Gout, also known as hyperuricemia, is a painful form of arthritis affecting mainly men over 50. According to the Arthritis Society, around 5.2% of Canadian men and 2.4% of women suffer from gout, especially in Western countries. The most frequent form appears in the big toe but can affect other joints. This arthritis is caused by excess uric acid in the blood, which forms crystals in joints when not properly eliminated. Causes include diabetes, kidney issues, overweight, genetics, poor nutrition, hypertension, and alcohol abuse.
Recognizing gout symptoms early is crucial. Here are 5 signs to watch for and consult a podiatrist:
1. Significant pain in the big toe
The big toe is often the first joint affected by gout, causing intense pain and difficulty walking with a burning sensation. Pain usually occurs at night and may include hypersensitivity of the foot, pain spreading to other joints like the ankle and knee, or even toe paralysis in extreme cases. Rest and professional consultation are recommended even if pain subsides.
2. Inflamed, swollen joint
Early gout symptoms include swelling, redness, or purplish discoloration of the foot that is painful to touch. Swelling may extend to the leg or other joints and is due to uric acid crystal accumulation causing local inflammation. Cold compresses, hydration, and prompt podiatrist consultation can help relieve symptoms.
3. Frequent fever
Recurring fevers can accompany joint inflammation caused by gout, sometimes with nausea, migraines, fatigue, sweating, and shivering sensations, which can be debilitating.
4. Itching and flaking
Gout may cause skin itching (pruritus) due to inflammation stretching the foot’s skin. This can lead to tingling, flaking, and in severe cases, skin cracking and bleeding. Applying antibiotic cream and bandaging is advised to prevent infections.
5. Deformity and lack of joint mobility
Excess uric acid crystals can lead to pronounced swelling affecting joint mobility and may cause permanent deformities if untreated, highlighting the importance of podiatric care.
PiedRéseau : your clinics to prevent and treat gout in the big toe
PiedRéseau unites about forty podiatric clinics across Quebec. These clinics offer effective solutions to manage gout in the big toe. Sometimes, medical intervention is necessary for optimal treatment. PiedRéseau clinics have the expertise and equipment to provide relief. Find the PiedRéseau clinic nearest you for professional podiatric care.