Dangers of Tophi From Chronic Gout

Tophi are firm, often painless lumps that can develop around the joints, especially in the feet, toes, and ankles, in people with advanced gout. These nodules form when uric acid crystallizes and accumulates over time, creating hardened deposits beneath the skin. While initially they may not cause discomfort, larger tophi can lead to joint instability, limited movement, and significant pain. The skin over a tophus may become stretched and thin, and in some cases, it can ulcerate, exposing a chalky substance inside. Without treatment, tophi can erode bone and cartilage, resulting in chronic inflammation and joint deformity. A podiatrist can diagnose and manage tophi by evaluating joint damage, guiding treatment to reduce uric acid levels, and performing surgical removal if needed. Addressing tophi early can help prevent further complications and restore mobility. If you frequently have painful gout flare-ups, it is suggested that you schedule an appointment with a podiatrist for treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.