9 doctors weighed in:

I have what appears to be a gout on my left foot, but it never hurt. What would doctor do with it?

9 doctors weighed in
Dr. Arthur Bobrove
Internal Medicine - Rheumatology
3 doctors agree

In brief: Tophi w/o acute gout

It is unclear what led to a diagnosis of gout, unless you had an x-ray of your foot that showed changes suggestive of chronic gout deposits or even damage.
Uncommonly, gouty deposits (tophi) may be noted incidently, at time of arthroscopy or open surgery, with no prior consideration of gout, because there was never a typical acute attack. If gout y deposits are confirmed, then treatment for gout.

In brief: Tophi w/o acute gout

It is unclear what led to a diagnosis of gout, unless you had an x-ray of your foot that showed changes suggestive of chronic gout deposits or even damage.
Uncommonly, gouty deposits (tophi) may be noted incidently, at time of arthroscopy or open surgery, with no prior consideration of gout, because there was never a typical acute attack. If gout y deposits are confirmed, then treatment for gout.
Dr. Arthur Bobrove
Dr. Arthur Bobrove
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Dr. Larry Greenbaum
Internal Medicine - Rheumatology
3 doctors agree

In brief: Probably not gout!

Acute gout is very painful and patients frequently can't put on their shoe or bear weight on the affected foot.
Sometimes a bunion or osteoarthritis can be mistaken for gout. If it doesn't hurt, i probably wouldn't do anything with it.

In brief: Probably not gout!

Acute gout is very painful and patients frequently can't put on their shoe or bear weight on the affected foot.
Sometimes a bunion or osteoarthritis can be mistaken for gout. If it doesn't hurt, i probably wouldn't do anything with it.
Dr. Larry Greenbaum
Dr. Larry Greenbaum
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1 comment
Dr. Martin Raff
What do you mean by " a gout". If you describe what you mean in more specific terms it might help clarify what is going on, but Dr. Greenbaum's answer is right on the mark.
Dr. Arthur Bobrove
Internal Medicine - Rheumatology
2 doctors agree

In brief: Chronic gout

Rarely people have uric acid depositis in foot without ever experiencing acute painful attacks.
The signs of the deposits or tophi, are x-ray changes of damage to the afected joints or deposits noted at time of surgery. Managent of this chronic gout involves life style changes and medication.

In brief: Chronic gout

Rarely people have uric acid depositis in foot without ever experiencing acute painful attacks.
The signs of the deposits or tophi, are x-ray changes of damage to the afected joints or deposits noted at time of surgery. Managent of this chronic gout involves life style changes and medication.
Dr. Arthur Bobrove
Dr. Arthur Bobrove
Thank
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