Podiatrist Blog

Posts for tag: Gout

By Joseph Stuto, DPM
May 03, 2017
Category: foot pain
Tags: Gout  

In an earlier article, I talked about gout and what it is.  Sometimes gout can be recurrent.  In this case, doctors tend to prescribe certain medications to help prevent future gout attacks.  Do you have symptoms that are common to gout?  If you do, and have an examination with your podiatrist, he may then refer you to a specialist in the diagnosis and treatment of arthritis and other inflammatory joint conditions (a rheumatologist).

In this case, it is smart to get ready for your appointment and know what to expect from the doctor.  To prepare, you can:

  • Note important personal information- like any recent changes or major stressors in your life.
  • Write down your symptoms, including when they started and how often they occur.
  • Take a family member or friend along… if possible, this is a good idea, as sometimes it can be difficult to remember all the information provided to you during an appointment.  An extra set of ears is helpful to help remember the details!
  • Make a list of your key medical info- include any other conditions for which you’re being treated, and any meds you’re taking; as well as any vitamins or supplements.
  • Find out if gout runs in your family, and if anyone else tends to get gout in your immediate family.
  • Write down questions to ask your doctor.  Creating a list in advance, can help, as you are less likely to forget the things you wanted to ask, and this helps you make the most of your time with the doctor.  Examples of pertinent questions are: 
    • What tests do you recommend?
    • What are the possible causes of my symptoms or condition?
    • Are there any treatments or lifestyle changes that might help my symptoms now?
    • Do I need to see a different specialist?
    • What are the possible side effects of the drugs you’re prescribing?
    • How soon after beginning treatment can I expect my symptoms to start to improve?
    • Will I need to take medications long term?
    • Is it safe for me to drink alcohol?
    • Do you recommend any changes to my diet?
    • Do you recommend any websites I should check out for more info?

After your various visits with your podiatrist and rheumatologist, you will most likely receive a treatment plan, and have various tests.  Hopefully, you will be well on the road to relieving your gout symptoms and will get a plan in place to try to prevent further gout attacks!  If you need any further help, please call our office at either of our convenient Brooklyn locations.  Dr. Joseph Stuto is here to help!

 

 

 

By Joseph Stuto, DPM
April 27, 2017
Category: toe conditions
Tags: arthritis   Gout   uric acid  

Well, Easter weekend has come and gone.  Some of you have visited family, over indulging on the goodies the bunny delivered, while others may have stayed home.  Hopefully nobody’s diet change was enough to set off the painful big toe sensation referred to as Gout.   

Gout is actually very common, and is characterized by sudden, severe attacks of pain, redness and tenderness in joints, typically the joint at the base of the big toe. It can really put you out of commission!  Gout is a complex form of arthritis, which can affect anyone, but men are more likely to get it.  However, women do become more susceptible to it after they go through menopause.

An attack of gout can really come out of the blue.  It can occur suddenly, often waking you up in the middle of the night with the sensation that your big toe is on fire!!  OUCH!  The affected joint is hot, swollen and so tender that even the weight of a sheet may seem intolerable.  Not a fun way to be pulled out of happy dream land…

Luckily, gout is treatable, though.  There are also some ways to reduce the risk of gout recurring.  According to the Mayo Clinic, gout occurs when urate crystals accumulate in your joint, which happens when you have high levels of uric acid in your blood.  Your body produces uric acid when it breaks down purines- substances that are found naturally in your body, as well as in certain foods, such as steak, organ meats and seafood.  Other foods also promote higher levels of uric acid, such as alcoholic beverages, especially beer, and drinks sweetened with fruit sugar (fructose).

Some ways to avoid gout in the future is to reduce your consumption of these things afore-mentioned.  You should also try to maintain a healthy weight.  If you are overweight, your body produces more uric acid and your kidneys have a more difficult time eliminating it- which greatly increases your risk of gout.  Certain diseases and conditions also make it more likely that you’ll develop gout. 

They are: 

  • high blood pressure untreated
  • diabetes
  • metabolic syndrome
  • heart disease
  • kidney disease

If you experience sudden, intense pain in a joint, call your doctor!  Gout that goes untreated can lead to worsening pain and joint damage.  You should get to the doctor immediately if you have a fever and a joint is hot and inflamed, which can be a sign of infection.  Call Dr. Joseph Stuto if you’re experiencing this, or any other foot or ankle issue that needs attention.  Dr. Stuto has two convenient Brooklyn locations available for you to visit.