Gout is a metabolic disorder and results in the formation of Uric Acid crystals within joints. A flare up of gout is extremely painful and the affected joint will often be red and swollen. Gout is a form or arthritis that occurs as a result of the build-up of uric acid in the body and joint fluid (hyperuricemia).
The actually build-up of uric acid can result when the body has difficulty eliminating uric acid through the kidneys and urine, or in some cases, when the body produces too much uric acid. It can, however, skip an individual or even a generation and reappear in the children of someone who has no signs of gout. Gout usually starts with sudden onset of intense pain in one or more joints, usually the big toe joint of the foot. The diagnosis is based on a personal and family history, as well as on the doctor’s examination which often finds the classic signs of gout and makes the diagnosis clear.
Gout often can be controlled with proper medication, both when there is an attack and on a long-term basis.
If gout attacks continue despite medical treatment, if there are excessive deposits of gouty crystals within a joint, or it arthritis causes continual discomfort, surgical treatment may be necessary to remove the crystals (tophi) and repair the joint. Certain foods that are high in purines can increase uric acid levels and thus bring on an acute attack of gout.


Drinking 6-8 glasses of water each day, eating an appropriate diet and evaluating current medications will reduce the likelihood of an attack or lessen the severity should it occur.
Woodlake Podiatry successfully treats numerous people with Gout yearly.  If you live in St. It is often larger joints that are affected, therefore in the foot the big toe joint is often seen as most affected. Gout can often create deposits called ‘Tophus’ – whereby a chalky white substance can be seen.
Recurrent bouts of gout may cause arthritic change within a joint which your podiatrist can sometimes help manage through special orthoses (insoles) or footwear. While it is most commonly seen in males between fifty and sixty years of age, gout does occur in females and in younger males.
Blood tests often are performed to determine uric acid levels and the joint fluid is examined to look for uric acid crystals. It is important that your doctor establish which of the two primary causes (producing too much uric acid or not eliminating it properly) is involved in order to treat the gout with the appropriate medication. If you have a personal or family history of gout, regular examinations by a podiatric foot and ankle surgeon also will reduce the potential for an attack.
In treating gout, podiatrists can help by protecting and padding affected joints, and providing wound-care to areas where tophus has led to the skin breaking down.


When the foot is involved, wearing shoes is difficult and painful, as are attempts to move the joint or stand on the foot. X-rays also may be performed to examine both the bones and joints to rule out abnormal changes associated with gout. While over the counter drugs may reduce symptoms, they are rarely strong enough to treat the acute pain, swelling, and inflammation. Some medications, such as diuretics (water pills) that are often used to control high blood pressure or reduce swelling, also may cause an acute attack of gout.
Many patients say they first noticed the pain in the middle of the night or upon arising in the morning.
If the gout attack is in the toe, it will typically help to elevate the foot, avoid standing and walking, and wear only a loose slipper until the individual can be seen by a podiatric foot and ankle surgeon. Peters, Sunset Hills, Town and Country, Wentzville, Wildwood, Winchester, Valley Park, click here and make your appointment today.



Back of foot pain above heel
Dr. scholls 410 orthotics
Scholl pedicure diamond
Shoe inserts for arch support


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