
Tophi are firm deposits that develop beneath the skin when uric acid crystals build up in the joints, often as a complication of long-standing gout. In the feet, tophi may develop around the toes, ankles, or Achilles tendon, creating swollen lumps that can interfere with movement, and cause pain if inflamed. Over time, untreated tophi can damage cartilage, tendons, and other soft tissues, making it difficult to walk comfortably and leading to stiffness or deformity. In some cases, the skin may become stretched and break open, leaking chalky material made of uric acid. A podiatrist can evaluate the extent of joint involvement to determine treatment. Options include reducing the size of the tophi or removing them surgically if they impair function. Surgery may also be considered if tophi are particularly large or threaten joint health. If you have developed tophi from gout, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Sam Sanandaji, DPM from Foot and Ankle Care Center. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Beverly Hills, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.