Gout is a complex form of arthritis and can affect anyone. Men are more likely to get gout, but women become increasingly susceptible to gout after menopause. Gout is characterized by sudden, severe attacks of pain, redness and tenderness in joints, often the joint at the base of the big toe. Attacks of gouty arthritis are extremely painful.
Gout can be triggered by eating foods that are high in purines, which are naturally-occurring compounds commonly found in animal cells. Purine-rich foods include red meat (especially organ meat), bacon, certain types of seafood, alcohol, foods that contain yeast, and gravies and rich sauces. Some vegetables are also high in purines. These include peas, beans, lentils, spinach, asparagus, mushrooms, and cauliflower.
An acute attack of gout can wake you up in the middle of the night with the sensation that your big toe is on fire. The affected joint is hot, swollen and so tender that even the weight of the sheet on it may seem intolerable. The joints may become warm and stiff, and you may develop a fever. An attack usually lasts for 3 to 10 days, and then subsides on its own. The next attack may not occur for months or years. With time, attacks may occur more frequently and last for longer periods.
Gout can be controlled with medications, modification of diet, weight loss, exercise and drinking plenty of water. The application of ice or cooling lotions helps alleviate pain and swelling during an acute phase. In some cases, specially-made shoes are prescribed to relieve the pain associated with gout.
If you are experiencing the symptoms of gout, contact Southeast Podiatry for an appointment. We can do a thorough examination and prescribe the treatment, medications or, if needed, orthotics that will relieve the symptoms and allow you to function without pain.