Chronic tophaceous gout is an advanced form of gout that develops when uric acid builds up in the body. The result is hard deposits, called tophi, that form around joints and soft tissues. Uric acid is a natural waste product, but high levels can lead to crystal formation that triggers inflammation, causing swelling, warmth, and severe pain. Over time, these deposits may grow and cause joint damage, stiffness, and reduced movement. They can also press on nearby nerves and affect walking. A podiatrist can diagnose chronic tophaceous gout through imaging or fluid testing, which identifies uric acid crystals. Treatment options include medication to lower uric acid levels and reduce inflammation, as well as care to protect the joints and prevent further damage. In severe cases, surgery may be needed to remove large tophi. If you are experiencing severe pain from gout, it is suggested that you make an appointment with a podiatrist for treatment.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Paul Hutchison, DPM from Hutchison Foot Clinic. 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 office located in Memphis, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.
