• An Acute Gout Attack is a rapid accumulation of uric acid crystals in a peripheral joint.  This causes an excruciating pain in the affected joint with unmistakable swelling, redness, and heat.
  • Consider the pain of an acute gout attack as that of passing a kidney stone through your big toe x 10.
  • The first gout attack almost always occurs at the base of the big toe.
  • Subsequent gout attacks can occur in any joint in the body; however, it commonly occurs in the big toe, ankle, or knee.  It rarely affects more than one joint at a time.
  • Patients experiencing an acute foot gout attack are usually unable to stand or walk.
  • I have seen patients with acute gout in the big toe crawl into my office.
  • I have heard of patients with excruciating pain of foot gout commit suicide.
  • Acute gout attacks usually occur in the wee hours of the morning, typically 3am. 
  • Treatment of acute gout attacks usually involve dangerous but powerful anti-inflammatory medications such as colchicine or indomethacin and can take several hours to over a day to relieve the excruciating pain.
  • The colchicine or indomethacin medications have severe side effects, including g.i. bleeding and hair loss.  For this reason they are reserved for short term use in only the most severe inflammatory conditions such as an acute gout attack or a severe rheumatoid arthritis flair up that doesn't respond to biologics, steroids, and other non-steroidal anti-inflammatory drugs (NSAIDs).
  • The Appointment Today Podiatrist can give immediate relief of pain from an acute gout attack without the overuse of dangerous medications.
  • This immediate pain relief is via injection therapy that works in less than one minute.
  • Most patients are able to return to work or play one hour after treatment.
  • $280 covers everything, including the Podiatrist house call to your hotel, office, or hospital.  It includes the medical history, physical exam, injections, diet recommendations, and a month's supply of prescription medications to prevent further attacks.
  • You will be given a standard HCFA 1500 insurance claim form with the exact diagnosis and procedure codes needed to file a claim to your health insurance, medical savings account, or flexible spending account.
  • $280 is required at the time of service.  Do not expect the doctor to also be a loan officer or health insurance advisor.
  • If you don't feel heat radiating from a red, swollen joint, you are not having an acute gout attack.
  • Because of the morbidity and mortality associated with septic arthritis, the possibility of an infected joint, as opposed to an acute gout attack, must be ruled out.
  • Foods rich in purines such as liver, heart, and kidney meats; as well as pecans, avocados, beer and wine increase serum uric acid.
  • Dehydration can cause an acute foot gout attack.
  • When you call to make an appointment with the 24/7 Hotel Podiatrist, start drinking lots of water and order food before the foot doctor arrives.
  • Never take colchicine, indomethacin, or Naprosyn on an empty stomach.  Take these medications with a full meal, drink lots of water, and avoid alcohol.
  • Gout typically affects men of all races and ages.
  • Gout rarely affects females before menopause.
  • Narcotics such as percocet or even morphine injections will not calm an acute gout attack, and rarely relieve the excruciating pain.  Do not ask for narcotics.  We will give you immediate and lasting pain relief, without the need for opioids.
  • Call now to see the Las Vegas Podiatrist that is always open and makes house calls 24/7 for acute foot gout attacks.
  • Be seen by the Doctor, not an assistant that will try to treat your throbbing foot pain with a prescription for over the counter advil and an appointment to see their hip surgeon in three weeks.

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Gout In Big Toe?