Gout is a form of inflammatory arthritis that develops when uric acid builds up in the blood and forms sharp crystals in a joint. These crystals can trigger sudden inflammation, making gout extremely painful. Gout commonly affects the big toe because the joint is relatively cool and receives repeated pressure from walking. Lower temperatures can encourage crystal formation. Recognizing gout symptoms can help you seek care before pain becomes difficult to manage.

A gout attack often begins suddenly, sometimes during the night. The big toe may become intensely painful, swollen, and extremely tender. Even light contact from bedding or a shoe can feel uncomfortable. Some people notice shiny skin around the affected joint. Without treatment, an attack may last for days. Repeated flares can damage the joint and contribute to the formation of tophi, which are firm deposits of uric acid crystals beneath the skin.

Several factors can increase gout risk. High uric acid levels are the main cause, but kidney problems can make it harder for the body to remove uric acid. Family history can also play a role. Certain medications, dehydration, and a diet high in purine-rich foods may increase risk. Obesity and some metabolic conditions can further contribute. A podiatrist can review your symptoms and examine the foot. Testing may also help confirm the diagnosis.

Treatment depends on the severity and frequency of attacks. A podiatrist may recommend rest, supportive footwear, and measures that reduce pressure on the painful joint. Medication may help control inflammation and pain during an acute flare. Long-term care may focus on lowering uric acid levels and preventing future attacks with guidance from your healthcare provider. If you have intense pain in your big toe, or other symptoms of gout, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Franklin Harry, DPM from Best Foot Forward. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bone spurs are areas of extra bone that can form near a joint. In the foot, they often develop around the big-toe joint, heel, or ankle. A bone spur does not always cause symptoms. However, it can press against nearby tissue, restrict movement, and make wearing shoes uncomfortable. Pain, stiffness, or a hard bump can interfere with walking. Arthritis, injury, and repeated stress can contribute to their formation. A podiatrist can examine the foot and use X-rays to confirm the spur's location and size.

Bone spur surgery is usually considered when pain continues despite treatment or when joint movement is severely limited. The procedure depends on the spur's location and the condition of the joint. For a spur on the big-toe joint, the podiatrist may remove the extra bone through an incision. The podiatrist may also remove damaged tissue around the joint. In advanced cases, another procedure may be necessary to stabilize or realign the joint. Before recommending surgery, the podiatrist reviews circulation, nerve function, and overall health. These factors help determine whether the foot is likely to heal properly.

Recovery varies with the procedure. After bone spur removal, care includes resting the foot, using a special shoe, and keeping the incision clean. The podiatrist provides instructions about weight-bearing and a safe return to regular shoes. Follow-up visits allow the podiatrist to check healing, remove stitches, and monitor joint movement. Possible problems include infection, delayed healing, and continued pain. Stiffness or another spur can develop later. Patients should report redness, drainage, or severe pain. Follow-up care can protect the incision and help the foot regain movement. The goal of surgery is to reduce pain and improve function, although results depend on the amount of joint damage. If you have symptoms of a bone spur on the big toe, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Franklin Harry, DPM of Best Foot Forward. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.