Signs Of Gout In Your Feet

You Notice: A Straight Line Under Your Toenails

It could be: Skin cancer

A dark, vertical line underneath a toenail could be acral lentiginous melanoma, or hidden melanomaa form of the skin cancer that appears on obscure body parts. It will be a black line from the base of your nail to the end of the nail, says Pichney. It should be seen by a podiatrist or dermatologist. You want to make sure its not cancer, but it may be a fungus, which is usually yellow-brown and sporadic throughout the whole nail.

How To Get Fast Relief From Gout Attacks

Gout pain can be debilitating, and can prevent you from performing routine activitieseven walking or standing can hurt.

Thats because many attacks start at the base of the big toe.

Pain and inflammation in this region can make walking or standing for long periods of time excruciating.

There are a few home remedies that may provide quick relief for a gout flare-up.

But if your pain is severe, sudden, or worsening, contact a healthcare professional before attempting any remedies at home.

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What Are The Symptoms Of Gout In The Ankle

The main symptom of gout in the ankle is pain and discomfort in the surrounding area. Keep in mind that gout is often unpredictable, regardless of the joint its affecting. You might go weeks or even months without any symptoms, only to wake up with a burning pain in your ankle.

In some cases, gout starts out in one of your big toes before moving on to other areas, such as your ankle. Over time, these flare-ups may last longer than they previously did.

Other symptoms you might feel from gout in your ankle include:

• tenderness

You Notice: Ulcers That Dont Heal

It could be: Diabetes

Uncontrolled glucose levels can damage nerves and cause poor circulation, so blood doesnt reach all areas of the body, including the feet. When blood doesnt get to a wound caused by, say, irritating shoes, the skin doesnt heal properly. Many, many people with diabetes are diagnosed first because of foot problems, says Reid. Other signs of diabetes may include persistent tingling or numbness of the feet. Ask your doctor about getting your blood sugar levels tested.

If you experience some of these signs of diabetes, talk to your doctor about getting tested.

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The Four Stages Of Gout

Gout is best understood by seeing it as having four phases or stages :

Stage 1: High uric acid

Elevated uric acid without gout or kidney stone, this stage has no symptoms and is generally not treated.

Stage 2: Acute flares

This stage is marked by acute gout attacks causing pain and inflammation in one or more joints.

Stage 3: Intercritical periods

These are periods of time between acute attacks, during which a person feels normal but is at risk for recurrence of acute attacks.

Stage 4: Advanced gout

This is a stage of chronic gouty arthritis, in which there are lumps of uric acid, or tophi , frequent attacks of acute gout, and often a degree of pain even between attacks .

Figure 1: Stages of Gout

Figure 2: Illustration of Toe Joint with Gouty Tophus. normal toe joint Urate crystals, shown in white, at the “bunion joint,” represent a gouty tophus.)

Figure 3: Progression of Gout

Gout Frequently Flares In Your Knee But You May Not Always Know That Your Knee Pain Is Due To Gout Heres How To Tell Since Prompt Treatment Can Reduce Your Risk Of Complications

Knee pain can be a common symptom of several types of arthritis, as well as many other conditions or injuries. If your knee stiffness is accompanied by a burning pain and is warm to touch, you may have a gout flare in the knee.

Though gout is most often associated with the big toe, gout tends to flare in areas that already have arthritis, says Robert Keenan, MD, a rheumatologist with Articularis Healthcare in Summerville, South Carolina. Although gout can strike in many different joints, as a general rule, gout works its way up the body. If its not treated, it works its way up from the big toe, through the ankle, to the knee, and then to the lower spine and so on.

Gout can affect both knees, but typically is felt more strongly in one knee say, where you may have arthritis wear-and-tear to begin with.

Learn more about what causes gout in the knee, as well as ways to treat the pain and prevent it in the future.

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Diagnostics Of The Gout On The Legs

The diagnosis can be made on the basis of epidemiological diagnostic criteria. A chemical study can determine the deposits of urate and uric acid in the joints. Diagnosis of gout on the legs involves examining the patient and collecting an anamnesis about his condition. It is necessary to study the localization of swelling, assess the degree of pain syndrome and the duration of seizures. Then they learn tophi, their appearance and objective features.

X-ray examination allows confirming the presence of inflammatory processes in the joints. It is often used when examining the chronic form of the disease. There are certain criteria, the coincidence of which indicates the presence of the disease. The first of these is the detection of urates in the joint fluid. The second criterion is the formation of tofus. The third is an acute attack of arthritis, the fourth is a severe inflammation, the fifth is a monoarticular nature of arthritis. The sixth criterion is severe pain and swelling. Detection of several symptoms in humans, allows you to put a preliminary diagnosis.

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Signs And Symptoms Of Gout

Any joint can be affected by gout, but it usually affects joints towards the ends of the limbs, such as the toes, ankles, knees and fingers.

Signs and symptoms of gout include:

• severe pain in one or more joints
• the joint feeling hot and very tender
• swelling in and around the affected joint
• red, shiny skin over the affected joint

Symptoms develop rapidly over a few hours and typically last three to 10 days. After this time the pain should pass and the joint should return to normal.

Almost everyone with gout will experience further attacks at some point, usually within a year.

Read more about the complications of gout.

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Pain That Wakes You Up

More often than not, gout flare-ups happen in the middle of the night, interrupting a peaceful slumber with intense pain.

Its true, gout attacks are more common overnight, Dr. Seligman says. But exactly why is a bit of mystery.

One theory: It has been postulated that this relates to cooler body temperature at night, she says.

The foot is cooler because it is the farthest body part away from the heart.

At cooler temperatures, uric acid turns into crystals and could settle into a cool spot like the foot and ankle.

Other theories center on sleep disorders that cause less oxygen in the blood, such as sleep apnea.

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What Are The Causes And Triggers Of Gout In The Ankle

The buildup of uric acid in the body is known as hyperuricemia. Your body produces uric acid when it breaks down purines. These are compounds found in all your cells. You can also find purines in several types of food, especially red meat and some seafood, as well as alcohol and some sugar-sweetened drinks.

Usually, uric acid passes through your kidneys, which help to eliminate extra uric acid in your urine. But sometimes theres too much uric acid for your kidneys to handle. In other cases, the kidneys cant process a typical amount of uric acid due to an underlying condition.

As a result, more uric acid circulates throughout your body, ending up in your ankle as uric acid crystals.

4 percent of adults in the United States. It tends to be more common in men because women usually have lower levels of uric acid. But after menopause, women start to have higher uric acid levels. As a result, women tend to develop gout at an older age than men do.

Experts arent sure why some people produce more uric acid or have trouble processing it. But theres evidence that the condition is often genetic.

Other things that may increase your risk of developing gout include:

• consuming a lot of high-purine foods
• consuming foods and drinks, especially alcohol, that increase uric acid production
• being overweight

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Is It Gout Or Something Else

The pain and redness of gout can look like an infection or other conditions.

• Pseudogout is another form arthritis. The crystals formed in this condition are made of calcium pyrophospate, not uric acid. But like regular gout, the attack comes on all of a sudden. Joints become swollen, warm, painful, and stiff.
• Reactive arthritis is a reaction to infection that has similar signs.
• Psoriatic arthritis and infectious arthritis can look like gout, too.

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You Notice: Spooned Nails

It could be: Anemia or lupus

Do you have a depression in the toenail deep enough to hold a water droplet? Also known as koilonychias, spoon-shaped toenails or fingernails is most commonly associated with an iron deficiency, research shows, but it can also come from malnutrition, thyroid disorders, or injury. Spooned nails occasionally appear in infants, but normalize in the first few years of life. If you notice spooning, contact your physician, who will obtain a blood test to identify the exact cause.

When To See A Doctor

Gout occurs without warning. Anyone experiencing intense pain on the big toe, followed by warmth, tenderness, redness or discoloration, should immediately seek medical attention.

If a person does not receive treatment for gout, it can lead to joint damage over time, including bone erosions and arthritis.

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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.

What About Detoxifying Products

Many products on the market â including detoxifying foot soaks â claim to have health benefits. This may sound appealing if a weekend of unhealthy foods and alcohol leaves you feeling guilty. But research shows that these cleanses may not remove the damage caused by overconsumption.

Any products that claim to detox your body are not approved by the FDA. This means they havenât undergone testing or clinical trials to prove or disprove results.

The list of ingredients in these detox products may include Epsom salt or vinegar. Donât pay more for the same things you have at home. Remember that if it sounds too good to be true, it probably is. Foot soak solutions are most likely safe to use, but they wonât give you dramatic results.

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How To Relieve A Gout Attack On The Leg

During the manifestation of seizures, it is necessary to provide the body with a sufficient amount of liquid. Cope with the chronic course of the disease, will allow a special diet. First you need to practice increasing the fluid intake. It was proved that 5-8 glasses of water a day can improve the condition and reduce the unpleasant consequences of an attack. It is important to avoid strongly carbonated beverages. Effectively remove the attack of gout, both on the leg and upper limbs will allow products with low purine content.

You need to eat more fresh fruit. They contain almost no purines, but there are complex carbohydrates and nutrients that provide good health. Fruits, with the content of vitamin C will prevent attacks of gout. Pay attention to oranges and tangerines.

It has been proved that correct nutrition helps to relieve the attack of gout, and not the use of any compresses and other methods. The main task of a person is to reduce the amount of uric acid produced, and this can only be achieved by proper nutrition. Special recommendations in this regard should be given by an observant physician.

It is mandatory to exclude alcohol from the diet. This drink is characterized by an increased content of purines and is capable of worsening the situation. Moderate consumption of wine reduces the likelihood of developing gout.

Pain And Swelling Are Gouts Calling Cards

The most frequent signs of a gout attack are swelling, tenderness, redness, and a sharp pain in your big toe. These attacks are most common at night when you are sitting still and laying flat on your back. While gout usually manifests in the big toe, you may also experience gout attacks in your foot, ankle, or knees. The attacks can be short or long, anywhere from a few days to weeks and you may not have another attack may for months or years.

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What Else Should I Ask My Healthcare Provider About Gout

Consider asking your healthcare provider:

• What is causing the gout?
• Do I have any joint damage?
• What can I do to prevent future attacks?
• Can any gout medications help me?
• How long will I need to take gout medications?

A note from Cleveland Clinic

Gout is a painful form of arthritis. Extra uric acid in your body creates sharp crystals in the joints, leading to swelling and extreme tenderness. Gout usually starts in the big toe but can affect other joints. Gout is a treatable condition, and the uric acid level can be decreased by medication and lifestyle changes. Talk to your healthcare provider about medications that can reduce uric acid levels. They can also discuss changes you can make to your diet and lifestyle to prevent and reduce gout attacks.

Last reviewed by a Cleveland Clinic medical professional on 11/15/2020.

References

What Causes Gout Pain

Picture a collection of glass shards pressing outward like needles. This is what it can feel like during a gout flare, when a buildup of uric acid in the blood forms microscopic crystals that grow in and around a joint. As the build-up increases, the immune system responds to these crystals, causing inflammation that leads to visible swelling, redness, and debilitating pain.

In some cases, a gout flare can even lead to a fever and look like an infected joint, Dr. FitzGerald notes. The treating doctor may need to look for possible source of infection, often by removing fluid from the joint to send to the lab to look for crystals or bacteria.

Uric acid is a byproduct of the body breaking down proteins called purines from your own cells and from certain foods such as red meat and shellfish. Alcohol and drinks sweetened with high fructose corn syrup are also high in purines. Normally, uric acid dissolves in your blood and is filtered out through your kidneys, but when your body produces too much uric acid or your kidneys fail to filter it, either due to familial causes or kidney disease, then the uric acid builds up and creates the needle-like urate crystals that cause gout and can also form kidney stones, according to the Mayo Clinic.

Certain factors make some people more likely to develop gout, according to the U.S. Centers for Disease Control and Prevention. Gout risk factors include:

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