6 doctors weighed in:

Does anyone have suggestions for treating a gout flare in my big toe?

6 doctors weighed in
Dr. Brandon Macy
Podiatry
3 doctors agree

In brief: First, you need to

Verify that it is indeed gout.
A blood test will usually confirm the presence of a high or nigh-normal level of uric acid. If it is, then you will need some form of antiinflammatory medication. Each doctor has his/her favorite--colchicine, naprosyn (my favorite), indocin, sulindac, and more. Otc aleve, (naproxen) similar to naprosyn, can be good to try until you have your foot examined.

In brief: First, you need to

Verify that it is indeed gout.
A blood test will usually confirm the presence of a high or nigh-normal level of uric acid. If it is, then you will need some form of antiinflammatory medication. Each doctor has his/her favorite--colchicine, naprosyn (my favorite), indocin, sulindac, and more. Otc aleve, (naproxen) similar to naprosyn, can be good to try until you have your foot examined.
Dr. Brandon Macy
Dr. Brandon Macy
Thank
Dr. Loren Lewis
Occupational Medicine
2 doctors agree

In brief: Medication

There are several medications used for gout flares and prevention.
Nsaid medication, specifically Indocin (indomethacin) are often used for pain management. A lot of the approach to gout management is prevention of an acute flare with preventive medicine and dietary management/limitation of purine proteins. An approach is to avoid the flare with better preventive management.

In brief: Medication

There are several medications used for gout flares and prevention.
Nsaid medication, specifically Indocin (indomethacin) are often used for pain management. A lot of the approach to gout management is prevention of an acute flare with preventive medicine and dietary management/limitation of purine proteins. An approach is to avoid the flare with better preventive management.
Dr. Loren Lewis
Dr. Loren Lewis
Thank
Dr. Ronald Krauser
Internal Medicine - Rheumatology

In brief: I disagree

I disagree with previous answers to a degree.
Unless the great toe is involved the joint should be aspirated and synovial fluid examined to confirm the diagnosis. An elevated serum uric acid level does not confirm a diagnosis of gout. Unless you are diabetic, a course of Prednisone works faster and carries less risk than Naproxen or indocin (indomethacin).

In brief: I disagree

I disagree with previous answers to a degree.
Unless the great toe is involved the joint should be aspirated and synovial fluid examined to confirm the diagnosis. An elevated serum uric acid level does not confirm a diagnosis of gout. Unless you are diabetic, a course of Prednisone works faster and carries less risk than Naproxen or indocin (indomethacin).
Dr. Ronald Krauser
Dr. Ronald Krauser
Thank
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