Gout can cause sudden, intense pain in a joint, and the big toe is one of the most frequent areas affected. The condition develops when uric acid builds up in the body and forms tiny crystals inside a joint. These crystals can trigger swelling, redness, and strong tenderness. A gout flare can begin quickly, sometimes reaching its highest level of pain within a day. Gout can also affect the ankle, midfoot, or other joints, making foot pain difficult to identify by symptoms alone. Because several foot problems can cause similar symptoms, a careful evaluation is important.
A podiatrist can assess the painful area and look for signs that fit gout. The evaluation can include a review of symptoms, a physical examination, and testing when the diagnosis is unclear. A blood test can measure urate, which is the form of uric acid found in the blood. However, a normal urate level does not always rule out gout during a flare. In some cases, fluid from the affected joint can be examined for crystals. Imaging tests can also help identify crystal buildup or rule out other causes of joint pain. These steps help guide an appropriate treatment plan and help separate gout from other causes of sudden joint pain.
Treatment for gout focuses on controlling painful flares and lowering the chance of future attacks. A podiatrist can help identify foot and ankle problems related to gout and coordinate care that fits the patient’s needs. Treatment can involve medicines that reduce inflammation during a flare. Long-term care can also involve medicines that lower uric acid and reduce crystal buildup. Managing gout is important because repeated flares can damage joints and lead to firm lumps called tophi, which are collections of urate crystals under the skin. If you have symptoms of gout, it is suggested that you are under the care of 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 The Foot Specialists. 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 Waltham and Milford, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
