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Gout pain moving to foot ?

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I have had gout in my left toe for about 5 years. Wednesday morning I woke up with a pain in my left foot. It is just below my ankle towards the heel. Is it possible to have the gout move to this area? I don't recall spraining my foot, but I do remember waking up on Tuesday night with gout pain in my toe. At this time I don't any pain in my toe.


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replied March 18th, 2010
Gout Answer A10724
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the pain in left foot below ankle towards the heel. You already are taking treatment for episodic acute gout with complaints of pain in left toe.
Episodic acute gouty arthritis that you seem to suffering from initially involves one joint most commonly the metatarsophalangeal joint of first toe but later on it may spread to other joints namely, tarsal joints, ankle and knee etc. The polyarticular disease(involving more than one joint) is seen in postmenopausal women and is known to be aggravated by excessive ethanol intake. The pain that you are perceiving may be due to the involvement of ankle joint with presentation similar to cellulitis in which there may be warmth, redness and pain surrounding the ankle joint region and the pain is severe to wake the patient from sleep. The other causes like septic arthritis, cellulitis due to bacterial infection or pain due to sprain etc. must be ruled out after consultation with rheumatologist and necessary investigations of blood and X-rays etc.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.



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replied March 19th, 2010
Experienced User
Most gout flares originate during sleep, as did yours. The cause in most cases is a bad night of sleep apnea, a fact which most doctors do not yet know. The oxygen deprivation in sleep apnea causes generation of excess uric acid at a rate faster than the kidneys can process it. The gout flare is an almost immediate response. It is an early warning of sleep apnea, long before the known more serious consequences of long term untreated sleep apnea develop - high blood pressure, cardiovascular diseases, diabetes, kidney disease, etc. Get tested for sleep apnea and follow the recommended regimen to overcome it! Not only will your risk for developing these serious diseases be reduced, your overnight gout flares will disappear as well.
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replied June 8th, 2010
Heey the pAin in the foot after the toe I have too. It seems like it is much less painful than the toe problem. In my case it is likely due to me walking during gout episode (limping rather) which puts odd angles of pressure on the foot joints. This causes a kind of secondary indirect inflammation.
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replied June 8th, 2010
Heey the pAin in the foot after the toe I have too. It seems like it is much less painful than the toe problem. In my case it is likely due to me walking during gout episode (limping rather) which puts odd angles of pressure on the foot joints. This causes a kind of secondary indirect inflammation.
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