Gout is one of those historical ailments because there are quite a few mentions of gout in historical literature, at least since medieval times. The traditional stereotype of it is that it is linked to the upper classes which binge in alcoholic beverages and particular foods. That image was represented in early artwork depicting people who experienced gout. Gout has stopped being regarded a disorder of overindulgence, due to the new research proving a considerable inherited aspect of it.

Gout can be a painful inflammatory condition that mostly impacts the joints, typically the big toe joint with the foot. It is as a result of uric acid crystals getting deposited into the joints if the bloodstream uric acid levels are high. The uric acid arises from the break down of purines that come from the eating of foods such as venison, salmon, tuna fish, haddock, sardines, anchovies, mussels, herring along with alcohol. You can easily see how that historic misconception was produced according to the over consumption of the higher classes in those kinds of food and alcoholic beverages. The real problem is not really the quantity of those foods that are ingested, but the genetics of the biochemical pathway that will splits the purines in those foods into the uric acid and how your body manages the process.

Although diet is still important in the management of gout and minimizing the volume of foods which have the purines in them is still deemed significant, however it has become clear lately that this just isn't enough on its own and almost all those that have gout will most likely need pharmaceutical management. It goes without saying that medicine is probably going to be necessary for pain treatment throughout an acute episode. This acute period of gout is incredibly painful. In the lon run there are two types of drugs that can be used for gout. One type of prescription drug block compounds in the pathway that splits the purines down into uric acid, that means you will see less uric acid in the blood stream that may find its way into the joints to bring about an acute episode of gout or cause the persistent gout. The other major sort of medicine is one that helps the renal system excrete more uric acid. This can also decrease the urates in the blood. Normally, just one of these prescription drugs is all that's needed, however once in a while both of them are required to be made use of concurrently. As these prescription medication is usually fairly successful, that will not suggest that the life-style and eating habits improvements can be ignored. Local methods, like wearing sound fitting footwear if the big toe or hallux joint becomes too painful is important. Also ice packs during an acute attack will also help with the relief of pain.

Most of these topics on gout ended up discussed at length in a recent episode of the podiatry livestream, PodChatLive. In this episode the hosts spoke with the podiatrist, academic and researcher, Keith Rome who has considerable experience with gout with many publications on the subject. Podiatrists play a significant role to help take care of gouty arthritis.