The American College of Rheumatology recently funded an effort among U.S. researchers to come up with new guidelines for patients regarding preventing gout, which were published in the September 28th issue of the journal Arthritis Care & ResearchGout is one of the most common forms of inflammatory arthritis and has an effect on the lives of almost four percent of American adults.  The condition is caused by elevated levels of uric acid, which then causes the crystals to form and when these crystals are deposited in joints they cause extreme pain and swelling.  In the past 20 years the number of cases of gout have increased greatly, and it is said to have an effect on the lives of 8.3 million people.  It is thought that the increase in gout may be due to things such as high blood pressure, metabolic syndrome, type 2 diabetes, obesity, and prolonged use of thiazide and loop which are diuretics used to treat cardiovascular disease. 

“Our goal is that these guidelines, along with educating gout patients in effective treatment, will improve adherence, quality of care and management of this painful and potentially debilitating condition,” said Dr. John Fitzgerald, acting chief of the rheumatology division at the University of California, Los Angeles.  If you think you may be suffering from gout you should seek out the care of a podiatrist such as Dr. James Ricketti of New Jersey. Dr. Ricketti can diagnose any foot conditions or injuries you may have as well as provide you with a range of treatment options.

Systemic Disease of the Foot

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include: gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Some common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs, which relieves pain and inflammation and other drugs which lowers the acid levels in the body.

Diabetes mellitus- is an increase in the level of blood sugar in which the body cannot counteract with the insulin in the body. When the body doesn’t produce enough insulin this is a factor in Diabetes.

Diabetes of the Feet
• Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
• Peripheral Vascular Disease- can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions, please contact our office, which is located Hamilton, NJ. We offer the newest diagnostic and treatment technologies for all your foot complications.

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