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What are the symptoms of Gout in Big Toe?

Want to know what are the symptoms of Gout in Foot? Read here!

Gout is a disease that causes sudden periods of severe pain, tenderness, redness, high temperature and swelling in some joints. It usually affects one joint at a time, mainly the big toe joint. It can also affect other joints such as the knee, heel, foot, hand, wrist and elbow. 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.

On many occasions the joint at the base of the big toe is where the attack of gout usually originates, as we have seen, giving the sensation that it is on fire as the affected joint is hot (as if it were on fire), swollen and so sensitive that even the weight of the sheets or blanket cannot be supported. But what are the symptoms?

Typical symptoms involve severe pain in the joints of the foot and toes, along with redness, swelling, difficulty moving the joints and sometimes tophi (deposits of uric acid crystals in the form of firm, yellowish nodules). Symptoms usually appear suddenly and gout attacks are often recurrent.

It occurs as sudden episodes (attacks) of severe pain and swelling of a joint and is one of the causes of acute arthritis. The acute episode, without treatment, lasts for several days.

These episodes tend to recur and can affect any joint in successive attacks. The joint most frequently affected is the first metatarsophalangeal joint of the foot, but it can also occur in other joints of the feet, the ankles and, more rarely, the knees or wrists.

Occasionally, synovial bursae or tendons may become inflamed, leading to bursitis or tenosynovitis, respectively. If the disease is allowed to progress, the attacks may not resolve completely, affecting several joints at the same time and severely limiting the patient’s quality of life.

Sometimes, in advanced stages, palpable accumulations appear in the form of hard nodules, called tophi. Sometimes, uric acid crystals are deposited in the kidneys, leading to episodes of nephritic colic.

The symptoms of gout can be intermittent, although there are ways to control them and also to prevent exacerbations. As we said, it most commonly occurs at night and some of the main symptoms are:

  • Severe joint pain in big toe.
  • Persistent discomfort: After the internal pain goes away, some joint discomfort may still remain. This may last for a few days or weeks, and subsequent attacks are also likely to last much longer and affect other joints.
  • Redness and swelling. The joints also become swollen, tender, warm and red.
  • Functional disability and limited range of motion. As the gout or gout attack progresses, it is very likely that the individual will not be able to move the joints normally.
  • Nephritic colic.

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