When Is Surgery Needed for Gout?

Gout is a form of arthritis that commonly affects the feet, particularly the big toe, and can often be controlled with medications and lifestyle changes. However, when gout progresses and causes significant joint damage or chronic pain, surgery may be necessary. Surgery for gout is typically considered when uric acid deposits, called tophi, form around the joints and lead to severe pain, deformities, or infections. The three main types of surgery are tophi removal, joint fusion, and joint replacement. Tophi removal involves cutting out the painful deposits while preserving healthy tissue. Joint fusion stabilizes the bones to relieve pain but may reduce mobility. Joint replacement, used in more advanced cases, involves putting in an artificial joint to improve function and reduce discomfort. A podiatrist can help determine the most appropriate gout treatment based on the severity of the condition. If you have chronic pain from gout, it is suggested that you schedule an appointment with a podiatrist wh can determine if surgery is needed.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Cary Golub, DPM from New York. 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 offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.