Dr. Theall's Blog

Posts for tag: gout

August 20, 2019
Category: Gout
Tags: foot pain   gout   healthy eating  

If you are suffering from extreme pain in your foot joints, especially your big toes or toes, you may have something called gout. What is gout? Gout is a very painful inflammatory condition that affects your joints, usually in your foot and specifically your big toe. Eating foods high in uric acid causes the acid to form into knife-like crystal which painfully imbed themselves into the soft parts of your joints. Pain is usually extreme feeling much like a pulsating broken bone.

Risk factors for gout include:

  • Obesity – the heavier you are the more uric acid you develop and the harder it is for the kidneys to push out
  • Poor diet – eating foods high in uric acid – organ meats, some seafood, gravy, etc.
  • Age and sex – men usually have higher uric acid levels earlier from ages 30 to 50. Women can increase the levels after menopause
  • Family history – can be passed down from member to member
  • Medical conditions – some conditions like untreated high blood pressure and diabetes can increase your chances of getting gout

Making sure your diet is correct is crucial. You need to make sure you avoid certain types of gout producing foods.

Foods to avoid:

  • Organ meats – kidneys, liver, heart, brain
  • Shellfish and seafood – sardines, anchovies, mussels, crab, lobster, and shrimp
  • Cauliflower – can contribute
  • Mushrooms – may have higher uric acid
  • Sweetbread – made with organ meats
  • Alcohol – can include beer, wine and other

Treatment for gout includes:

  • Better diet – avoid red meat, shellfish, other
  • Drink plenty of fluids – fluids will help push out uric acid
  • Avoid alcohol – reduce beer, wine and other
  • Pain meds – medicine with Ibuprofen can reduce swelling and pain but can also severely damage your organs if you do not take as prescribed. See your podiatrist for medicine
  • Colchicine – short term treatment
  • Allopurinol – long term treatment that reduces uric acid levels
  • Cherry juice – said to have anti-gout properties

If you believe you have or are developing gout or have any other concerns about the health of your feet, make an appointment with us here at Gentle Touch Footcare. Our doctors Bruce Theall, DPM and Priscilla Seshie, DPM will diagnose your feet and apply the most appropriate treatment. Our offices are located at 310 central Avenue East, Orange, NJ, 07018. Our phone number is 973-673-3668 and our website is www.drtheall.com

By Dr. Bruce Theall
June 02, 2015
Category: Gout
Tags: gout   pain   toe pain  

With the onset of warmer weather and longer days filled with BBQs and cookouts and days at the beach, most people don’t take notice of medical issues until the pain is unbearable and it has affected their daily routines or the problem suddenly came on without warning.  There have been many situations where patients have a sudden, without warning, pain in their “big toe” or 1st metatarsalphalangeal joint, 1st MPJ, that caused an excruciating pain at night.  Most patients describe the pain as so bad, that it woke them up out of their sound sleep from the night before.  Many people usually dismiss these pains thinking that are from a possible injury, over usage during exercise, a bad trip to the salon, old age, arthritis, or from a pair of uncomfortable shoes.  If you are or have experienced pains like this, you should see your podiatrist immediately. 

The symptoms described above are classic for the diagnosis of Gout.  Gout is an acute onset of very painful, swollen joints, that can be brought upon by the over-consumption of alcohol, red meats such as steak, large amounts of fish/crustacean foods, high sugar foods, medications such as diuretics, surgical stress, unknown infection, or acute medical illness may precede attacks.  Most “gout attacks” occurs in the great toe in 70% of cases, followed by the ankle, knee, wrists, fingers, and the elbow.  People who experience gout pain all have complained that they were not able to walk, drive a car, they had to call out from work, unable to put any pressure on the affected foot, and it can ultimately destroy one’s quality of life.  Gout attacks are sudden and dramatic and usually occur at night.  Historically, gout has been described as the “rich mans’ disease” or the “disease of kings”, because in the past only the financially well off were able to afford the consumption of red meat and wine (alcohol) on a regular basis. 

In our Western population, gout can affect anyone at any time.  Men over the age of 40 are more frequently diagnosed with gout than women, but in the past 20 to 30 years, the female population has been on an increase with the diagnosis of gout.  Upon a physical examination, a person’s foot will present with a red, hot, swollen foot or toe.  A woman’s foot may be up to 4 degrees warmer than usual, if suspicious of gout.  Once proper x-rays are taken and a complete history is discussed, a proper diagnosis can be made.  Studies also have shown that in the female population, women are more likely to develop gout symptoms in their knees, toes, and tips of their fingers.  Gout attacks can last anywhere from less than 12 hours to several days and with the proper medication and diet control, the pain and symptoms can subside within one week.  If a gout attack is left untreated, patients, men and women alike, can lead to the ultimate destruction of the joint and require surgery

                If there are any other questions feel free to contact Dr. Theall’s Gentle Touch Foot Care office for all your foot and ankle needs and concerns at 973  673 -3668.  Remember to maintain a balanced for your bodies’ needs, and your body will take care of you. 

By Dr.Bruce Theall
July 25, 2014
Category: Arthritis
Tags: gout   arthritis   obesity  

Gout is a type of arthritis caused when crystals of uric acid accumulate in the joints. Normally uric acid dissolves in the blood. It passes through the kidneys and out of the body in urine, but uric acid can build up in the body when either the body increases the amount of uric acid it makes or the kidneys do not get rid of enough uric acid. This can be caused by eating too many foods high in purines. (Protein Rich Foods)

Although gout is mostly associated with kings of old, nowadays actors, musicians and even athletes suffer from this disease. John Leto developed Gout-like foot pain after gaining 60 pounds for a film and theBritish king, Henry VIII whom was overweight was plagued with gout and was often pictured holding a chunk of meat or glass of wine. All which are direct contributors to increase the risk of gout. This monarch is one reason gout used to be known as the "disease of kings."

The truth is that this type of arthritis is on the rise with 8 million Americans having gout and rates having doubled in the past 50 years. The jump in prevalence rates may be associated with a greater frequency of obesity and hypertension. Gout attacks occur suddenly. The big toe is the most common joint affected but there can be pain in the ankles, knees, hands and wrists. The joint becomes red, hot, swollen and very painful. If left untreated the attacks occur more frequently and eventually permanent damage and deformities can occur.

A podiatrist can utilize special injection therapy to immediately relieve the pain to the affected foot. If you are suffering from gout, contact Dr.Bruce Theall or Dr.Sam Adegboyega as soon as possible to schedule an appointment. 

By Dr. Bruce Theall
September 15, 2010
Category: Toe Pain
Tags: gout   inflammatory arthritis   big toe  


FDA gives an ok to a new gout drug called Krystexxa that is given intravenously to patients who don't respond to traditional gout treatment. Three million adults are estimated to be affected by gout, and about 3 percent of them aren't being helped by the conventional therapy prescribed by many doctors today.

Gout is an inflammatory arthritis that presents with a red, hot, tender, and swollen joint, commonly in the big toe and ankle. Gout attacks happen suddenly, usually overnight and you present with severe pain and swelling of the joint. Gout occurs due to high levels of uric acid in your blood. The uric acid then turns into crystals which cause the inflammation and pain in certain joints. Always make sure to monitor your foot health.

If you have any additional questions about gout visit our video library, contact Gentle Touch Foot Care via our website or by calling (973) 673-3668 to see how you can change your diet and get treatment to help prevent that next painful gout attack.