Gout

What is gout?

Gout is a common type of inflammatory arthritis affecting about 1% of the population. It typically affects males over the age of 40 and women over the age of 65. Gout is also considered a metabolic disorder which causes uric acid to accumulate in blood and tissues.

A number of dietary and lifestyle factors can contribute the accumulation of uric acid. The joint synovium, cartilage, and bone become supersaturated and the urate salts form needle like crystals within the joint. Once the crystals have formed, there is an inflammatory response within the synovium and tissues resulting in a very hot, swollen and reddened joint.

Gout causes a rapid onset of synovial joint inflammation, swelling, and redness. Joint discomfort can last from days to weeks after the most severe pain subsides. Gout is a monoarticular or single joint problem, however if poorly managed can involve more than one joint (polyarticular).

The most common locations are gout in the big toe, followed by gout in the knee, gout in the ankle, and gout in the midfoot. Gout less commonly affects the hands and elbow and rarely affects the spine, hips and shoulders.

The important features to discriminate between gout and osteoarthritis is the sudden onset and the presence of severe pain and synovial joint swelling. Moreover, the important features to discriminate between gout and rheumatoid arthritis (RA) is rapid onset but more importantly gout is monoarticular where RA is polyarticular.

Symptoms of Gout

  • Acute rapid onset, developing over several hours (not days or weeks)
  • Pain feeling like shards of glass in the joints
  • Very swollen joint
  • Extremely painful
  • Redness around joint, can sometimes look almost purple

Risk factors

  • High alcohol consumption
  • High protein diet, especially red meat and seafood
  • Genetic, related to enzyme disorders
  • Diuretics and poor kidney function - can reduce the excretion of urate
  • Metabolic syndromes – insulin resistance, obesity, hyperlipidemia, and hypertension

Gout Treatment

Physical therapy can be helpful for pain management and secondary joint and soft tissue problems!
If recognised early, then treatment is very effective but delayed treatment or prolonged recurrent attacks can lead to cartilage and bone degradation secondary to a chronic uncontrolled inflammatory response. Therefore, early pharmacological management is imperative for this condition.

For long term success, it is likely that lifestyle changes will need to take place to prevent recurring events.

Locations & Hours

9 Convenient Locations in Calgary. All Physiotherapy clinics have morning and evening appointments available to meet the demands of your busy schedule. Saturday appointments are available at select locations.
find a location near you
Panther Sports Medicine and Rehabilitation Centres is a physical therapist owned and operated rehabilitation company. We are a network of nine rehabilitation centres located throughout the city of Calgary that offer a wide range of programs and services to help our patients restore and maximize their physical capabilities.
book online now
COUNTRY HILLS
403-226-5733

11950 Country Village Link NE
Calgary, AB
OAKRIDGE
403-258-2659

10003 - 24th Street SW
Calgary, AB
CRANSTON MARKET
403-455-1888

2010, 356 Cranston Road SE
Calgary, AB
TRICO CENTRE
403-278-5311

11150 Bonaventure Drive SE
Calgary, AB
SETON
403-764-6337

4995 Market Street SE
Calgary, AB
MARLBOROUGH MALL
403-272-4202

425 Marlborough Way NE
Calgary, AB
SOUTH FISH CREEK
403-225-0210

333 Shawville Blvd SE
Calgary, AB
MCKENZIE TOWNE
403-257-6238

75 High Street SE
Calgary, AB
WALDEN
587-356-4327

130, 19606 Walden Blvd SE
Calgary, AB
Copyright © 2019 - Panther Sports Medicine & Rehabilitation Centres. All rights reserved.  Privacy Policy | Terms of Use

Website by iNet Media Ltd.

linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram