Gout is a systemic condition caused by the buildup of uric
acid in the joints, causing inflammation, swelling, and pain, most commonly in
the first metatarsal phalangeal joint (big toe) or in the ankle joint.
Other names or similar
foot conditions:
Gouty arthritis
Hyperuricemia
Gout attack
Symptoms:
Inflammation, swelling, and tenderness in the joint of the
first toe
Touching or moving it is intensely painful
Extreme sensitivity to touch – such as a bed sheet over
the toe
Typically occurs in only 1 joint at a time
Signs to look for:
Inflammation, swelling, and tenderness in the joint of the
first toe, one joint vs. several
Lab tests to determine uric acid levels
Possible Causes:
High levels of uric acid in blood
Dietary habits can cause the high levels of uric acid
Genetic predisposition to excessive uric acid production,
exacerbated by dietary habits such as too much alcohol and rich foods for
that person’s system
Goals:
Eliminate gout
Accommodate foot to shoe so toe does not rub
Take pressure off toe
Create optimal walking gait so toe is not unduly stressed
whether there is a gout attack or not
Lower and thinner arch support with longitudinal and metatarsal support, such as the Bio-Orthotics Journey or Silhouette, for use when shoes cannot accommodate the Winstep or Sundance exercising support
Shoes:
Extra depth shoe with high toe box, firm heel counter, rocker
sole and steel shank
Shoes with stretchable nylon uppers for use during episodes if
toe rubs on top
Wear shoes with titanium springs for exercising
Other:
Medical care as necessary
Copper socks
Toe cushioning and straightening devices, such as toe separators,
toe straighteners, toe gel caps, toe crests, etc.
Spot stretching with ball and socket tool on shoes as necessary
Activities:
Rotate weight-bearing exercises, such as walking or jogging,
with non-weight bearing exercising, such as swimming or bicycling
This
information does not constitute a diagnosis of your condition and does not take
the place of a doctor’s care. The information has been compiled from sources
available to the general public and referenced below. Copyright 2005 Carole
Romig
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