
A gout flare can cause sudden, severe pain that is difficult to ignore. It usually affects one joint, with the base of the big toe being a frequent location. The ankle or another toe joint can also become painful. The area may look red and swollen. It can also feel warm or extremely tender. Even pressure from a sock or bedsheet can hurt. A flare can begin at night and intensify within hours. Without proper care, repeated attacks can damage joints and nearby bone.
Gout develops when excess uric acid forms sharp crystals inside a joint. The kidneys usually remove uric acid, a natural waste product. A flare begins when the immune system reacts to these crystals, causing intense inflammation. Risk factors include kidney disease, family history, and certain health conditions. Alcohol intake, some foods, and dehydration can also contribute to an attack. Prompt evaluation is important. A podiatrist can examine the foot and review the patient’s medical history. Testing can confirm the cause and rule out other problems, such as an infection or another type of arthritis.
Treatment from a podiatrist focuses on easing the current flare and reducing future attacks. The podiatrist can assess the painful joint and monitor changes. Recommendations can reduce pressure on the joint and guide the choice of suitable shoes. Custom orthotics can help when gout has changed foot structure or walking patterns. Patients with repeated flares can receive regular checks for joint damage, skin problems, and tophi. Deposits called tophi form when uric acid crystals collect beneath the skin and cause pain. Early care matters because untreated gout can become lasting arthritis. A podiatrist can explain warning signs that require urgent attention and create a follow-up plan. If you have symptoms of gout in the feet, it is suggested that you schedule an appointment with a podiatrist for help in managing this painful condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Theresa Brown, DPM from Essie M.B. Smith Foot Clinic. 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 Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot care needs.






