Gout

What is Gout?

  • There are a variety of risk factors that increase the likelihood of developing gout.

    • Obesity

    • Certain medicines example diuretics

    • Foods and drinks that are high in purines (a chemical compound that the body turns into uric acid) such as:

      • Alcohol

      • Sugary drinks

      • Sugary foods, like snacks with high fructose corn syrup.

      • Red meat and seafood/shellfish

    Other influencing factors: male sex, family history, comorbid conditions such as diabetes, hypertension, heart failure.

  • Symptoms may begin as a mild ache or stiffness in the back of the leg or above the heel after activity. Overtime this pain may increase and occur during/after running, jumping, stair climbing or sprinting.

  • Treatment

    • Oral medication, over the counter anti-inflammatory, prescription medications

    • “RICE” Rest, Ice, Compression, Elevation of affected joint

    • Reduction of activity levels.

    • Shoe gear changes/Orthotic/Supportive devices

    • Lifestyle modification/ change of diet

    • Steroid injection

Gout is one of the most common causes of chronic inflammatory arthritis in the United States. It is characterized by elevated uric acid levels that results in the deposit of monosodium urate (MSU) monohydrate crystals in the tissues, commonly affecting the great toe joint.

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