What is Gout?
Gout is an inflammatory arthritis caused by the buildup of uric acid crystals in joints. It classically affects the big toe joint (podagra) but can occur in any joint of the foot and ankle.
Gout attacks cause sudden, severe pain, often starting at night. The affected joint becomes red, hot, and extremely tender. Even the weight of a bedsheet can be unbearable. With proper management, attacks can be treated quickly and prevented.
Common Symptoms
- Sudden, severe joint pain (often at night)
- Intense redness and swelling
- Joint feels hot to touch
- Extreme tenderness
- Limited range of motion
- Pain that peaks within 12-24 hours
Common Causes
- High uric acid levels in blood
- Diet high in purines (red meat, shellfish)
- Alcohol consumption (especially beer)
- Obesity and metabolic syndrome
- Kidney disease
- Certain medications (diuretics)
- Genetics and family history
How We Treat Gout
We can help diagnose gout attacks and provide acute treatment. For long-term management, we work with your GP to ensure proper uric acid control. We also address any foot complications from chronic gout.
Acute Attack Management
Footwear Advice
Tophi Management
Referral for Urate-Lowering Therapy
Ready to get gout treated?
When to Seek Professional Help
- Sudden severe joint pain and swelling
- Joint is red, hot, and extremely tender
- You've had gout before and it's recurring
- You notice lumps forming near joints (tophi)
- Pain isn't responding to over-the-counter treatment
Frequently Asked Questions
Common questions about Gout at Lower Limb Clinic.
Clinically reviewed by Paul McMullan, BSc(Hons) MSc FRCPSGlasg MRCPod
BSc (Hons) Podiatry · MSc Podiatric Sports Medicine (QMUL) · FRCPSGlasg · MRCPod
Lead Podiatrist & Clinical Director, Lower Limb Clinic Belfast