Gout is one of those historical problems because there are quite a few mentions of it in historical literature, at least since medieval times. The historical typecast of it is that it is connected with the upper classes that overindulge in alcohol and certain foods. That image was pictured during the early artwork showing people who got gout. Gout has stopped being deemed a problem of over consumption, as a result of recent research revealing an important inherited component to it.

Gout can be a painful inflammatory problem that mostly affects the joints, typically the great toe joint in the foot. It's due to uric acid crystals getting placed into the joints if the bloodstream uric acid quantities are usually high. The uric acid derives from the breakdown of purines that come from the eating of foods like venison, fish, tuna fish, haddock, sardines, anchovies, mussels, herring as well as alcoholic beverages. It is easy to understand how that historic misconception was constructed based on the over consumption of the upper classes in those sorts of foods and alcoholic beverages. The real issue is not really the amount of those food items which are eaten, but the actual genetics of the physiological pathway which breaks the purines in those foods down into the uric acid and the way the body handles the chemistry.

While diet is still crucial in the management of gout and decreasing the quantity of foods that have the purines in them is still deemed essential, but it has become clear recently that this is not enough on its own and just about all those that have gout will probably require prescription drug management. It's understandable that drugs are likely to be needed for relief of pain throughout an acute episode. The acute period of gout is incredibly painful. In the long run there's two kinds of drugs which can be used for gout. One type of prescription drug block chemical substances in the pathway which splits the purines down into uric acid, which simply implies you will see a smaller amount uric acid in the bloodstream that could find its way directly into the joints to trigger an acute episode of gout or result in the chronic gout. And the second main type of medication is one which helps the kidneys excrete a lot more uric acid. This tends to additionally decrease the uric acid in the bloodstream. Normally, just one of these drug treatments is perhaps all that is needed, however occasionally both are necessary to be used at the same time. As these drugs are commonly pretty effective, that doesn't imply that the life-style and diet changes may be overlooked. Local steps, for example wearing sound fitting footwear if the great toe or hallux joint becomes too painful is important. Also ice packs in an acute flare up can also help with the pain alleviation.

Most of these issues on gout were discussed in depth during a recent edition of the podiatry livestream, PodChatLive. In this show the hosts talked with the podiatrist, academic and researcher, Keith Rome who has significant knowledge of gout with many publications on the subject. Podiatric doctors have an important role in assisting take care of gouty arthritis.