Everything You Need to Know About Gout
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the metatarsal phalangeal joint on the big toe; though it has been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers and the children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, again noted as being particularly painful, is the leftover uric acid crystallizing in the blood stream and travel to the space between joints where they rub causing agonizing friction when the patient moves. Symptoms include; pain, redness, swelling, and inflammation. Tertiary side effects may include fatigue and fever though reports of these effects are very rare. Some patients have reported that, as temperature drops (when you sleep for instance) the pain may intensify.
Most cases of gout are easily diagnosed by a clinician’s assessment of the various symptoms; however, there are defined tests that can be performed. If the doctor does not suggest them first, you may want to have a blood test to detect elevated levels of uric acid, perhaps withdraw synovial fluid in the joints (where the crystals would lay), as well as the use of an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms; non-steroid anti-inflammatory drugs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation, however, diet, lifestyle changes, and preventative drugs are necessary to fully combat the most severe cases.
Those that lead a sedentary lifestyle are at a higher risk for gout. Any amount of exercise decreases probability of repeat encounters with the condition. Also, staying away from, or reducing drastically, consumption of red meat, sea food, and fructose-sweetened drinks reduces the likelihood of chronic gout as well.
As for diet, beyond what has already been mentioned, ingesting Vitamin C, coffee, and particular dairy products help on the preventative maintenance side of healthy living. While new drugs are out on the market that inhibit the body’s production of uric acid-producing enzymes, reducing or eliminating as much as possible your overall levels of uric acid will ensure you lead a gout-free life.
Contact James C. Ricketti, DPM and let us address all your foot and ankle needs. Our board-certified podiatrist will tailor treatments based on your individual needs and with our state-of-the-art diagnostic and treatment options, we’ll help you get back on your feet in no time! Call our office today at 609-587-1674 to make an appointment at our conveniently located Hamilton, NJ office.