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Foot & Ankle Arthritis & Joint Care

Gout & Pseudogout

Causes, symptoms, and treatment for gout and pseudogout, with care at 15 clinics across Middle Tennessee.

Part of Foot & Ankle Arthritis & Joint Care

Understanding gout and pseudogout and your options.

Gout and pseudogout happen when tiny crystals build up in a joint and cause sudden swelling and pain. Gout is linked to uric acid crystals and often hits the big toe. Pseudogout involves a different crystal and often affects the ankle or midfoot.

An attack can come on fast, often overnight. Prompt care eases pain and helps prevent repeat attacks and joint damage.

Gout & Pseudogout care

Symptoms

Signs of gout and pseudogout.

If you notice these signs, an exam can give you clear answers.

  • 01

    Sudden severe pain in one joint

  • 02

    Red, hot, swollen skin over the joint

  • 03

    A toe or ankle too tender to touch

  • 04

    Pain that peaks within hours

Why it happens

What can cause gout and pseudogout.

  • 01

    High uric acid levels in the blood

  • 02

    Certain foods and drinks, especially alcohol

  • 03

    Some health conditions and medicines

  • 04

    Age and family history

Diagnosis and care

How we treat gout and pseudogout.

Step 1 · Diagnosis

We look at the joint and ask about past attacks. Blood tests can check uric acid levels, though they may be normal during an attack. Fluid from the joint can show which crystals are present. X-rays or ultrasound may show crystal buildup or joint damage.

Step 2 · Treatment

Resting and raising the foot helps during an attack. Medicines to calm the flare are usually guided by your doctor. Changes in diet and fluids may lower the chance of repeat attacks. Comfortable, roomy shoes protect the joint while it settles.

Surgery is rarely needed. It may be used to remove large crystal deposits or repair a joint damaged by repeated attacks.

Recovery

What to expect over time.

A flare often eases in several days to two weeks with care. Long-term control of the cause may take months.

When to book

Do not wait it out.

See a podiatrist quickly if a joint suddenly becomes hot, red, and very painful. Seek urgent care if you also have a fever.

Call 615-220-8788

FAQ

Your questions answered.

Is gout only in the big toe?

No. It often starts there but can affect the ankle, knee, or other joints.

Can foods really trigger gout?

Some can raise uric acid in certain people. A balanced diet and steady fluids help, and your doctor can guide you.