Gout, a painful form of arthritis, often causes intense swelling in a single joint, typically the big toe. Gout is the result of high levels of uric acid in the blood. The uric acid forms crystals in the joints that result in sudden and severe pain, called flare ups. Diagnostic lab tests for gout examine blood or joint fluid for uric acid levels or crystals, though not all cases show elevated uric acid levels. Imaging tests like X-rays, ultrasounds, or special CT scans can help show joint damage or uric acid crystals. Monitoring lab tests can track uric acid levels over time, with additional assessments of kidney function through creatinine and blood urea nitrogen, or BUN, tests. A urinalysis is used to detect uric acid in urine. Regular imaging tests monitor joint health to detect any damage caused by untreated gout. A podiatrist can conduct the appropriate diagnostic tests for gout. If you are experiencing toe joint pain or suspect gout, it is suggested that you schedule an appointment with a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Philip K. Schrumpf, DPM from Active Feet Clinic. Our doctor 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 office located in Missoula, MT . We offer the newest diagnostic and treatment technologies for all your foot care needs.