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Understanding Chronic Tophaceous Gout

Tophaceous gout is a severe form of arthritis that develops in people with chronic, untreated gout. Growths, known as tophi,  develop when uric acid crystals form masses around affected joints and soft tissues. These growths are often visible under the skin and can cause pain, swelling, and deformity in the feet, particularly around the toes and ankles. Over time, tophi can damage joints, reduce mobility, and even lead to disability. Tophaceous gout is caused by high levels of uric acid in the blood, which forms sharp crystals that trigger inflammation. Risk factors include a family history of gout, excessive alcohol consumption, obesity, and medical conditions like diabetes or high blood pressure. While medications to lower uric acid levels are effective in managing the condition, surgery may be required for large, painful tophi. If you have symptoms of tophaceous gout, it is suggested that you schedule an appointment with a podiatrist for ongoing management and treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kellvan Cheng, DPM from Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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