Gout is a general name for a variety of conditions that result from a build-up of uric acid crystals in the joints. This build-up usually affects your feet. Uric acid comes from the breakdown of purines in many of the foods we eat. An abnormality in the management of uric acid and the crystallisation of these compounds in the joints can cause painful arthritis attacks.
Gout in foot is a particular form of arthritis that causes recurrent attacks of severe pain in one or more joints. Gout attacks usually last a few days and then the symptoms disappear for several weeks. All joints can be affected, but most often the disease starts in the joint at the base of the big toe. The joint then becomes purplish red and swollen.
Gout in Foot Symptoms
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.[1]
Other joints that may be affected are the ankles, knees, wrists, fingers and elbows. 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.
Stages of Gout
Symptoms and treatment differ according to stage. There are four stages of gout:
- asymptomatic hyperuricaemia
- acute gout
- intermittent gout
- chronic gout
Asymptomatic hyperuricaemia
Hyperuricemia occurs when you have too much uric acid in your blood. If you have no other symptoms, this is asymptomatic hyperuricemia.
Acute gout
Acute gout occurs when hyperuricemia causes uric acid crystals to form in one of your joints. It causes severe pain and swelling. Your joint may also feel hot. Your symptoms will come on suddenly and will probably last for 3 to 10 days. You may experience several acute attacks of gout over a period of months or years.
Intermittent gout
Intermittent gout is the period between attacks of acute gout. You will have no symptoms at this stage.
Chronic gout
Chronic gout can occur if you leave it untreated. It can take 10 years or more to develop. During this stage, hard nodules (tophi) develop in your joints and in the skin and soft tissue around them. Tophi can also develop in other parts of your body, such as your ears. They can cause permanent damage to your joints.[2]
Gout in Foot Causes
Gout is a complex disease. It can be caused by a variety of factors. Certain conditions, such as blood and metabolic disorders, can cause your body to produce too much uric acid.[3] Excessive alcohol consumption can also lead to excess uric acid.
Certain foods can also promote gout when you eat too much of them. These include:
- seafood
- red meat
- offal
- sweetened juice
- salt
You can also get gout if your body does not excrete uric acid properly. If you are dehydrated or starving, it can be difficult for your body to excrete uric acid. It then builds up as deposits in your joints.[4]
Certain diseases and conditions, such as kidney or thyroid problems, can also affect your body’s ability to eliminate uric acid. Some medicines can also make it harder for your body to remove uric acid. These include diuretics and immunosuppressive fungal drugs.[5]
See here: Gout Causes.
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 Gouty Arthritis
Gout is considered when a patient reports a history of repeated attacks of painful arthritis, especially at the base of the toes or in the ankles and knees. 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.[5]
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.
Gout in Foot Treatment
The treatment plan prescribed by your podiatrist will depend on the stage and severity of your gout. Medications often prescribed :
- colchicine (oral medication) to reduce pain in your joint
- non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to reduce inflammation and pain in your joint
- corticosteroids, such as prednisone, to reduce inflammation and pain in your joint
- medicines to reduce the production of uric acid in your body, such as allopurinol
- medicines to help your body eliminate uric acid, such as probenecid
In addition to medication, your podiatrist may recommend lifestyle changes to help you manage your symptoms and reduce your risk of future gout attacks. For example, they may encourage you to :
- adjust your diet
- reduce your alcohol intake
- lose weight
- stop smoking
- Intra-articular cortisone injections can be given to reduce chronic gout symptoms.
Home remedies for Gout on Foot include RICE: Rest, Ice, Compression and Elevation, as well as natural home remedies and common medication.[6]
Curcumin and Boswellia for Gout
Gout in Foot Diet
The special gout diet aims to reduce the level of uric acid to alleviate attacks of joint pain. The diet is:
- Reduce consumption of purine-rich foods in favour of low-purine foods;
- Replenish vitamin C;
- Achieve and maintain a healthy weight;
- Avoid saturated fats and glucose-fructose syrup;
- Limiting alcohol consumption.
Indeed, to lower your uric acid levels in the event of gout, it is easy to choose foods low in purines and to include them in your diet. In fact, by adding a good supply of vitamin C, Omega-3 and protective foods, you are much more likely to keep gout attacks at bay and thus have a better quality of life.[7]
You should make sure to favour foods low in purines during meals. This will help prevent attacks and reduce the symptoms of gout.
There are certain foods that are best for gout. Some studies have shown that low-fat dairy products, fruits, vegetables, nuts and all Omega-3 rich foods can help reduce the risk of gout.[8]
It is also recommended that protein, carbohydrate and fat intake is spread throughout the day by eating 3 balanced meals and snacks if necessary.[9]
Gouty arthritis is really a painful condition that displays itself with joint swelling, because of excess the crystals in the bloodstream which crystallizes into one's joints, causing pain and producing free movement extremely difficult throughout a gout flare up. You possess gone to the physician's and you also have tried all sorts of medications but nothing appears to work properly against gout. Fortunately that gout could be easily cured by using natural remedies. The higher news is you could treat gout at house. The very best news is that it could begin to help nowadays. Modify your daily diet. Avoid purine and uric acid-producing foods such as for example all meats, seafood, and eggs; sugar, tea, espresso, white flour and its items; and all fried, canned, and processed food items. Instead, eat fruits, natural and starchy vegetables, wholegrains and fat-free or low-fat dairy food. Do not consume alcohol, but drink plenty of purified drinking water, as it really helps to flush out surplus uric acid. Get 3,000 milligrams of alfalfa everyday in capsules or tablets type to treat gout. Alfalfa is a great source of minerals along with other nutrients that assist neutralize and reduce the crystals levels in the blood. Use beneficial herbal treatments, such as for example bilberry, devil's claw, yucca, yarrow, skullcap, juniper, chamomile, turmeric, boswellia and burdock may also be healthier alternatives to lessen your likelihood of getting gout. Blend apple cider vinegar and honey, 2 spoonfuls each into an eight ounce cup of water and beverage at mealtime. It can benefit in relieving a few of the soreness you have. The very best ACV to utilize is organic, from the health foods store or specialized shop, as it is even more purified and works better. Apply cayenne (capsicum) powder, blended with enough wintergreen oil to produce a paste, to affected websites to alleviate pain and inflammation. Usually do not rub your eyes unintentionally when applying this mixture. Eat cherries or drink one glass of unsweetened cherry fruit juice daily to lessen your uric acid ranges and get gone the discomfort of the gout normally. Devil's claw is a natural remedy for gout. It also has pain-reducing properties. It is also known to aid in the elimination of uric acids from the body, which can help to reduce gout attacks and prevent them recurring. Turmeric is a common spice used in many cooking methods. It also inhibits the synthesis of prostaglandins, which are involved in pain. It functions in a similar way to aspirin or ibuprofen, but at a lower level. If the dose is high enough, turmeric can stimulate the adrenal glands to release natural cortisones. This will reduce inflammation and pain quickly. These substances can be used together. Quercetin, an anti-inflammatory substance, may inhibit xantine oxidease. This causes the body's production of less uric acid. It is found in supplements, onions and watermelon, elderberries, green leafy vegetables, pink grapefruit, watermelon, and supplements. It is also found in elderberry juice, green tea, black tea, and green tea. Bromelain is the active ingredient in pineapple and can be purchased as a dietary supplement. Yucca is a blood purifier that helps reduce the pain of gout or arthritis. It helps prevent gout by reducing the buildup of toxins. It can also help to reduce joint inflammation and inorganic mineral deposits. Gout treatment is not just about what you eat, but also how you live your life. Exercise is just as important to treating gout naturally as herbs and other treatments. Before you try any natural remedies, consult your doctor.Gout: What helps quickly?
Read More: Gout: What helps quickly?Gout Toe: Cool or Warm?
If used properly, heat can :
Applying heat relieves pain and stiffness by relaxing sore muscles and stimulating blood flow to the affected area. However, it has been suggested that heat may exacerbate symptoms when the joint is already inflamed.
Cold causes blood vessels to constrict and blocks nerve impulses in the joint, resulting in numbness in the painful area. Applying an ice pack or cold compress relieves inflammation and would therefore be the method of choice when the joint is inflamed.How long does a Gout Attack in Foot last?
How do I know if I have gout in my foot?
What are the symptoms of gout in foot?
How do you treat gout in your foot?
Will gout in foot go away by itself?
What is the main cause of gout in foot?
What is best pain relief for gout in foot?
How long does gout last on foot?
What is gouty arthritis?
How to combat gout at home?
What can helps agains gout symptoms?
What home remedy works against gout pain?
What to consume in your diet against gout?
Can devil's claw and turmeric combat gout pain?
Why to consume more bromelin and quercetin?
How to comabat gout symptoms?
Sources
Gout
Springer Science & Business Media. 2012
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...
Understanding Gout
Healthy Living Publications. 2014
Effective gout management is attainable! Gout is a chronic, painful, degenerative disease of the joints and one of the most common inflammatory arthritic conditions. But relief is at hand! Understanding Gout examines the causes, symptoms,and treatments of this debilitating disease and identifies who might be at risk. Here is the essential information about testing, diagnosis, and complications that can arise from untreated attacks. Along with a review of the medications used for managing...
Gout
Oxford University Press. 2016
Gout has become increasingly prevalent in recent years, and is now the most common form of inflammatory arthritis. There have been significant developments in our understanding of the basic biology of gout over the last decade, and major advances in therapeutics have provided successful treatments for acute attacks and long-term prevention, offering clinicians effective treatment options for their patients. Part of the Oxford Rheumatology Library series, Gout provides an up-to-date summary...
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- Kevin P. (2016), “A Meta-Analysis of the Analgesic Effects of Omega-3 Polyunsaturated Fatty Acid”, Supplementation for Inflammatory Joint Pain, [online] 10. doi:11.3488/sijp.2016.00541.
- Satista R., (2021), “Icariin Ameliorates Lower Back Pain in Rats via Suppressing the Secretion of Cytokine-Induced Neutrophil Chemoatractant-1.”, Relief Factor, [online] 156(50-55). doi:12.4514/rf.2011.w32054.
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5 Comments
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