Gout is a common and complex form of arthritis that can affect anyone. Gout in big toe is characterised by a sudden and intense attacks of pain in the joints of the big toe. A gout attack can even wake you up in the middle of the night, although it can also occur first thing in the morning. It usually affects one joint at a time, mainly the big toe joint.
Podagra, or gout in big toe, is a form of gout that affects the joints of the foot or toes and results in acute, painful inflammatory episodes or attacks. The inflammation is caused by excess uric acid forming small crystals in and around the joints.[1]
How is the pain of Podagra?
Acute attacks of gout are characterised by the rapid onset of pain in the affected joint, followed by heat, swelling, reddish discolouration and marked tenderness. Some people even report feeling as if the affected area is on fire. The small joint at the base of the big toe is the most common area for an attack. Other joints that may be affected are the ankles, knees, wrists, fingers and elbows. It rarely affects the shoulders, hips and spine. If you have gout in one joint, it does not mean that it will spread to the other joints.[2]
In some people, the acute pain is so severe that the slightest touch of the bed sheet to the toe causes acute pain. These painful attacks usually subside within hours or days, with or without medication. In rare cases, an attack can last for weeks. Most people with gout will have repeated attacks over the years.[3]
Risk factors
Obesity, excessive weight gain, especially in young people, moderate to heavy alcohol consumption, high blood pressure and abnormal kidney function are among the risk factors for developing gout. Certain medications and diseases can also cause high levels of uric acid. In addition, there is an increased prevalence of abnormally low levels of thyroid hormones (hypothyroidism) in patients with gout.
Diagnosis of Podagra
Podagra is considered when a patient reports a history of repeated attacks of painful arthritis at the big toe. The most reliable test for gout is the detection of uric acid crystals in joint fluid obtained by joint aspiration. This procedure is performed under topical local anaesthetic. Using a sterile technique, fluid is withdrawn (aspirated) from the inflamed joint using a syringe and needle.
However, a full blood work-up, X-rays and an overall assessment of the patient’s health is the first line of assessment for gout.
Symptoms of gout in Big Toe include
Pain: Tiny, sharp crystals build up under the skin and around the joint, causing pain that can be severe. The most intense pain usually occurs in the first 12 to 24 hours of the attack.[4]
Swelling: Sometimes the joint becomes swollen, i.e. larger. The appearance of a gout attack in the joint may resemble swelling caused by a blow.
Redness: The joint may appear red.
Warmth: You may feel that the joint is warm, as if it is giving off heat. It may feel warm to the touch. When describing gout pain, some people say that the joint feels like it is on fire.
Stiffness: In more severe cases of gout, the joint may become stiff. This stiffness may appear over time after several gout attacks, especially in cases of chronic gout.
More info here: Gout Symtoms.
After the inflammation from a gout attack has gone away, it is recommended to follow a long-term treatment to reduce the level of uric acid in your blood and the frequency and severity of future attacks.[5] These medications should not start until several days or weeks after a gout attack has ended. Long-term treatment depends on uric acid levels and the likelihood of recurrent gout attacks.[6]
Treatment of Gout
Gout treatment consists of managing the gout attack and preventing recurrences and possible complications. It is taken for life; regular medical follow-up is necessary.
The aim of gout treatment is to treat the gout attack and to eliminate the pain.
It also allows, thanks to a basic treatment, to prevent :
- the recurrence of gouty attacks;
- the formation of tophi ;
- joint complications;
- the appearance of kidney stones.
Background treatment is effective if the uricemia falls below a threshold value in order to obtain the dissolution of urates (salts of uric acid).
Gout is a chronic disease that requires lifelong treatment and multidisciplinary management, involving the treating physician, a rheumatologist, a cardiologist, a nephrologist, etc. This is to control the gout but also the associated cardiovascular risk.
The first step in treatment is to rest the joint affected by gout (resting the foot if a toe joint is affected, for example). A device, such as an orthosis, can be proposed to relieve the joint (for example, the wrist).
In order to reduce the inflammation, it is recommended to cool the joint with ice. The ice should not be placed directly on the skin to avoid the “burning” sensation caused by the cold. It is preferable to put it in a clean cloth before putting it on the inflamed joint (often the big toe). The operation can be repeated at home, every 4 hours; this shortens the duration of the gouty attack.
Here Natural Remedies: Curcumin and Boswellia.
If your body's level of the crystals (a waste product of the fat burning capacity) rises unchecked, there should come a point once the blood is saturated. Normally, the kidneys' filter system expels the the crystals through a complicated procedure for excretion, reabsorption and re-excretion. But sometimes the kidneys neglect to do this, because of kidney problems, diabetes or various infections. The kidneys can be affected if folks are very badly dehydrated for quite a while or fast for most days. The uric acid crystals usually get deposited in the delicate synovial membrane of the single joints of the legs and feet - 50 % of problems occur in the big toe - or even more rarely in the hands. Crystals may also form on the gut lining since it tries to expel a number of the excess the crystals. This deposit of hard the crystals crystals in the membrane of the joint causes acute inflammation. Moreover, the gravel-like deposits tear the membrane and expose the nerve endings. Banaba. The results in tend to be boiled in order to have the extract of the plant and, the boiled drinking water with the extract will be drunked by the individual with illness. The leaves may also be sometimes positioned on top as a cover up to the wound to ensure that quicker wound healing. Banaba tea might help in fat loss even without dietary limitations. Banaba tea might help detoxify the body and secure the liver. Banaba tea creates a positive effect of reducing trigyceride and LDL cholesterol, which help in weight loss. It can help in the therapy of urinary system infections. Turmeric (Luyang Dilaw). That is also a powerful and incredibly effective herb that cleanses the body, flushing out poor cholesterol where it decreases our cholesterol rate, and an excellent detoxifier which would subsequently flush out too much the crystals in our body. Frequently for Gout prevention, Turmeric works more effectively being used as a tea.What is the fastest way to get rid of gout?
How do you treat gout in the big toe?
Read more: How do you treat gout in the big toe?How do I know if I have gout in my big toe?
How long does gout attack in the big toe last?
What are the symptoms of gout in big toe?
What to know about gout uric acid crystals?
How is your kidney health and gout linked?
Can banaba be used to combat gout?
Can turmeric stop gout symptoms?
Sources
How to Reduce Uric Acid Naturally
Healthcare Tips Pro.![](https://www.eohima.org/wp-content/plugins/content-egg/application/modules/GoogleBooks/templates/res/gbs_preview.gif)
Nowadays, those people, who are health conscious and go for a regular health check-up, are acquainted with the word “uric acid”. But many of them do not know what it actually is and what kinds of problems? Did you know that high uric acid levels in blood cause excruciating gout which can eventually produce damaged joints and kidneys? Uric acid in our blood is in the form of monosodium urate, which, if increases, gets deposited in the joints and kidneys and causes diseases. Apart from the...
Beating Gout
Ayerware Publishing. 2022![](https://www.eohima.org/wp-content/plugins/content-egg/application/modules/GoogleBooks/templates/res/gbs_preview.gif)
The most comprehensive and up-to-date book on managing gout written for the gout sufferer. Covers all aspects of the disease from its progression, diagnosis, and treatment, to the latest research on diet and lifestyle choices that affect gout. No other source has more practical, scientifically backed information that gout sufferers can start using immediately to reduce or stop attacks while living a healthier, pain free life.
What is Gout?
Booktango. 2013![](https://www.eohima.org/wp-content/plugins/content-egg/application/modules/GoogleBooks/templates/res/gbs_preview.gif)
Gout is a medical condition characterized by a swollen, red, painful joint that has a limited range of motion. Swollen joints happen because of an accumulation of uric acid in the bloodstream, which then crystallizes in the joints. People who are affected by gout often have a fever and a general feeling of malaise associate with the disease. While gout is exceedingly painful, with proper treatment there is no reason why people with gout cannot be expected to make a full recovery. Without...
Gout
Springer Science & Business Media. 2012![](https://www.eohima.org/wp-content/plugins/content-egg/application/modules/GoogleBooks/templates/res/gbs_preview.gif)
Gout: Basic Science and Clinical Practice is a thoroughly researched comprehensive text which covers all important aspects of gout, including its genetics, pathophysiology, diagnosis, and management. Gout is probably the most common rheumatic disease after osteoarthritis and is becoming more common with the prevalence of the metabolic syndrome in the US, and in many other countries. Only about 10% of patients with gout are treated by rheumatologists and this often leads to inadequate...
- Roddy E. (2011) – Revisiting the pathogenesis of podagra: why does gout target the foot?, J Foot Ankle Res. 2011; 4: 13., doi: 10.1186/1757-1146-4-13 | Publisher Site
- Solliman G. (2001) – A Balanced Approach of Gout Chronic Pain. Pain Management Medications. [online] 19(2). doi:8.14253/embr.191957762.
- Zanbom D. (1999) – Arthritis – National Center for Complementary and Integrative Health, Scientific Reports, [online] 8(3). doi:9.1237/s31596-019-76672-x.
- Lowfing V., Tangtang F., Zunmafr J., Kasten H. (2018) – Gout and Rheumatoid Arthritis: A Brief Overview of the Treatment, Journal of Integrative Medicine, [online] Volume 3, pp.142–163. doi:12.1145/jim.s1725.
- Bultock K. (2016) – What killer for inflammatory rheumatoid arthritis synovial fibroblasts, Therapeutics and Clinical Risk Management, [online] 12(4). doi:12.134/s31516-012-02897-2.
- Amsari D., Rais R. & Suttan Q. (2001) – Effect of natural supplementation on joint pain and recovery: a randomized controlled trial, Medical Principles and Practice, , [online] 2(1), p.131. doi:9.4203/0973-9475.101148.
5 Comments
Dany
Thanks to this information I understood what was wrong with me, I really have the symptoms of gout in my big toe. It is just as described in the info, it is such a strong burning that it does not let me sleep several nights. I did not know what was the cause of my problem, now I know that nutrition is vital to alleviate these intense pains. Excellent information, thanks for sharing it with everyone!
Frederik
This article is easy to understand and it was exactly what I need it. Gout is very common in my family and I wanted to leran how to prevent it and treat it.
Willhelm
I am a 65 year old retired mechanic and this is my second time ordering Fyron G1+G2 because it relieves my joints from pain in my feet.
Rae W.
My doctor told me to try turmeric and boswellia for the paralyzing pain caused by gout on my big toe. I had difficulty walking even a few steps, there are days when it is impossible for me to walk, it is torture. First I tried “some kind” of turmeric… took the whole bottle and NOTHING. Then I found these drops of Fyron G1+G2 and I read that it said “inflammatory response” as it contains turmeric and boswellia. Thinking it would not be different from the first bottle, I could not believe that in 2-3 days my pain was gone completely! I don’t mean it was “a little better”…he’d gone and been ever since.
Anne Marie
I’m taking 2 times a day Fyron G1+G2 – it’s a friend’s advice. For arteries on my big toe. It took about six weeks to get the effect I expected. What a difference. Before taking I could not even walk without help from others but now there is no problem – brilliant. You need to give the drops time to work, but they do!