Gout is one of the most painful types of arthritis and accounts for 5% of all cases of arthritis. It is characterized by sudden, severe nighttime bouts of redness, warmth, pain and inflammation in one or more joints. Most commonly, the big toe is the initial joint involved, but other joints in the foot, ankle or knees can become involved in recurring attacks.
Gout results from the deposit of Uric Acid crystals in the joint space. Uric acid is the end product caused by the breakdown of purines. Purines are naturally found in the body and are in many foods, especially proteins. Gout can occur if the body provides too much uric acid, doesn’t eliminate enough uric acid through the kidneys and bladder, or if too many foods high in purines are consumed. Being overweight is another risk factor for gout.
Gout can occur in many joints of the body, with the big toe being the most common. The top of the foot and the ankle are the other most common locations for gout attacks in the foot. Usually the pain is sudden and severe. The condition itself can be so painful that the weight of a simple bedsheet on the affected area is excrutiating.
It also can cause the deposit of a thick white substance called “tophi”. Tophi is essentially a deposit of crystallized uric acid which can become very painful and disfiguring. In severe cases it can cause destruction of the bone and cartilage. Although it may seem harmless when it first appears, this condition must not be ignored; and seeking medical treatment is necessary.
There are many treatments for gout. When an acute attack occurs, strong anti-inflammatory medication prescribed by a doctor is needed. Drink plenty of water. Avoid alcohol, especially beer, and foods high in purines. It is important to note that purines are found in all protein foods, particularly meat. Foods that are recommended by the American Medication Association for people with gout are: fruits, vegetables, breads, cereal, pastas, fish and carbonated beverages. And best of all, chocolate is “OK” as well.
If you ever experience a severe pain in your foot that starts for no reason, it could be gout. Start by applying ice, take ibuprofen (if tolerated) and elevate the foot. If nothing changes in 12-24 hours, then get an appointment. Seeing a podiatrist for gout is highly recommended because their specialty is in treating conditions involving the foot, ankle and lower leg. Gout pain can be quieted relatively quickly with specific medication.
Dr. Chris Milkie, a Board Certified Wauwatosa Podiatrist, has treated thousands of foot problems since 1991. He is the first, and only, podiatrist in Wisconsin to offer a Laser procedure, which is the newest and most effective treatment for toenail fungus on the market today. Dr. Chris Milkie is the author and can provide additional information about the treatment of many conditions which affect the feet by visiting his website
Milwaukee Podiatrist