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Understanding Gout

As a rheumatologist, I often see patients with sudden onset, intense joint pain. One of the most common culprits is gout. Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints, most frequently affecting the big toe. It can come on suddenly, often at night, and cause swelling, redness, and extreme tenderness. While it’s painful, the good news is that gout is highly manageable with the right treatment and lifestyle adjustments.

At Concierge Rheumatology, we provide personalized treatment plans to help patients manage gout attacks, reduce uric acid levels, and prevent future flares.

Symptoms of Gout

Intense joint pain—typically in the big toe and knee, but also in other joints
Swelling, redness, and warmth in the affected joint
Limited range of motion as the condition progresses
Lingering discomfort that may last for days or weeks after an attack

Causes & Risk Factors

Gout is caused by elevated uric acid levels in the blood, leading to crystal formation in the joints. Common risk factors include:

Diagnosing Gout

A proper diagnosis is essential for effective management. This process usually includes assessing your medical history, examining your joints, and monitoring your uric acid levels. In some cases, X rays or other imaging tests may be helpful for further assessment.

Personalized Treatment Options at Concierge Rheumatology

While there is no cure for gout, early intervention and tailored treatments can help reduce flare ups and prevent complications. My approach includes managing acute gout flares with therapies such as Prednisone and starting patients on urate lowering therapies for long term maintenance such as Allopurinol. In addition, I work with patients on key dietary measures such as a low purine diet and weight management.

Take Control of Your Health

Untreated gout can lead to permanent joint damage, kidney stones, and chronic pain. Our team at Concierge Rheumatology is here to provide comprehensive, effective treatment strategies to help you stay pain-free.

Schedule an appointment today to discuss your personalized gout management plan and take the next step toward better joint health.