There are purine compounds that are naturally present in the body. Purines are also in certain foods, such as shellfish, red meat, beer, wine, and salt. When the body breaks down purines, uric acid is generated as a by-product. If the body cannot properly expel this uric acid, it can crystallize and collect in joints. This is known as gout—a form of arthritis. Gout can occur on any joint in the body, but it typically forms first on the joint of the big toe. Gout attacks, or flares, can occur suddenly, with intense symptoms such as extreme pain, redness, warmth, and swelling in the affected joint. Some believe that reducing your consumption of purine rich foods may help keep gout at bay. Gout is also believed to be hereditary. A podiatrist can diagnose gout by analyzing uric acid levels in your joint fluid and blood. Symptoms can be managed with anti-inflammatory medications and other treatments. If the gouty crystals on your joints are excessive, surgery may be an option to repair damage to your joints.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Gary Cesar from Michigan Foot and Ankle Center. 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 offices located in Lansing and Mt. Pleasant, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.