Gout is a condition caused from a buildup of uric acid in the body. In the foot and ankle, it is most commonly seen in the big toe joint but can occur at nearby joints as well. Gout “attacks” or “flares up” are cause when uric acid crystalizes and deposits in a joint. Uric acid is a natural chemical in the body, that results from the breakdown of purine. Its naturally circulating in our blood and eliminated in our urine. When there is too much uric acid or the body cannot eliminate it properly it accumulates leading to a gouty attack or flare up. Some people’s kidneys cannot eliminate the normal amount of gout found in the body and others make too much it.
The great toe is most offend affected because uric acid is sensitive to temperature changes. At cooler temperatures, it crystalizes. The great toe is a “cool joint” as it is the far away from the heart. This cooler temperature environment allows the uric acid to crystalize and deposit in the joint. Although, its important to remember gout can occur in other joints as well.
Gout has a genetic component and is often inherited. Other risk factors include high blood pressure, diabetes, obesity, chemotherapy, surgery, stress and certain medications and vitamins. For example, aspirin, diuretics and niacin can affect the body’s ability to remove uric acid leading to gouty attacks. It can affect both men and women of all ages, but is more often seen in older men aged 40-60. Certain foods with high levels of purines can also increase your risk of gout. These foods include shellfish, organ meat, red wine, beer and red meat.
Symptoms of gout include a sudden intense pain, redness, swelling and warmth over a joint. If you think you are suffering from gout contact your local foot and ankle specialist. Your doctor will order blood work and x-rays to ensure correct diagnosis of your symptoms. Once it has been determined you are suffering from gout treatment can be initiated right away. Treatment may include one or more of the following: NSAID’s, corticosteroids, injections, diet modifications, increased fluids and medications that can help your body eliminate uric acid. Without proper treatment, recurrent episodes of gout can lead to permanent damage of the affected joint.
Isin Mustafa DPM, MSHS, AACFAS
For more information, you may contact Dr. Isin Mustafa at Family Foot & Leg Center at (239) 430 – 3668 (FOOT).
Family Foot & Leg Center has 8 locations throughout Collier, Lee, & Charlotte Counties to quickly resolve all your foot and ankle problems.
3161 Harbor Blvd., Suite B
Port Charlotte, FL 33952
(239) 430 – 3668 (FOOT)
www.NaplesPodiatrist.com
Disclaimer: This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition.