A member asked:

I have gout and cannot hardly walk. its been this way for almost a year. what can i do? stiff legs in the morning.it lets up some thur the day.but never stop hurting hurting sos !

3 doctors weighed in across 2 answers
Dr. Howard Fox answered

Specializes in Podiatry

What : What makes you think you have gout? Gout almost always involves only one joint (at a time), and while exceedingly painful, even without treatment it goes away in a week or less. It's hallmark symptom is sudden (and i mean, to the minute) onset of severe pain, redness, heat and swelling of one joint. For reasons we still don't know, it likes smaller joints, and the classic joint is the big toe joint, but i've seen gout in the heel, side of the foot and even the ankle. It sometimes can affect a joint in the hand, but it almost is unheard of for it to affect larger joints like knees, hips, shoulders, etc. (there is a similar condition called pseudogout, which tends to affect larger joints, though). Gout patients don't describe their pain as "stiff in the morning." the liken it to the spanish inquisition or say it feels like they're giving birth through their big toe. And it doesn't "let up" during the day. So for these reasons, based on your description, i really wonder whether you really have gout. If a doctor told you this, i'd say get a second opinion, preferably from a rheumatologist. Please feel better and good luck!

Answered 10/3/2016

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Gout: If all your symptoms are truly due to chronic gout, then get uric acid below 5 with allopurinol or Uloric, get safe anti-inflammatory treatment, get Phys Therapy or Occup Therapy, and perhaps selective removal of tophi. Adjust diet - low meat, low shellfish, low fat, low fructose corn syrup foods. More fruit and veggies. Drink 3 Liters per day. No alcohol.

Answered 9/22/2014

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