We often ignore foot pain and dismiss it as simply being on our
feet too much. But while foot pain can be due to over-usage, it can also
be a sign of a very serious condition. One such condition is gout.
What is gout?
Gout
is actually a form of arthritis. The pain that the individual feels is
caused by inflammation due to a buildup of uric acid. Under normal
conditions, uric acid is expelled from our body through urination. But
sometimes, the body develops a buildup of uric acid which cannot be
disposed of. When this occurs, the excess amount is deposited into the
bloodstream. From there it makes it is way into the joints.
Although
gout can also be located in the knee and ankle, it is most notably
found in the big toe. Once there, the acid forms into crystals. These
crystals aggravate the joint, creating pain.
What are the symptoms of gout?
Pain
in the affected joint typically starts out mild, but quickly escalates
in a throbbing sensation that can increase in intensity very suddenly.
The discomfort can also be described as a crushing sensation of the
joint. As the size and amount of the crystals increase, so will the
pain. In severe cases of gout, the pain can be utterly excruciating.
The
affected area can become red and have a warm feeling. The warmth can
sometimes even be accompanied by a fever. It will also become very
tender, even without being touched making it painful for a blanket or
even a sheet to touch it when sleeping.
Symptoms have a tendency
to go away on their own, only to return a day or two later. Frequency
and level of pain can also be associated with walking and wearing shoes.
If allowed to progress, gout can become chronic, resulting in damage
and loss of movement to the joint. Extended, severe cases of gout can be
accompanied by a formation of lumps under the skin, called tophi, that
can actually emit a chalky substance.
How is gout treated?
The
most common treatments for gout include taking medication to reduce the
inflammation. Even something as simple as ibuprofen can offer relief.
The key is to take the medicine as soon as symptoms begin to appear.
More severe cases might require something stronger such as painkillers.
Your doctor could also inject the area with a corticosteroid to bring
faster relief, usually within 12 hours or so.
Medication will also be necessary in order to bring uric acid levels down to a reasonable amount.
It
is also necessary for gout patients to adopt certain lifestyle changes.
Cutting back on the amount of food eaten in one sitting, avoiding
carbohydrates and limiting alcohol are all helpful. It is also
recommended that foods high in purine, such as organ meat, sardines,
mushrooms, legumes, asparagus and others are limited or avoided
altogether.
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