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Bending big toe causing gout attack ?

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I have a borderline high uric acid level for years and every once in a while I get extreme pain in the big toe. This happens only after I happen to squat down on one knee to do some work on the ground and crunch my big toe about 90 degrees. There is no pain at that time, but within a couple of days it turns into a gout attack. Is this a possible trigger or not?
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replied May 13th, 2009
Hi alw,

I think it could definitly be a potential potent trigger for you as well. I have a similar problem when doing ground MMA training to pass guard. Excessive bending the toe triggers an attack in me.

If you have time, check out my own personal findings in the "Intense excercise training and gout" post. Good luck mate.
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replied September 3rd, 2009
Experienced User
It could definitely be a trigger. The physical stress could cause a rupture of the coating on preexisting urate crystals in the joint so that your immune system senses their presence and reacts in a way that causes the pain and inflammation of gout. Part of the reaction is to recoat the urate crystals so that the immune system no longer detects their presence, thereby limiting the duration of the gout attack.
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