Getting Old – The Gout


I have been struggling with whether to mention it or not. Last week, starting on Tuesday, my left foot began to hurt. By the weekend, it was agonizing.

I thought it was a torn ligament or something, possibly even a plantar fasciitis flare up. A couple of years ago, I had something similar in Chandler, and the podiatrist gave me some super Aleve. I figured this was the same thing.

How wrong I was.

Monday, I begged and wheedled to get an appointment with the on call Podiatrist. At 4:00 they were able to give me a time slot.

The left large toe was super sensitive, about as much pain as plantar fasciitis, and it was swollen. 3 vitamin I’s (ibuprofen, 200mg) would take the edge off the pain, but not really relieve it.

It took about 10 seconds for the initial diagnosis. Gout. In the left great toe.

To get a definitive diagnosis, he aspirated the fluid in the joint, looking for uric acid crystals. Also, I had a blood test to check uric acid levels in my blood, and to check for kidney function.

Results: Crystals visible in the fluid in the joint, uric acid was high, but my kidneys were working OK.

Being that I eat beef or red meat once a month, and can’t eat shellfish due to an allergy, it is most likely a genetic predisposition. Lovely.

Industrial strength anti inflammatory drugs, and a special regimen to use if I get a twinge in the future has helped. I also got an injection of cortisone into the joint.

The next day I was much better, although the injection site was sore. Add my anti coagulants, and I have a nice bruise, but I am able to wear shoes, and walking is pain free.

I feel old, having the Gout.

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By geoffand

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March 2015

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