Gout in the Foot: What’s Causing That Sudden Toe Pain?
Have you ever experienced a sudden, stabbing pain in your big toe that left you unable to walk or even put on a sock?
You’re not alone—and it could be gout. While it often catches people off guard, gout is actually one of the most common and intensely painful forms of arthritis, especially in the foot. At our podiatry clinic, we specialize in diagnosing and treating gout-related foot pain with precision and compassion.
What Is Gout and Why Does It Target the Foot?
Gout is caused by a buildup of uric acid in the bloodstream. Uric acid is a natural byproduct of the body breaking down purines—substances found in many foods and drinks. When levels get too high, the uric acid can form microscopic crystals, most commonly in the joint of the big toe. These needle-like crystals cause sudden, intense inflammation, swelling, and pain.
Why the foot? Your feet, especially the big toe, are the furthest points from your heart and tend to have lower temperatures—ideal conditions for uric acid crystals to form and settle. It's not uncommon for someone to go to bed feeling fine and wake up in the middle of the night with their foot throbbing in agony.
What Increases Your Risk of Gout?
While gout can affect anyone, some factors increase your likelihood of experiencing an attack:
Diet high in purines (e.g., red meats, shellfish, organ meats)
Alcohol consumption, especially beer
Obesity or significant weight gain
Certain medications, including diuretics
Dehydration
Family history of gout
Chronic conditions like kidney disease, diabetes, or high blood pressure
Men over the age of 30 are especially at risk, but postmenopausal women can also experience gout due to hormonal changes affecting uric acid levels.
Lifestyle Tips to Prevent Gout Flares
Managing gout isn’t just about medications—your everyday choices play a major role. Here are some podiatrist-approved lifestyle tips to reduce your chances of a gout flare:
Stay well-hydrated: Water helps flush uric acid from the body.
Maintain a healthy weight: Even a small reduction in weight can significantly lower uric acid levels.
Avoid high-purine foods: Think less red meat, more veggies.
Choose plant-based proteins: Beans, lentils, tofu, and nuts are great alternatives.
Cut back on alcohol: Especially beer and sugary cocktails.
When to See Dr. Scott Russell Podiatry & Orthotics for Gout
If you’re experiencing foot pain that comes on suddenly and feels like a burning or stabbing sensation especially in the big toe it’s time to see Dr. Scott Russell Podiatry & Orthotics. Gout is treatable, but repeated flares can lead to joint damage if left unmanaged. Our caring podiatrist, Dr. Scott Russell, use premium diagnostic tools and individualized treatment plans to help you get back on your feet.
We understand how disruptive foot pain can be. Whether you’re dealing with your first gout attack or recurring flares, we’re here to help with effective, patient-focused care.
Don’t wait for the pain to return. Make an appointment with Dr. Scott Russell Podiatry & Orthotics in Vancouver, Delta, Surrey, BC & Sherwood Park, Calgary, AB today. Call us or request an appointment online to take the first step toward pain-free living.