Gout

Gout is a common type of arthritis that causes sudden, intense pain, swelling, and redness in the joints. It often affects the big toe, but it can also occur in the ankle, knee, or other joints. At Iowa Ortho, our specialists diagnose and treat gout to relieve pain, prevent future flare-ups, and protect long-term joint health.

What is gout?

Gout develops when uric acid builds up in the blood, forming sharp crystals in the joints. These crystals trigger inflammation, leading to painful gout attacks that may come on suddenly, often at night.

Causes & risk factors

You may be more likely to develop gout if you have:

• A family history of gout
• High uric acid levels in the blood
• A diet rich in red meat, shellfish, or alcohol
• Obesity or metabolic syndrome
• Certain medical conditions, such as kidney disease or hypertension

Symptoms of gout

Signs of a gout flare may include:

• Sudden, severe joint pain (commonly in the big toe)
• Swelling, warmth, and redness in the affected joint
• Tenderness that makes it difficult to walk or wear shoes
• Lingering discomfort even after pain improves

How gout is diagnosed

Our providers use a physical exam, medical history, and sometimes lab testing or imaging to confirm gout and rule out other conditions. Identifying gout early helps prevent joint damage.

Treatment options for gout

Non-surgical treatments

Most cases of gout are managed without surgery. Treatment may include:

• Medications to reduce pain, inflammation, and uric acid levels
• Lifestyle changes such as dietary modifications and weight management
• Joint aspiration and injection to relieve pain and inflammation
• Physical therapy to restore mobility after flare-ups

Surgical treatments

Surgery is rarely required but may be considered for severe, chronic cases that cause joint damage or persistent pain. Iowa Ortho surgeons can remove uric acid crystal deposits or repair damaged joints when necessary.

Preventing future flare-ups

Managing gout involves more than treating flare-ups. Our specialists help patients reduce their risk through:

• Long-term medications to control uric acid
• Nutritional guidance for a gout-friendly diet
• Exercise programs to maintain joint health

Why choose Iowa Ortho for gout care?

• Experienced orthopedic specialists who treat both acute and chronic gout
• Full range of conservative and surgical options
• Coordinated care with primary care and rheumatology providers
• Focus on long-term joint health and mobility

FAQs

What triggers a gout attack?

Gout flare-ups are often triggered by high uric acid levels. Common triggers include red meat, seafood, alcohol, dehydration, and sudden increases in physical activity.

Can gout be cured?

Gout cannot be fully cured, but it can be effectively managed. With proper treatment and lifestyle changes, many patients live free from painful flare-ups.

How long does a gout attack last?

A gout attack typically lasts 3–10 days. With medication and rest, symptoms can improve more quickly.

What foods should I avoid if I have gout?

Foods high in purines—such as red meat, shellfish, organ meats, and alcohol (especially beer)—should be limited. Staying hydrated and eating a balanced diet can help reduce flare-ups.

When should I see a doctor for gout?

You should seek care if you experience sudden, severe joint pain, especially in the big toe, ankle, or knee. Early treatment can relieve pain and prevent joint damage.

Find relief from gout pain

Don’t let gout attacks disrupt your life. Contact Iowa Ortho to schedule an appointment with one of our specialists and take the first step toward lasting relief.

Call Iowa Ortho at 515-247-8400 or schedule an appointment online today.