It is often easy to recognise the symptoms of gout and to make a diagnosis. The symptoms are quite pronounced and usually affect the smaller joints of the body first, sometimes resulting in debilitating pain and inflammation. In this page, our muscle and joint expert Earle Logan describes the pattern that gout symptoms can sometimes form, and complications that can sometimes arise due to the illness.
The symptoms of gout are often easy to identify. In the majority of cases, symptoms begin in one of the big toes, although they can occur in any joint. If the condition progresses, more than one joint can be affected, although the smaller joints of the body such as those in the hands and feet are more prone to the condition.
Pain - Gout is notoriously painful, to the point where it can even be debilitating. Typically, the pain can come on rapidly, last a few days and then go again. During an attack of gout, the pain is often worst at night, and even covering the affected joint with a bed sheet can be excruciatingly painful. Bumping the affected joint is also sore
Inflammation –this occurs when inflammatory chemicals and fluid build up in or around the joint. In the case of gout, this fluid is likely to contain high levels of uric acid, and possibly also crystals. This can cause the joint to feel stiff, and any movements will be extremely painful. Inflammation of the joint also causes it to feel warm and throbbing
Changes to the skin – when suffering from an attack of gout, the skin often turns red and shiny, because the inflammation is stretching and putting pressure on the skin. However, as the inflammation subsides, in some cases when the skin has been stretched too much, it may also turn itchy, flaky or peel.
Gout attacks can be difficult to predict as often there is not a specific trigger. However, when they do occur symptoms develop rapidly, usually over a matter of hours.
Attacks of gout can last anything from about three to ten days. During the first few attacks, usually only one joint is affected. As you experience more and more attacks, it is likely that several joints will begin to be affected.
Although some people only experience one or two attacks of gout during their lifetime, most people with gout experience recurring attacks, often with increasing frequency and intensity. Over half of people who experience gout, have another attack within a year.
If uric acid levels in the bloodstream are continually high, more and more crystals will form, and other joints may suffer. Adhering to a gout diet can prevent this from happening, so that attacks of gout become less frequent and result in fewer complications.
Gout can be associated with a number of other conditions or complications:
Tophi – these are deposits of uric acid crystals, visible as small white or yellow bumps around a joint or on the ear. Tophi are usually painless, but are an indication that the level of uric acid in your blood is too high. Your doctor is likely to recommend ways of reducing this. If tophi become large or inflamed, it is worth speaking to your doctor, as they may have to be surgically removed
Joint damage – repeated episodes of gout over a long period of time can lead to damage in your joints. The features are similar to osteoarthritis (wear and tear arthritis) or rheumatism and are usually irreversible
Kidney stones – the body excretes excess uric acid via the kidneys. Just as uric acid crystals can gather in joints, they can also form in the kidneys. This is why up to 25% of people who are prone to gout are likely to have kidney stones.
Some foods can increase inflammation and discomfort, whilst others can actually reduce it and relieve pain. Discover which foods you should eat fewer of (some might surprise you) and what you should eat more of instead, when suffering from muscle & joint pain.
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Being side-lined by muscle or joint pain isn’t fun – especially if you lead a particularly busy or active lifestyle! Luckily our Muscles & Joints Advisor Earle Logan is here to provide you with regular updates, tips and advice on back pain, strains, joint pain and muscle pain.
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While many foods can trigger gout, according to several studies foods rich in vitamin C (like oranges) could be the answer to reducing it. One such study found that the higher the intake of vitamin C, the more protection from gout.