Tuesday, July 23, 2024

Can You Get Gout In Your Toes

Expert Tips For Exercising When You Have Gout

Why Do You Get Gout in Your Big Toe?

Having gout doesnt mean you cant be active or even run on a regular basis, the key is to increase your workout intensity gradually, Dr. Iversen recommends, adding that you should consult your physician and physical therapist before starting any exercise routine.

She suggests these five gout-friendly workout tips to start and keep moving with gout:

Choose The Right Footwear

Because gout often affects the big toe, midfoot, and ankle, choosing good footwear is important. Dr. Iversen says a physical therapist can help evaluate the best footwear for a patient with gout based on evidence that shows specialized footwear provides benefits for patients by changing the alignment of the leg and foot, influencing the activity of the muscles of the foot, and your gait pattern . These modifications are designed to decrease the pressure on your joints.

Treatment For Gout Flare

This video will go over the best gout natural remedy best gout natural treatment relief options shown by research in 2021!

This is all evidence-based gout treatment with gout diet tips to help you STOP gout attacks in the big toe joint and the foot. We will go over gout symptoms and some great gout home treatment and home remedy options for your gout attack.

We will go over uric acid, natural treatments. We dont focus on apple cider vinegar treatment as it is not really proven.

Also Check: What Are The Symptoms Of Gout In Your Big Toe

How Can A Gout Attack Be Prevented

Diet plays a key role diet in gout prevention: Since foods can directly set off gout attacks, patients with gout should receive counseling as to which foods are more likely to induce attacks. Losing weight is often also helpful. However, as important as diet is in gout, for most people with gout diet, and even weight loss, are not enough, and medications will be needed to get to their uric acid goal.

Treatments For Gout On The Foot

What Causes Gout In The Foot?  My FootDr

Pro Tip

Because the symptoms of gout and joint infection can be very similar, get medical attention if you experience severe joint pain, redness, swelling, and stiffness. Depending on your symptoms, your provider may draw fluid off of the affected joint to confirm the diagnosis and rule out an infection. Dr. Schwartz

If you suddenly feel pain, redness, swelling, and stiffness in a joint, see your doctor. A gout attack can look similar to an infection inside the joint. But that needs urgent treatment. So getting proper diagnosis is important.

The doctor may diagnose you based on your symptoms, but they may also use a needle to draw fluid from the joint. This is sent for analysis to confirm the diagnosis.

Then, gout is treated with a combination of medications and other procedures, depending on how severe it is.

The pain usually gets better in 4 to 12 hours. But the swelling and discomfort might stay around for a few days to a few weeks. If it still hurts after taking medication or getting injections, call your doctor.

Your doctor might also order lab work if you start a new medication to treat your gout. People who get frequent flare-ups might need X-rays to look at the damage in their joints.

Recommended Reading: Foods To Avoid Gout Attack

Can Gout Spread To Other Toes /joints

Gout is not contagious disease, so it cannot spread to others. It has nothing to do with viral or bacterial infection. It is a type of arthritis, but it can be more painful if compared to other types of arthritis. Many times, it often affects the big toe. The next question, can it spread to other toes or other joints of the body?

Causes of gout

It is triggered by having too much uric acid in the body. There are two major possibilities why the levels of uric acid in the bloodstream can increase higher than normal:

  • The body breaks down too much purine .
  • The body is poor in getting rid of excess uric acid.
  • The failure of the body in keeping the level of uric acid normal will increase the chance for this acid to move to the joints. Over time, the high accumulation of this acid can make needle-like crystals around the joints, causing inflammation and you will notice the symptoms of gout such as pain, heat, swelling, and redness.

    Though gout is commonly linked to high uric acid, but the exact cause of this arthritis is not fully understood yet. In fact, not all people whose uric acid levels in the blood are high develop gout.

    Gender can be a risk factor since it affects more men, though the amount of women with it increases significantly after menopause.

    The habit of too much drinking alcohol can have an effect, too. Alcohol contains high purines. See also the correlation between drinking alcohol and gouty arthritis!

    Exercising Helps Control Gout By Lowering Uric Acid Levels To Prevent Gout Attacks

    Researchers have found that fat in the body carries more uric acid than muscle. Thus, when you reduce body fat, you can reduce uric acid levels in your blood, Dr. Iversen notes. Building cardiovascular health through exercise is also very important for people with gout because they have a higher risk of developing high blood pressure, according to Harvard Health. Gout is also strongly associated with developing coronary artery disease.

    Also Check: Is Carrot Juice Good For Gout

    During A Foot Gout Flare

    If you are experiencing a gout flare-up and are unable to reach your doctor, there are a few things you can do to help reduce the symptoms:

    • At the first sign of symptoms, take ibuprofen or naproxen
    • Drink plenty of water
    • Rest and elevate your foot immediately
    • Place cold compresses on the affected area

    How Can An Attack Of Gout Be Treated

    How to Recognize Gout Symptoms | Foot Care

    The management of an acute attack of gout is very different from the prevention of subsequent attacks.

    Treatments used for prevention, such as allopurinol can actually make things worse if given during an attack, and so need to be held back until the attack has resolved for several weeks.

    There are a number of measures that can help resolve an attack of gout. See Table 2 for summary of treatment strategies for acute gout. One principle is that treatment for an attack of gout should be instituted quickly, since quick treatment can often be rewarded with a quick improvement.

    If an attack of gout is allowed to last more than a day or so before treatment is started, the response to treatment may be much slower.

    Table 2: Medications to treat acute attacks of gout

  • Nonsteroidal anti-inflammatory drugs or COX-2 inhibitorsExamples of : Naproxen 500mg twice daily, indomethacin 25mg three times daily. Example of COX-2 inhibitor: celecoxib 200mg twice a day. Possible side-effects: Elevation of blood pressure, ankle swelling, upset stomach, ulcer . Use with caution if kidney or liver problems.
  • Anti-Inflammatory corticosteroidsExamples of : Prednisone 40mg first day, 30mg 2nd day, 20mg third day, 10mg fourth day. Possible side-effects: Elevation of blood pressure, elevation of blood sugar, mood changes. Short-term use, as in gout, generally much better tolerated than long-term use. Use with caution if diabetic.
  • Read Also: How To Relieve Gout Pain In Shoulder

    Leading A Gout Free Life

    In order to avoid gout attacks, your gout physician may prescribe a medication to reduce the buildup of uric acid in your blood. In most cases patients take this medicine for their entire life, but there are things that you can do reduce the chances of needing a lifetime of medication. Pay special attention to what you eat. This can help you manage the buildup and uric acid and reduce the frequency and duration of your gout attacks. Eating appropriate amounts of a healthy variety of foods to keep your weight under control and to get the nutrition you need. Try to avoid frequent or daily meals consisting of meat, seafood, and alcohol. As always you should drink plenty of fluids, especially water.

    Gout In Shoulder: Can Gout Affect Your Shoulder

    For many people, the first symptom of gout is unbearable pain and swelling in the big toe which often occurs after a trauma, such as an illness or injury. Later attacks may occur in other joints, typically the feet, ankles, knees, hands, wrists, and elbows.

    Attack on shoulder is less common but can happen.

    Recommended Reading: Can Eating Red Meat Cause Gout

    The Connection Between Heel Pain And Gout

    While its fairly rare for gout pain to appear in the heel , it does happen!

    Gout that leads to foot pain develops when there are high levels of uric acid in the body. And high levels of uric acid are most likely to develop under the following conditions:

    • Diet: A diet that is heavily focused on red meat, sugar , and alcohol can increase levels of uric acid and gout.
    • Increase in body fat: As your body increases its stores of body fat, uric acid levels rise, and your kidneys may struggle to eliminate the excess.
    • Medications: Some medications, including hypertension, may increase uric acid in the body. Studies show that Thiazide diuretics are key culprits.
    • Untreated medical conditions: High blood pressure, metabolic syndrome, diabetes, and kidney disease can all contribute to higher than usual levels of uric acid in the body, and gout.
    • Genetics and gender: There is a genetic link to gout. If you have a family history of gout, you may be especially susceptible. Younger men are more likely to get gout than women however, postmenopausal women have an increased risk as well.

    What Are Future Possible Treatments Of Gout

    Gout : causes , symptoms , diagnosis &  physiotherapy treatment

    Fortunately, present medications are successful in the vast majority of gout patients. But some patients cannot tolerate our present arsenal of gout medications. For others, these agents are not sufficiently effective. Therefore, new treatments are continually being sought. Some of the more promising include anakinra, rilonacept, canakinumab, BCX4208 and arhalofenate.

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    Can I Do Anything At Home To Relieve Gout Pain

    Besides seeing your podiatrist, there are things you can do to ease the pain and swelling caused by gout. Raise and rest the affected limb, and use a splint to immobilize the joint. Also, do not exercise vigorously. Try keeping the joint cool by applying an ice pack wrapped in a towel. Remember, dont apply cold items directly onto the skin. Lastly, do not cover the joint.

    How Is Gout Treated

    When you have a gout attack, pain relief is your first goal. Its important to call your doctor even if the pain has stopped. The uric acid buildup that triggered your gout attack may still be irritating your joints and could eventually cause seriousdamage, like joint destruction and kidney damage.

    Your doctor may:

    • Give you a shot of corticosteroids to ease discomfort quickly
    • Prescribe a long-term medication that can prevent and even reverse uric acid buildup
    • Recommend lifestyle changes or alternative treatments

    Theres a lot you can do on your own to ease symptoms:

    • Rest the affected joint until the attack passes and for 24 hours after the attack.
    • Elevate painful joints.
    • Use ice to reduce swelling.
    • Relieve inflammation with NSAIDS . Avoid aspirin, which can worsen symptoms.
    • Limit alcohol, especially beer and hard liquor.
    • Cut back on meat and seafood, which can raise uric acid levels.
    • Follow a moderate exercise program.
    • Control your weight. Being overweight increases your risk for gout.

    Recommended Reading: Foods Not To Eat With Gout Arthritis

    Gout Joint Pain And Your Orthopaedist

    If you have sudden, intense pain in your toeor pain in any other jointmake an appointment with your orthopaedist. Your orthopaedic provider can diagnose the problem and work with you to provide both immediate pain relief and long-term solutions. If youre diagnosed with gout, your provider may recommend cortisone injections and/or medications along with lifestyle changes. At Countryside Orthopaedics, we work to keep every patient active and feeling good, so you can stick with the activities you love. If gout or another joint condition is slowing you down, lets get it diagnosed and take the first steps to get it under control.

    Difference Between Bursitis And Gout: Risk Factors And Complications

    How To Get Rid of Gout in Your Toes (Natural Remedies)

    Risk factors for gout include eating a diet high in uric acid-promoting purines, being overweight or obese, having an untreated medical condition like hypertension, taking certain medications, having a family history of gout, being male over the age of 40, and recovering from a recent surgery or trauma.

    Gout complications include reoccurring gout , advanced gout , and kidney stones, which can cause damage to the kidneys if they reoccur.

    Risk factors for bursitis include being of older age, working in certain occupations such as tile laying, painting, or playing a musical instrument. Having other medical conditions, such as rheumatoid arthritis, gout, and diabetes, increases the risk of bursitis as well.

    Bursitis itself is an inflammation of the bursa, so when your bursa is okay you wont experience or develop any bursitis-related symptoms. One main complication associated with bursitis is bunion. This is the swelling of the first joint on the big toe, and it gets pretty painful. If you develop bunions you should speak to your doctor about the possibility of surgical treatment.

    Read Also: Will Gout Go Away Without Medication

    How Do I Prevent Gout

    There are medications available to reduce the risk of future gout attacks. These medications are usually taken after the gout attack is over. Medications are used to:

    • Reduce uric acid production: A drug called Allupurinol can reduce the amount of acid the body produces. This lowers the chances of a gout attack reoccurring. Patients have experienced rashes or have had a low blood count after taking Allupurinol.
    • Remove uric acid more successfully: Probenecid is a medication that helps the kidneys eliminate uric acid more efficiently which in turn lowers the uric acid levels in the blood. This reduces the chance of another gout attack. Rashes, stomach pain and kidney stones have been experienced as side effects.

    Lastly, you can change your eating habits. Nutrition hasnt been proven to reduce the risk of gout, however, it makes sense not to eat too many foot items that are high in purines. Reduce your intake of fats, alcohol and foods that are more likely to increase the amount of uric acid in the body. Try to eat less meat, bacon, mussels, sardines and yeast. Cutting back on alcohol, especially beer can also be helpful.

    Are you afraid you may be suffering from gout? The podiatrist at NorthPointe Foot & Ankle Care can help. The staff has been serving the Berkley, Southfield, Royal Oak, Oak Park, and Ferndale areas for 30+ years. Schedule an appointment via our website, or by calling 545-0100.

    What Are The Treatments For Gout

    Most physicians recommend managing gout with lifestyle and diet changes. There are also medical interventions available for controlling and preventing gout pain. Treatment and prevention approaches include:

    • Topical creams, like Voltaren, often provide immediate pain relief during a gout attack.
    • Prescription medications, including the anti-inflammatory drug colchicine for pain. Providers may also recommend different drugs that regulate uric acid production for patients with recurring cases of gout.
    • Injections including cortisone to relieve pain and inflammation.
    • Dietary restrictions to reduce high-purine foods. Replace those foods with a diet high in whole grains, fruits, vegetables, nuts, and legumes. Your doctor may recommend switching from red meats to poultry and low-fat dairy foods for protein.
    • Hydration: drink plenty of fluids to help eliminate uric acid. Water, milk, and tart cherry juice are the best choices.
    • Immobilize and elevate the foot to reduce swelling and inflammation.

    Recommended Reading: What’s The Best Diet For Gout

    How You Can Manage And Prevent Foot Gout

    Regardless of whether you have ever suffered from gout, you should know that managing the condition is not as simple as taking medication during a flare-up. You should talk with your healthcare provider about your lifestyle, diet, and overall health.

    You may need to make changes in your lifestyle to prevent recurrence. You should always keep personal records of gout attacks to discuss with your doctor.

    Exercising, eating healthy, maintaining an average weight, and avoiding things that increase your uric acid levels are all essential to preventing and managing gout.

    How Are Gout Attacks Prevented

    Gout in Foot

    Maintaining adequate fluid intake helps prevent acute gout attacks and decreases the risk of kidney stone formation in people with gout. Alcohol is known to have diuretic effects that can contribute to dehydration and precipitate acute gout attacks. Alcohol can also affect uric acid metabolism and cause hyperuricemia. It causes gout by slowing down the excretion of uric acid from the kidneys as well as by causing dehydration, which precipitates the crystals in the joints.

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    Risk Factors For Gout

    Obesity, excessive weight gain, especially in youth, moderate to heavy alcohol intake, high blood pressure, diabetes, and abnormal kidney function are among the risk factors for developing gout. Certain drugs and diseases can also cause elevated levels of uric acid. Also, there is an increased prevalence of abnormally low thyroid hormone levels in patients with gout.

    Torn Cartilage Or Ligament

    Common types of injuries in this category include tears in the anterior cruciate ligament and the medial collateral ligament that often occur during sports, according to Midwest Orthopaedics at Rush. Symptoms of an ACL are a loud popping sound and immediate pain, followed by swelling and knee instability with difficulty walking. Symptoms of an MCL include pain when pressure is put on the ligament and with a complete tear greater pain, swelling and an inability to straighten the leg, Midwest Orthopaedics says.

    Recommended Reading: What Is Gout And Its Symptoms

    What Does Gout Look Like

    Too much uric acid in the blood causes gout. Uric acid is a byproduct of the breakdown of purines. Generally, purines are produced by the body, but we also get purines from diet. As purines are broken down, uric acid crystals are produced. These small uric acid crystals build up in joints. The big toe is affected but other joints such as the ankle, knee, and patella are also be affected.

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