July 2025

Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints, commonly affecting the big toe. It occurs when the body produces too much uric acid or fails to eliminate it efficiently. Risk factors include diet, obesity, genetics, and certain medical conditions. Symptoms usually begin suddenly with intense pain, swelling, redness, and warmth in the affected joint. The area may be extremely tender, making walking or wearing shoes difficult during flare-ups. A podiatrist can diagnose gout through a physical exam, patient history, and tests such as joint fluid analysis or blood tests to measure uric acid levels. Treatment involves managing pain and inflammation with medications, lifestyle changes, and sometimes dietary adjustments to prevent future attacks. If you have this painful condition, it is suggested that you schedule an appointment with a podiatrist for an evaluation and appropriate treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. 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 Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.