February 2025

Gout is a form of inflammatory arthritis caused by the buildup of uric acid crystals in the joints, often the big toe. It typically develops in four stages, each with distinct characteristics. The first stage, asymptomatic hyperuricemia, occurs when uric acid levels in the blood are high but no symptoms appear. Over time, if untreated, it can progress to the second stage, which is the acute gout attack. This stage is marked by sudden, severe pain, redness, and swelling, usually in the big toe. After the attack subsides, the condition may enter the third stage, intercritical gout, where symptoms do not occur but uric acid levels remain elevated. The final stage, chronic gout, can develop after repeated attacks, leading to joint damage and the formation of tophi, which are lumps of uric acid crystals under the skin. Common causes of gout include genetics, obesity, a diet high in purines, and certain medical conditions that affect uric acid processing. If you have severe pain in your big toe, it may indicate gout has developed, and it is suggested that you consult a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Todd Goldberg from Complete Family Foot Care Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Littlestown, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.