Gout affects more than 9 million Americans each year and is the leading cause of joint inflammation. Gout is a form of arthritis that develops when uric crystals in the bloodstream deposit in a joint. It can affect several joints; however, 90% of the cases are in the foot, specifically the first metatarsal-phalangeal joint (MTP). This is where the big toe connects to the foot, as often seen by podiatrists. Here is a guide to commonly asked questions about gout. 

Frequently Asked Questions About Gout 

How is it diagnosed?

Gout is diagnosed through an assessment of symptoms, physical examination, and lab tests. The most common symptoms include a sudden onset of pain, redness, warmth, and swelling. To rule out other conditions, bloodwork can be done to determine uric acid levels as well as fluid aspiration from the affected joint. A podiatrist or primary care physician may also use an X-ray or CT scan.

Are there any risk factors?

Rates for this condition have doubled since 1960, with growing rates of obesity and hypertension. Additional risk factors include diabetes, kidney disease, joint trauma, and age. It also affects more men than women. 

Eating a diet high in purines contributes to the likelihood of developing gout. High-purine foods include anchovies, sardines, herring, mussels, codfish, scallops, trout, and haddock. Additional foods include meats like bacon, turkey, veal, venison, and liver. Lastly, beverages associated with gout include beer, liquor, and sugary drinks.

What treatments are available?

Treatments for gout may include oral steroids, non-steroidal anti-inflammatory drugs (NSAIDs), and Colchicine to reduce the severity of a flare-up. Your doctor may offer additional treatment options for pain, including medications and alternative therapies like cool compresses. There is no cure for gout but the symptoms can be effectively managed.  

Can gout be prevented?

Gout can be prevented by maintaining a healthy body weight, treating hypertension, managing diabetes, and eating a low-purine diet. This may include cabbage, squash, red bell peppers, fruit, eggs, nuts, and peanut butter. For patients whose bodies naturally produce more uric acid, flare-ups can be prevented by taking oral medication. 

If you are experiencing gout, turn to the expert podiatrists of St. Peters Foot & Ankle: Samuel T. Wood-DPM in St Peters, MO. Lead podiatrist, Dr. Sam T. Wood, DPM, has experience treating a wide variety of foot problems including sprained ankles, fractures, bunions, and foot pain associated with diabetic complications. Dr. Wood is able to get to the root of the problem and cultivate a personalized treatment program using the most up-to-date and effective technologies and therapies available. To learn more about his services, visit the website. To schedule an appointment, call (636) 720-0190.