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What Causes Gout In Your Ankle

How Will Gout Affect Me

Gout of the Foot and Ankle

Attacks can vary from person to person. Some people only have an attack every few years, while others have attacks every few months.

Without medication attacks tend to happen more often and other joints can become affected.

Having high urate levels and gout for a long time can lead to other health problems, including:

  • narrowing of the arteries – which can lead to an increased risk of stroke or heart attacks or other heart problems
  • osteoarthritis, which occurs when the urate crystals and hard tophi cause joint damage.
  • an increased risk of developing kidney disease or worsening of the condition if you already have it
  • kidney stones
  • an increased risk of some cancers, especially prostate cancer
  • mental health problems, including depression
  • underactive thyroid
  • erectile dysfunction in men.

If you take medication to lower your urate levels, and have a healthy diet and lifestyle, most of the damage and complications caused by gout can be stopped.

Treatments for gout are incredibly successful. There are two main parts to treating gout, which are:

  • treating the acute attack
  • treatments to prevent future attacks.

Uric Acid Is The Cause

When there is an overabundance of uric acid in the blood it is called gout. Usually, having too much uric acid in the blood is not harmful. In fact many people with high levels in their blood never know about it. When uric acid levels in the blood become extremely high, the uric acid may start to form crystals. These crystals most commonly form in the joints, especially the joints in the big toe. Your odds of experiencing the pain of gout are higher if you are overweight, drink excessive amounts of alcohol, or have a diet that is comprised of meat and fish that are high in chemicals called purines.

How Long Does Gout In The Ankle Last

Gout flare-ups can last for several hours at a time, but you may feel pain in your ankle for days or weeks. Some people only have one flare-up in their life, while others have them several times a year.

Keep in mind that gout is a chronic condition, meaning it lasts for a long time and requires ongoing management. Dietary changes and medications can make a big difference, but youll also be at risk of having a flare-up.

Keep in mind that it can also take some time to find the right combination of diet changes and medication that works for you. Dont be discouraged if things dont seem to be improving right away.

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Other Conditions That Can Cause Pain In Your Heel

Bursae is a condition that makes your heel hurt. However, the use of ill-fitted shoes is the major cause of bursae. The disease may also affect your immune system and damage your joints synovial lining. In some cases, diseases like diabetes result in peripheral neuropathy, and thus, you will feel heel pain. Tarsal tunnel syndrome may also cause an ache in your heel.

Preventing Future Ankle Gout Symptoms

images of gout

After surviving an arduous bout of gout ankle, keeping the body in a state of greater health by keeping the body chemistry on the more alkaline side is wise. Minimizing the causes of gout can be done in several ways:

  • Strong breathing awareness and habits keep the blood healthy and oxygenated
  • Maintaining consistent hydration is essential for proper pH balance
  • A diet of alkalizing foods, and foods that support strong kidney and liver function is fundamental
  • Managing stress is important for minimizing the effects of acid-forming hormones in the inner terrain
  • Being aware of, and avoiding toxic environmental chemicals is a good way to retard the slow accumulation of low-level toxicity from seemingly mundane household products
  • Consistent exercise and sleep are the basics to health, and obvious and easy measures to employ for guarding against the risk of gout

Remember! When symptoms of gout in the ankle start to become apparent, it is critical to take fast action.

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Plantar Fasciitis Vs Gout In Heel

It is really confusing to diagnose the problem, as both the conditions cause heel pain. Plantar fasciitis is one of the most common disorders of the heel. But, gout may also affect your heel and result in swelling and pain.

What symptoms indicate that it is plantar fasciitis in your heel?

  • Heel pain becomes highly intense in the morning.
  • When you do low-impact workouts and stretching, it can trigger pain.
  • Dull and sharp pain with swelling and redness.
  • You are gaining weight.

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How Common Is Gout In The Knee

As a general rule of thumb, if left untreated, gout tends to work its way up the body, Dr. Keenan explains.

For example, he cites research that shows 50 percent of patients experience their first gout attack in the big toe. If gout worsens, 35 percent of secondary flares occur in the knee, 40 percent in the midfoot and ankle, 30 percent in elbows and wrists, and 15 percent in fingers.

Its not uncommon for a person to experience their first gout flare in their knee and, after an X-ray or ultrasound, show signs of gout in the foot, he adds.

Gout can afflict both knees, but typically is felt more strongly in one knee where arthritis from general wear is worse.

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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

How Is Gout In The Ankle Diagnosed

Fast Relief of Gout Pain with Seattle Podiatrist Larry Huppin

If you think you might have gout but havent been diagnosed, try to see a doctor while youre having symptoms. Gout is easier to diagnose when youre in the middle of a flare-up thats causing swelling, redness, and other visible symptoms.

During your appointment, your doctor will likely ask you several questions about your diet, any medications you take, and whether you have a family history of gout. This can help to rule out other potential causes of your symptoms, including an infection or rheumatoid arthritis.

Your doctor may also order a blood test to check your uric acid levels. But some people have high levels of uric acid and dont develop gout. Others have typical uric acid levels but still develop gout. As a result, theyll want to do some other tests as well.

An X-ray, MRI, or CT scan of your ankle can also help to eliminate other possible causes of joint inflammation. Depending on your exam, they may also order an ultrasound to check for the presence of crystals in your ankle.

Finally, they might do a joint fluid test. This involves taking a small sample of joint fluid from your ankle with a small needle and looking at it under a microscope for any uric acid crystals.

Based on the results of your exam and tests, they may refer you to an inflammatory arthritis specialist called a rheumatologist for treatment.

Theres no cure for gout, but a combination of medications and home treatments can help to manage ankle pain and reduce the number of flare-ups you have.

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Gout In The Ankle Symptoms & Treatment

The onset of pain in the ankle joint pain is usually at night when the body temperature is lower. Many times it is accompanied by fever and fatigue.

The attack usually lasts for 3 to 10 days when treated properly and in 50% of cases it recurs within a year. If ankle gout is ignored and not treated properly the number of urate crystals increases damaging the joint and soft tissues around it. Eventually, tophi nodules are formed and slowly kidney failure also takes place.

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.

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Medications For Acute Gout

  • Non-steroidal anti-inflammatory agents and COX-2 inhibitors are the mainstay of therapy of acute attacks of gout in patients who have no contra-indication to them. These medications include such agents as naproxen , ibuprofen , celecoxib , indomethacin and many others. These agents reliably decrease the inflammation and pain of gout. However, patients with ulcers, hypertension, coronary disease, and fluid retention must be careful with these agents, even for the short courses needed to resolve a gout attack. The doses of non-steroidal anti-inflammatory agents needed to resolve a gout attack are on the higher side, since full anti-inflammatory effect is needed. See examples of dosage in Table 2. Over-the-counter dosage levels, for example, ibuprofen at 200mg, two tabs three times a day, are often insufficient.
  • Corticosteroids, such as prednisone and methylprednisolone , are anti-inflammatory agents that are quite effective against gout attacks. Anti-inflammatory steroids are very different in action and side-effects as compared to male hormone steroids. Anti-inflammatory steroids have long-term risks, such as bone thinning and infection, but their risk for short-term therapy is relatively low. These agents can raise blood pressure and blood sugar, so can be a problem for those with uncontrolled hypertension or uncontrolled diabetes mellitus.
  • Gout In Ankle: Causes Symptoms Treatment And Prevention

    How to Recognize Gout Symptoms

    Written byEmily LunardoPublished onNovember 10, 2017

    Gout in the ankle or ankle gout is an inflammatory condition of the joint leading to swelling, pain, and redness of the ankle. Gout is a complex form of arthritis that can affect anyone, with over eight million Americans suffering from the condition today. Men are typically affected more, but postmenopausal women become increasingly susceptible in their later years.

    The most common joint affected by gout is the big toe, but joint pain may also be experienced in the knees, hands, ankles, and wrists. Having gout in the ankle can be very debilitating as it encumbers your ability to walk normally.

    This article will answer the question what causes gout in the ankle, giving you a better understanding of the intricacies of the condition to better treat it.

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    What Triggers Gout Flare

    Ankle gout can be extremely painful and can lead to complex conditions if not cared for at initial levels.

    Knowing about certain factors that trigger gout pain can be most helpful not only in avoiding the problem but also in curing and managing it effectively.

    Following are the most common risk factors which can trigger the problem:

    Diet:

    Surprising but true, your diet and food items are one of the major causes of triggering gout pain in your foot and ankle.

    Studies reveal that food items such as red meat, organ meat, seafood, and many types of fishes are the foods to avoid with gout as these are purine-rich and cause problems.

    Alcohol and beverages that are rich in sugar also increases the levels of uric acid in your body and therefore put you at higher risk of getting intense gout pain.

    Medical conditions and Medications:

    Health conditions such as high blood pressure, diabetes, heart, and kidney diseases if left untreated for long can affect your health adversely by causing many future problems like foot gout.

    It is therefore good to take necessary preventive measures and regular health check-ups after a certain age so that you can avoid all these conditions easily.

    Experts also suggest that you should limit yourself from taking certain medications like diuretics and aspirin which can put you at risk of getting higher gout pain in the ankle as it increases the level of uric acid.

    Family History, Age, and Gender:

    Besides the above, few other gout risk factors include:

    How Is Gout Treated

    Gout can be effectively treated and managed with medical treatment and self-management strategies. Your health care provider may recommend a medical treatment plan to

    • Manage the pain of a flare. Treatment for flares consists of nonsteroidal anti-inflammatory drugs like ibuprofen, steroids, and the anti-inflammatory drug colchicine.
    • Prevent future flares. Making changes to your diet and lifestyle, such as losing weight, limiting alcohol, eating less purine-rich food , may help prevent future attacks. Changing or stopping medications associated with hyperuricemia may also help.
    • Prevent tophi and kidney stones from forming as a result of chronic high levels of uric acid. Tophi are hard, uric acid deposits under the skin. For people with frequent acute flares or chronic gout, doctors may recommend preventive therapy to lower uric acid levels in the blood using drugs like allopurinol, febuxostat, and pegloticase.

    In addition to medical treatment, you can manage your gout with self-management strategies. Self-management is what you do day to day to manage your condition and stay healthy, like making healthy lifestyle choices. The self-management strategies described below are proven to reduce pain and disability, so you can pursue the activities important to you.

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    Symptoms And Signs Of Gout In Foot

    An attack of gout is often sudden. Symptoms:

    • It may present with excruciatingly painful swelling of joints in the big toe, it is known as Podagra. The joint may be stiff and appear red or purple, very swollen, and tender to even light touch. Other gout sites include the instep, wrist, ankle, fingers, and knee.
    • Skin may peel and itch as healing begins.
    • An attack often begins at night the acute phase lasts up to 12 hours. If untreated, the inflammation may last up to two weeks. In 10 percent of people, acute episodes present in more than one joint.
    • Kidney stones precede the onset of gout in 14 percent of patients.
    • Chronic gout may develop, and it may affect more than one joint, mimicking rheumatoid arthritis.
    • Tophi are soft tissue swellings caused by urate buildup in chronic gout. They may be found in the ear, fingers, toes, kneecap, and elbow.

    Some people have a single attack of gout, others are affected intermittently, often when they have overindulged or experienced dehydration.

    COMPLICATIONS OF GOUT IN FOOT

    Its rare for complications of gout to develop, but they do happen and can include severe degenerative arthritis, secondary infections, kidney stones and kidney damage, nerve or spinal cord impingement, and joint fractures.

    How Long Gout Pain Lasts

    Pain and Swelling in Your Feet? Could Be a Gout Attack

    Characteristically, gout pain comes on rapidly and the joint becomes red and swollen, with the swelling reaching a peak within the first 24 hours of the attack, Dr. FitzGerald explains.

    At first, gout usually affects just one joint, but can affect more than one joint, sometimes adjacent joints. Flares typically resolve on their own over the next seven to 14 days. Treating a gout flare with medications can help it resolve faster. Medications for gout flares typically include:

    • Non-steroidal anti-inflammatory drugs , such as ibuprofen or naproxen
    • Colchicine
    • Glucocorticoids

    A gout attack may occur only one or two times a year or even only a few times ever. However, gout can become chronic, leading to frequent attacks and flares that occur at least a few times a year or never completely resolve. Chronic gout can damage and deform joints and can sometimes be mistaken for other inflammatory diseases like rheumatoid arthritis.

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    What Are The Symptoms Of Gout

    An episode of gout is called a gout attack. Gout attacks are very painful and can happen quite suddenly, often overnight. During a gout attack, symptoms in the affected joint may include:

    • Intense pain.
    • Tenderness, even to light touch, such as from a bedsheet.
    • Warmth, or a feeling like the joint is on fire.
    • How long does a gout attack last?

    A gout attack can last a week or two. Between gout attacks, you may have no symptoms at all.

    Symptoms Of Gout In The Ankle

    Gout symptoms are on a whole other level compared to a sprained ankle, cellulitis , tendonitis, or other ankle issues.

    “The gout symptoms such as acute swelling/pain and erythema are typically much more severe,” says Dr. Seligman. “This is much different than chronic weakness or swelling.”

    Seeking medical attention sooner than later is always recommended to get the pain under control.

    Before we dive into the symptoms of ankle gout, know this: you shouldn’t use these symptoms to self-diagnosis ankle pain.

    Always see a doctor when you have one of the symptoms or a combination of the following symptoms.

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    Symptoms Of Gout In Heel

    • Swelling, redness, and tenderness- these conditions become highly pronounced. You will find them mostly in the part where your ankle coincides with the heel. You may also have symptoms in your big toe.
    • Gout symptoms turn up at midnight . At this time, the uric acid becomes cool and gets settled, as the activity of your body is low.
    • During the gout flare-up, you will feel hot to touch the heel. Moreover, the condition is painful, and you may not be able to wear socks.
    • In some cases, it is a less intense pain after the initial gout attack.
    • You cannot move comfortably due to the problem in your joints.

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