Senior Strategies: Managing Gout

Gout, an inflammatory arthritic condition characterized by sudden and severe joint pain, often strikes the big toe first, but it can affect any joint in the body. While gout is commonly associated with middle-aged men, seniors and women are also very susceptible to it.

Northern Ankle Foot Associates strives to care for patients every step of the way, and much of that work includes patient education. With this commitment in mind, we’ve put together the blog below.

What is Gout?

Gout occurs when uric acid, a waste product naturally produced by the body, builds up in the bloodstream and forms sharp crystals in the joints. These crystals trigger a sudden inflammatory response, causing significant pain, swelling, redness, and tenderness.

Why Seniors Face a Higher Risk

Some studies suggest that the prevalence of gout increases significantly with age, increasing in prevalence for both men and women over the age of 65.

Several factors might contribute to this, including:

  • Decreased kidney function: Kidneys play a vital role in filtering uric acid from the blood. Age-related decline in kidney function can lead to uric acid buildup.
  • Changes in body composition: As we age, we tend to lose muscle mass and gain weight, both of which can elevate uric acid levels.
  • Medication use: Diuretics, commonly prescribed medications for high blood pressure and heart failure, can also increase uric acid levels.

Living With Gout

Pain management for some cases might include steps like ultrasound-guided needle injections. Fortunately, there are also proactive steps seniors can take on their own to minimize flare-ups:

  • Dietary Discretion: Dietary choices significantly impact uric acid levels. Limiting purine-rich foods like caffeine (including teas and chocolate), peanuts, and legumes (such as beans, lentils, and peas) is crucial. Try to limit beef and shellfish to once per week.
  • Plant-Based Foods: Fruits, vegetables, and whole grains are generally low in purines and can help manage uric acid levels.
  • Maintain a Healthy Weight: Losing excess weight through exercise or diet can significantly reduce the risk of gout attacks.
  • Drink Plenty of Water: Staying well-hydrated helps the kidneys flush out uric acid. Aim for 6-8 glasses of water daily.

The Role of Your Podiatrist

While gout is a systemic condition, your podiatrist can help you manage the symptoms by prescribing anti-gout medications. Your podiatrist can also administer cortisone injections into the affected joint to decrease inflammatory response to decrease pain and swelling. During a checkup, they’ll perform a thorough examination to assess the affected joint(s) for swelling, tenderness, and range of motion. They can also help to develop a personalized treatment plan.

Are you in need of podiatric services or assistance with gout? Please reach out to Northern Ankle Foot Associates and contact us today. Dr. Robyn Joseph would be happy to assist!