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A woman holds on with her hands to her foot, which hurts from gout

Gout is the most common type of inflammatory arthritis and the most common arthritis in men overall. It typically occurs in men over the age of 50, but is not limited to this age group. It has a high association with other disorders such as diabetes, high blood pressure, obesity and psoriasis. Also, it is currently the only curable form of arthritis as symptoms can be completely eliminated if uric acid is kept below the recommend level.

Common Symptoms

  • Sudden onset of pain, swelling, warmth and redness of the big toe

  • Can also involve the ankle, wrist, knee and hands

  • Fever

  • Difficulty walking due to pain

Gout attacks are extremely painful, occur suddenly and typically last 7-10 days if left untreated. Over time it can lead to joint damage similar to what you can see with rheumatoid arthritis. The attacks occur due to elevated uric acid levels in the blood.  However, only 25% of patients with elevated uric acid actually get gout. Dietary modification and weight loss are key to preventing attacks.

Dietary modification

  • Avoidance of red meat

  • Avoidance of alcohol- especially beer

  • Avoidance of shellfish such as shrimp, avoidance of lobster

  • Increase in intake of low fat dairy products (cottage cheese)

  • Increase intake of cherries


  • To maintain low uric acid levels

  • Use of medicines that lower uric acid such as allopurinol and uloric

  • Use of medicines such as NSAIDs, prednisone and colchicine for treatment of acute flares

  • Diet and exercise

  • Control of underlying diabetes, hypertension and elevated cholesterol

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Panama City

2232 W. 24th Street
Panama City, FL 32405

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