A form of arthritis, gout affects the joints most often in the lower legs. It’s most common in the joint at the bottom of the big toe in either foot. Though it’s more likely to occur in men, women may also suffer. The pain of gout occurs very quickly and can be excruciating, described by some as feeling like shards of glass between the bones of a joint. The affected joint is typically very warm and often swollen. Any touch may cause extreme pain. Gout is treatable, and often medication makes symptoms disappear almost as fast as they arrive.
Urate crystals form and collect when there’s an excess of uric acid present in the blood. Normally, the kidneys filter uric acid, but under certain conditions, either too much gets created or the kidneys filter out too little. No matter how the uric acid collects, if you have excess, sharp urate crystals form within a joint, triggering the attack.
The condition has some significant risk factors, which includes anything that increases the amount of uric acid in the blood. Some of these factors include:
There are 2 types of drug treatment typically used for gout. One treats the gout attack itself and the other addresses uric acid conditions in the body. Drugs such as naproxen, indomethacin, colchicine, and prednisone reduce the pain and inflammation of a gout attack. Of these, only colchicine can be taken in low doses as a preventive medication.
Drugs, such as allopurinol, block uric acid production, while probenecid encourages the processing of uric acid out of the body.
At Fair Oaks Podiatry & Sports Medicine, we accept most major insurance plans. Here is a list of some of the plans we accept. Please contact our office if you do not see your insurance provider listed.
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