What Causes Gout Flare-Ups? Understanding the Triggers, Symptoms, and Treatment Options

A man in pain caused by a gout flare up in Texas.

Gout is a form of inflammatory arthritis that causes sudden and severe joint pain, often affecting the feet and ankles. If you’ve experienced intense discomfort in a joint—especially your big toe—you may be dealing with a gout attack.

But what exactly causes these flare-ups, and how can you prevent them? In this article, we’ll explain what gout is, what causes it, and how it progresses through four stages.

If you’re struggling with joint pain or think you may be experiencing gout, our expert team at Bluebonnet Foot and Ankle Institute is here to help. Schedule an appointment today at our office in Austin, Texas, to get a personalized evaluation and a treatment plan designed to relieve your pain and prevent future flare-ups.

What is Gout?

Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints. When your body produces too much uric acid or your kidneys can’t remove it effectively, sharp urate crystals can form and settle in an affected joint. The result is a sudden, often excruciating attack of joint pain, redness, warmth, and swelling—commonly in the big toe but also in the ankles, knees, and other joints.

What Causes Gout?

Gout occurs when there is an excess of uric acid in the bloodstream—a condition known as hyperuricemia. Uric acid is a waste product created when the body breaks down purines, which are substances found in the body and in certain foods, especially organ meats, red meat, seafood, and foods containing high fructose corn syrup.

Your body normally dissolves uric acid in the blood and eliminates it through the kidneys. However, when there’s too much uric acid or the kidneys fail to eliminate enough, uric acid levels rise and crystals may form in the joints, leading to painful flare-ups.

What Are the Four Stages of Gout?

  1. Asymptomatic Hyperuricemia: Elevated levels of uric acid are present, but no symptoms have occurred yet. This stage may go unnoticed, but it increases gout risk over time.
  2. Acute Gout Attack: Sudden, intense pain and swelling in an affected joint—often at night. This is the stage most people associate with gout.
  3. Intercritical Gout: The time between attacks, when symptoms are absent but urate crystals may still be forming in the joints.
  4. Chronic Tophaceous Gout: In recurrent gout, permanent joint damage and tophi (crystal deposits under the skin) may occur. This stage often develops without proper gout treatment.

What Are Common Gout Triggers?

Understanding what can trigger gout is essential for prevention. Common triggers include:

How is Gout Diagnosed?

To diagnose gout, your healthcare provider may perform:

Early diagnosis is crucial to prevent gout attacks from becoming chronic.

How is Gout Treated?

Gout treatment involves both managing pain and preventing future attacks. Options include:

  • Medications:
    • Nonsteroidal anti-inflammatory drugs (NSAIDs) help reduce inflammation and pain.
    • Colchicine and corticosteroids are also effective during acute attacks.
    • Long-term gout medication, such as allopurinol or febuxostat, helps lower uric acid and reduce recurrent gout.
  • Lifestyle changes:
    • Follow a gout diet low in purines.
    • Drink plenty of water to flush out uric acid.
    • Limit alcohol and high fructose corn syrup.
    • Exercise regularly and maintain a healthy weight.
  • Treat underlying conditions:
    • Managing kidney disease, high blood pressure, and diabetes can support your body’s ability to remove uric acid.
    • MLS Laser Therapy to relieve pain, decrease inflammation, and support healing during gout flare-ups in the feet when used alongside appropriate medical care.
 

Every patient is different, so it’s important to work with a podiatrist or healthcare provider to find a gout treatment plan that’s right for you.

Find Expert Gout Care in Austin, Texas

If you’re experiencing symptoms of gout or are concerned about frequent attacks, don’t wait for the next flare-up. At Bluebonnet Foot and Ankle Institute, our experienced podiatrists in Austin, TX, specialize in diagnosing and treating inflammatory arthritis like gout.

From early intervention to long-term management plans tailored to your lifestyle, we’re here to help you reduce pain, prevent gout attacks, and improve your quality of life. Schedule your appointment today and take the first step toward relief and healthier joints.

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