Dr. Kevin Lam* Dr. Wesley Drew Chapman * Dr. Isin Mustafa
Dr. Patrick Bartholomew * Dr. Lauren Pelucacci * Dr. Sahiba Singh
Dr. Jake Powers * Dr. Joseph Altepeter* Dr. Lori DeBlasi
Gout is characterized by sudden attacks of pain, swelling, and redness in one or more joints, more commonly the big toe. The symptoms of gout may come and go. The painful attack usually starts at night, often in the big toe. Other joints may also be affected.
It is important to get treatment as soon as you can in order to stop the joint swelling and pain. See a physician if you have sudden severe joint pain or hot, swollen, red skin over the affected joint.
Chronic gout can cause white lumps (tophi) under the skin, usually on the ears or elbows. This painful buildup of urate crystals under the skin can be very painful. Over time, the bone around a joint may be destroyed, leading to joint deformity, loss of mobility or range of motion, and bone loss. You may also develop kidney stones or chronic kidney disease.
Treatment of gout flares is usually short-term and limited. NSAIDs work to reduce swelling in the joint. Oral medications may be prescribed for gout flares such as colchicine but care must be taken for people with kidney problems. Steroid medications or glucocorticoids are also used for gout flares. Your physician will then work to taper your dose. Medications that lower urate levels may also be prescribed such as allopurinol, probenecid, losartan, and the like. Dietary and lifestyle changes may also be recommended.
These medications along with lifestyle changes may lower urate levels over time. However, these medications may cause side effects such as stomach upsets, headaches, dizziness, rashes, heart and kidney problems, and increased blood pressure.
The more uric acid builds up, the more risk of permanent
damage to your bones and joints. If you have chronic gout, see us at any of our
offices across SWFL for an evaluation.
CHD, coronary heart disease; PAD, peripheral arterial disease; PVD, peripheral vascular disease; sUA, serum uric acid
Negative effects of gout on the heart, kidneys, joints
Some people may experience recurrent gout. If left untreated, there can be deposits of urate crystals under the skin nodules called tophi, commonly found in the fingers, hands, feet, Achilles tendon, and the backs of the ankles. Urate crystals may also collect in the urinary tract of people with gout, eventually causing kidney stones.
People with gout have also been found to have higher risk of cardiovascular disease. Hyperuricemia is associated with endothelial dysfunction, which may contribute to risk of heart disease.
FFLC Gout Institute
We welcome you as a patient to our podiatry practice in Florida. We currently have 8 locations across Lee, Collier, and Charlotte counties, We are grateful that you have chosen us as your complete foot and lower leg care center.
how is gout treated?
Gout can be effectively treated and managed with medical treatment and self-management strategies.
- Manage the pain of a flare
- Prevent future flares.
- Prevent tophi and kidney stones from forming
In addition to medical treatment, you can manage your gout with self-management strategies. Self-management is what you do day to day to manage your condition and stay healthy, like making healthy lifestyle choices. The self-management strategies described below are proven to reduce pain and disability, so you can pursue the activities important to you.
- Eat a healthy diet.
- Avoid foods high in purines such as red meat, organ meat, and seafood
- limit alcohol intake, particularly beer
- Exercise regularly, engaging in low-impact activities such as cycling, walking, swimming
- Maintain ideal weight
- Consult your doctor and follow the recommended treatment plan
- Protect your joints from injuries that can worsen your condition
We have several locations from Collier, Lee, & Charlotte Counties to serve your foot and ankle needs:
Call Today: 239 430 3668 (FOOT)
Self Service # 844-889-1725
Fax: 239 692 9436