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Gout is the most common type of joint arthritis (Gout or gouty arthritis) that causes severe sharp pain, stiffness, and swelling. It commonly affects the metatarsophalangeal joint, the joint at the base of the big toe. High uric acid in the blood is the leading cause of gout.
More than 3 million Americans are affected by gout, and it is the most in males having inflammatory arthritis condition. In women, it happens after menopause and is less common compared to men.
Gout occurrences happen quickly and might reoccur over time. The reoccurrence can be extremely painful and could gradually damage tissues in the inflammation area. The most known risk factors are obesity, high blood pressure, and a heart condition.
It is when urate crystals buildups cause severe pain and inflammation in patient's joint. This condition usually lasts between two to three days, depending on the patient. High levels of stress and alcohol consumption can contribute to acute gout conditions.
Intercritical gout is the time frame between acute gout attacks. These intervals will be shorter as the patient's gout progresses over time. During this stage, the urate crystal buildup continues.
The patient can have a high level of uric acid without symptoms. In the majority of these cases, your podiatrist will not recommend any treatment for this condition and will monitor the progress.
While the patient does not need treatment, a high uric acid level in the blood could damage the tissues.
In such a case, your podiatrist or internist would address the uric acid level to prevent further damage.
It is the most dangerous type of gout that might result in permanent tissue, joint, and kidney damage. Patients might have chronic arthritis and develop tophi which are telltale signs patient's gout is out of control in other areas of the body like fingers and joints.
Chronic tophaceous usually occurs after a long time of having acute gout attacks. If the patient receives preventive and proper care on time, it is improbable to reach this stage.
Pseudogout is calcium pyrophosphate deposition gout and easily confused by doctors with gout. Symptoms are very similar, but the severity is usually less. The most significant difference between pseudogout and regular gout is the joint irritation due to the presence of calcium pyrophosphate crystals.
Pseudogout is different from regular gout.
Below are some risk factors worth to mention
Gout's main symptom is severe pain in the joints affected by it. In addition, it comes with discomfort, pain, and redness in the area affected.
The big toe's base is usually affected by gout, but it could occur in ankles, knees, wrists, elbows, fingers, and other joints.
The excessive uric acid produced in the body is called Hyperuricemia, and it is the leading cause of developing gout in joints.
The most used gout treatment is medication, but drugs improve the symptoms and not the cause. However, for treatment for gout in the toe, using drugs could be helpful to prevent developing gouts in the future and kidney stones.
To reduce the pain and swelling, the most common drugs for gout are nonsteroidal anti-inflammatory drugs.
Antigout drugs are prescribed to reduce uric acid, and patients may use medication to address the uric acid overproduction in the body.
Acute gout usually lasts a day, and the recovery time is between 1 to 2 weeks without using drugs. Pain could be excessive during this period.
It is not easy to diagnose gout as there are other conditions with similar symptoms. For example, Hyperuricemia occurs when a person develops gouts but may not be present when an attack happens. As a result, at the time of examination, the patient may not have Hyperuricemia.
The most secure way to diagnose gout is to measure the level of uric acid and urate crystals in the patient's blood and joints fluid.
Your podiatrist and fluid order a blood test from affected joints might be drawn and examined.
Another way to help diagnose gout is searching for urate crystals with the help of ultrasound, as an x-ray cannot detect gouts in joints.
A high level of blood uric acid or Hyperuricemia is the leading cause of gout. Uric acid is produced by the body to dissolve purines or chemicals with a high concentration in meat, seafood, or poultry. Kidneys discharge the uric acid collected from the blood in the body. If the patient has a high level of uric acid or kidneys fail to manage it, the result will be sharp crystals buildup in the joints, causing pain and inflammation.
If the gout is too severe or unattended, it can develop into a painful condition called a kidney stone.
Nonsteroidal anti-inflammatory over-the-counter n drugs, like ibuprofen, naproxen sodium, or aspirin, could help address the symptoms and reduce them. Still, for that, we suggest that you consult with your podiatrist first.
Gout is inflammatory arthritis in the big toe. Most of the time, it attacks the big toe joints. Patients often have the first gout attack in one of their big toes. The symptoms are tenderness, redness, and the toe is swollen. Treatment for gout in the big toe and gout in the middle toe is as described above.
Our podiatrist in Irvine, Dr. Sima Soltani, is specializing in operation less treatments. With more than 20 years of experience in treating patients with foot and ankle problems, we are the most reliable podiatry clinic in Irvine California.Learn About Our Practice
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