Dr. Wayne Hurst, DPM, FACFAS, treats both acute and chronic gout at his clinic, Foot Specialists of Austin, Cedar Park, and Georgetown. Dr. Hurst serves the residents of Austin, Cedar Park and Georgetown, Texas.
Gout is actually a type of inflammatory arthritis. It occurs when levels of uric acid build up in the blood. Gout is much more likely to occur in men over the age of 30, although some women develop gout after menopause. People with a strong family history of gout or those who have kidney disease are more likely to develop gout. As gout progresses, it can cause joint destruction.
As uric acid builds up in the body, patients develop tophi -- deposits of uric acid in the joints, cartilage, bones and under the skin. Tophi may begin as early as 10 or more years before other clinical signs of gout appear. Sometimes the first obvious sign is an acute gout attack of pain, redness and swelling in a joint; the big toe is nearly always involved, although gout can appear in other joints. The pain is due to the build-up of uric acid crystals. Patients may also complain of headaches, fatigue, and chills, particularity at night.
Gout probably has a genetic component, as family history is often a factor. Being obese or having metabolic syndrome (a pre-diabetic condition), increases the risk of gout. Organ transplants increase the risk of gout in some patients, as does chronic dehydration. Heavy alcohol use -- especially beer (but not red wine) -- is known to increase the incidence of gout. A diet high in red meat and seafood is also more likely to trigger gout.
Gout treatment involves both acute and chronic therapy (gout cannot be cured, but must be managed over the long term). During a gout attack, treatment is focused on lowering the uric acid levels with a medication specific to gout. It is also important to keep the patient well hydrated and treat pain and inflammation with appropriate medications. Over the long term, a medication is used to help lower uric acid levels. Patients are advised about dietary changes, such as limiting or eliminating alcohol, and lowering consumption of red meat and seafood.
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"I can't thank you enough for the quality of care, as well as the improvement with the foot injection! You are a rock star!"
"Dr. Hurst was very kind and extremely knowledgeable when it came to my foot pain. I would recommend that if you are in pain, go see Dr Hurst and his wonderful team."
"You're treated like an old friend right down to the hug you get. Most importantly, the results seem to be working."
"Dr. Hurst is truly a Specialist in his field and I would not ever again consider anyone else taking care of my foot problems."