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Gout


Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee and certain dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.



Todd Goldberg

Podiatrist Dr. Todd Goldberg, DPM brings over 25 years of experience to Complete Family Foot Care Center, P.C. in Littlestown, PA, helping patients with common and painful foot and ankle problems. His care is especially relevant for patients dealing with heel pain, ankle sprains, bunions, diabetic foot care, ingrown toenails, fungal toenails, warts, painful calluses, and general foot or ankle pain. Dr. Goldberg established the practice in October 2000 and is listed as being on staff at Hanover Hospital and Gettysburg Hospital.

Serving Littlestown, Hanover, Gettysburg, and Nearby Communities
Conveniently located at 340 Lumber Street, Suite B, Littlestown, PA, Complete Family Foot Care Center is a practical choice for patients from Littlestown, Hanover, Gettysburg, McSherrystown, Bonneauville, New Oxford, and nearby Adams County communities looking for an experienced foot doctor close to home.

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