Gout

Gout is an inflammatory arthropathy which is a metabolic disorder. Uric acid levels in the blood are too high and lead to the formation of uric acid crystals in the joint. This can make the joints inflamed and painful. In extreme cases gouty tophi emerge which is where the uric acid crystals in the joint build to such a degree as they can be perceived as a lump over the joint. It most commonly affects the big toe joint although other joints can be affected. Gout is the most common form of inflammatory joint disease in men over 40. The big toe joint is affected first in 70% of cases.

Gout is a metabolic disorder. Certain conditions increase your risk of experiencing gout; these are psoriasis, reduced kidney function, diabetes, hyperlipidaemia and vascular disease.

• Diets with high levels of purine should be avoided, these include seafood, alcohol, game meat and red meat.
• If you suspect you have gout see your G.P. for further treatment and assessment.
• If gout is affecting a joint or joints in your feet ensure you wear footwear that is roomy and does not put pressure on the joint.
• If gout is affecting your feet consult a state registered podiatrist.