. Uric acid is a waste product produced when substances called purines are broken down. The kidneys normally filter uric acid from the blood. However, the body may produce too much or fail to remove enough. In some people, the excess uric acid forms sharp crystals inside the joints, leading to inflammation and pain. Without treatment, gout attacks may eventually become more frequent and last longer. Long-term gout can also produce hard deposits called tophi that may damage bones and surrounding tissues.
A podiatrist can examine a painful foot joint and help determine whether gout may be responsible for the symptoms. Diagnosis can involve reviewing the patient's medical history and examining the affected joint. Testing may also be needed to identify uric acid crystals or rule out other causes of foot pain. Treatment can help relieve gout flares and reduce the chance of future attacks. Certain medications may also lower uric acid levels and help prevent complications. If you have sudden and intense pain or swelling in a foot joint, it is suggested that you consult a podiatrist who can help you to manage this painful condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Granite State Podiatry Associates. Our doctors will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our offices located in Manchester and Bedford, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.
