GOUT

GOUT

Gout: Understanding and Treatment

If you are experiencing symptoms of gout or need more information, contact Ryan Foot and Ankle Clinic. With five convenient locations in Charlotte, Concord, and Harrisburg, we are here to help. Call us today to schedule an appointment or learn more about managing gout.

What Is Gout?

Gout is a complex form of arthritis characterized by the accumulation of uric acid in the joint fluid and throughout the body. This buildup leads to the formation of sharp urate crystals in the joints, causing intense pain, redness, and swelling. The big toe joint is most commonly affected, often resulting in sudden, severe pain that can wake you from sleep. Gout can also impact other areas of the foot and ankle, making everyday activities, such as wearing shoes, quite painful. Causes and Risk Factors:

Uric Acid Production

Uric acid is produced when the body breaks down proteins known as purines, which are found in certain foods. Normally, uric acid is eliminated through the kidneys. However, issues with uric acid elimination or overproduction can lead to crystal formation in the joints.

Genetics

Gout can be hereditary and is more common in men aged 30-50 and postmenopausal women.

Diet and Lifestyle

Gout can be hereditary and is more common in men aged 30-50 and postmenopausal women.

Medical Conditions

Diabetes, high blood pressure, heart and kidney disease, and metabolic syndromes can contribute to the development of gout.

Medications and Other Factors

Certain medications, recent trauma or surgery, and stress can also trigger gout attacks.

How Is Gout Diagnosed and Treated?

Your podiatrist at Ryan Foot and Ankle Clinic will evaluate your symptoms and medical history, perform blood tests to measure uric acid levels, and analyze joint fluid for urate crystals. X-rays may be used to assess joint damage. The goal is to identify whether gout is caused by excessive uric acid production or elimination issues. Treatment Options Include:

Medication

Gout can often be managed with medications once a proper diagnosis is made.

Lifestyle Changes

Avoiding foods and beverages that trigger gout attacks and increasing water intake can help prevent future episodes.

Acute Attack Management

During an acute attack, staying off the affected foot, elevating it above heart level, and using anti-inflammatory medications as prescribed can reduce symptoms.

What to Expect If Surgery Is Recommended

In cases where gout has led to significant joint damage or where medications are not controlling the condition effectively, surgical options may be considered. Surgery can address joints with excessive crystal deposits or damage and improve joint function.