Where Does Gout Affect Your Feet – If you have gout, a type of inflammatory arthritis characterized by a buildup of uric acid in the joints (especially the big toe), you know how painful an attack can be. What you may not realize is that underlying damage can occur even when you are not in pain.
According to a new study published in Arthritis Care and Research, 44 percent of people with gout develop bone erosions.
- 1 Where Does Gout Affect Your Feet
- 2 Foot With Gout Anatomy Model
- 3 Symptoms And Causes Of Gout
Where Does Gout Affect Your Feet
Researchers in Shanghai performed ultrasounds on 980 patients with gout. Study participants were more likely to have evidence of bone loss if they were older (on average, age 55 vs. 47), had lived longer with the disease (nine years vs. five), and had more frequent episodes (nine vs. four in a year).
Can Uric Acid Cause Heel Pain? Signs Of Gout In The Heel
High blood pressure, high blood sugar, and kidney disease were also associated with an increased likelihood of bone erosion in patients with gout. People whose imaging tests showed clear evidence of tofu – deposits of uric acid crystals around the joints – were also more prone to bone wear.
According to the authors, this is the first study of its size to assess how common bone erosions are in patients with gout. Although the pain from a gout attack usually subsides within a few days, these findings suggest that more people need to lower their uric acid levels over the long term to reduce the number of future attacks. Medicines (such as allopurinol) may need to be taken. In terms of preventing or limiting bone loss.
The authors concluded: “These findings suggest that early diagnosis of gout, control of [uric acid] levels, and reduction of local deposition of uric acid crystals may be the most effective way to prevent bone erosion in patients with gout”.
If you have gout, don’t ignore it. Talk to your doctor and discuss your gout treatment options, including a variety of medications, as well as other diet and lifestyle changes.
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Gout is a type of inflammatory arthritis that occurs when levels of uric acid—a normal byproduct of metabolic reactions in your body—become too high. When uric acid levels become so high that your body cannot easily break it down and eliminate it (through urine), uric acid begins to crystallize. Uric acid crystals are deposited in the joints where they cause severe inflammation. The big toe is a well-known site of gout attacks, but gout can affect many different joints throughout the body.
Gout is one of the oldest recorded diseases, dating back to ancient Egypt. This incredibly painful arthritis affects millions of American adults today, just as it did in historical times, as Dr. Thomas Sydenham memorably described in the 17th century:
Foot With Gout Anatomy Model
“The sufferer goes to bed and sleeps in good health. About two o’clock in the morning he is awakened by a severe pain in the toe. More rarely in the heel, ankle, or foot… the pain which was previously moderate, becomes more severe … meanwhile the sensation of the affected part is so great and lively, that it cannot bear the weight of a person’s clothes or utensils. walking about the room.”
Fortunately, gout is one of the most treatable forms of arthritis today – some rheumatologists say it can be cured. But for many patients with gout, the disease remains untreated or untreated. In one recent study, for example, only 37 percent of people with gout were taking the uric acid-lowering drug allopurinol. Among patients with recurrent gout flares, only half were taking it.
Inappropriate treatment of gout can cause further progression of the disease. Over time, gout can start to affect more joints throughout the body and cause problems like gout and permanent bone damage.
Learn more about how gout develops, how gout goes through the different stages, and how to treat gout to prevent symptoms, lower uric acid levels, and prevent long-term gout complications.
Gout Tophi: Signs, Development, And Treatment
Also called asymptomatic hyperuricemia, in this early stage of gout, uric acid builds up in the blood and begins to form crystals around the joints, often in the feet.
Uric acid is formed when your body breaks down substances called purines, which are produced in your body and are also found in certain foods and drinks. Although eating foods high in purines can increase uric acid levels, many experts believe that the role of diet in the development of gout is overstated. Chronically high uric acid levels occur when your kidneys are unable to get rid of uric acid effectively, which can happen for a number of reasons, including:
“In this early stage of gout, the person has no joint pain, no red or swollen joints, just a blood test for uric acid,” says Theodore R. Fields, MD, FACP. New York. “This is when uric acid or uric acid crystals build up in the joints and can cause inflammation later,” says City.
But high uric acid alone is not enough to diagnose gout. “Most people with hyperuricemia never develop clinical gout,” says FACR, FACP, MD, a rheumatologist at Henry Ford Health System in Michigan.
Symptoms Of Foot Gout
“It occurs when a person has joint pain, redness, and swelling, usually in the big toe, foot, ankle, or knee, but gout can also start in other joints,” says Dr. Fields. says Dr. . “This happens when urate crystals are released into the synovial fluid and cause an inflammatory response, bringing in lots of white blood cells and releasing inflammatory chemicals that cause pain, redness and swelling.”
If you think you may be experiencing a gout attack, see your primary care doctor or rheumatologist to start treating the disease. It’s important to see a doctor during a gout flare because your doctor may want to drain fluid from the affected joint and examine it under a microscope to check for uric acid crystals. Identifying uric acid crystals in the joint fluid helps confirm the diagnosis of gout.
After the first flare of gout, 75 percent of people will have a second gout within a year. But some people can go years before another attack, Dr. Fields says. “The intermediate stage is where a person has already developed gout but has no joint pain or swelling,” he says. “Almost all patients with gout will go through this phase, because the nature of gout is to flare up and then go quiet for a while before the next flare-up.”
Although it may seem like nothing is happening, this is the point at which patients should begin long-term treatment. Lowering uric acid levels with medication can prevent future gout flare-ups and their accompanying long-term complications.
Symptoms And Causes Of Gout
This stage is also called “topophagic gout” because uric acid deposits can form nodules called “capsules”, often at the socket point on the big toe or elbow. But tophi can form anywhere on the body. “This is the stage where a person can have gout joint pain all the time,” says Dr. Fields. “It usually takes years of uncontrolled gout to get to this stage.”
At this stage, progressive joint damage occurs, so patients with gout must be treated promptly. “Delaying treatment can make gout worse,” says Dr. Misami.
As you become more aware of your gout symptoms, you may feel a gout attack coming on. “Increased pain, swelling, redness and heat in the affected joints during an attack are signs of the attack progressing,” says Dr. Misami.
In addition, the overall disease “may progress over time with frequent or more frequent gout attacks, greater joint involvement, and the presence of tophi,” says Dr. Misami.
What Is Gout?
If you have more than one gout flare-up a year, taking your gout medication regularly is very important, says Dr. Fields.
Without treatment, gout usually progresses. Also, certain factors can trigger gout flare-ups. “Anything that suddenly raises or lowers uric acid levels can cause gout,” says Dr. Fields.
This can include foods high in purines, which break down into uric acid, such as red meat and shellfish. Foods high in fructose can also increase the body’s production of uric acid. Alcohol reduces the excretion of uric acid in the urine, which can increase uric acid levels. Specifically, “not only does the alcohol in beer have an effect on uric acid in the urine, but it also contains proteins that break down into purines and then into urates.
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