Gout | Advanced Podiatry

Gout Disease
What's The Problem?

Gout is a genetic or acquired disease where uric acid crystals, a waste product of protein breakdown, are deposited in joints, producing an intense inflammatory arthritis.


How Does It Feel?

An acute attack of gout is one of the most painful conditions known to man. Sudden, intense throbbing pain accompanied by redness and swelling are hallmarks of the condition. Typically, bed sheets cannot brush against the affected area without triggering intense pain. Fifty percent of all acute gout attacks affect the big toe joint; however, the midfoot, ankle, knee or wrist can also be affected. Gout is a disease that appears as episodes or attacks. Even without treatment, the attacks last only 3-7 days, but the pain is often so severe, that waiting for it to run its course is often not possible.

How Did This Happen?

Gout may be inherited or acquired. Proteins that we eat are broken down into energy and waste products. One of the waste products is uric acid. Uric acid usually dissolves in the blood and is filtered out of the body by the kidneys. Some people either produce too much uric acid or do not excrete enough through the kidneys. If blood levels rise, uric acid is deposited in joints, creating an intense inflammatory response (redness, extreme swelling and severe pain).

What Will My Doctor Do For It?

Your podiatrist will perform a thorough examination and history of your condition. He/she will explain the cause of the problem and offer you various treatment options. X-rays will usually be taken to assess the status of the joint(s). Blood tests may be taken to check the levels of uric acid in the body; however, 50% of people with acute gout attacks can have a normal uric acid content. In most cases, cortisone injections, compressive wraps, anti-inflammatory medications (Indocin) and Colchicine usually provide immediate relief after 1-3 doses. If a patient experiences repeated attacks (3-10) in a 12-month period, their primary care physician may place him/her on a special medication daily to prevent future recurrences. In more extreme cases, your podiatrist may recommend surgery to remove gouty deposits and remodel the affected joint(s).

Can I Prevent It From Happening Again?

Gout can be prevented with medications, weight loss, diet modifications, avoidance of alcohol and drinking plenty of fluids. Your doctor can provide a treatment program tailored to your individual condition.

For more information on gout disease, please contact our Long Island foot doctors at Advanced Podiatry today at either our   Huntington  ,  Plainview  ,  Manhasset  or  Maspeth  . You may also  contact us  24/7 through our  Appointment Request Form    . 

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