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Gout in left foot and ankle, swelling and aching

I had what we belived was an attack of gout in my left foot and ankle for about 2 weeks to 3 weeks, then it appeard to go away and the left foot and ankle showed the same symptom, slowing moving down into the large toe , it has been several weeks and while there isn t much redness there is still some heat in the ankle. The ankle continues to swell and up the leg a bit. It is painful to walk on part of the time and sometimes aches when just sitting. Any ideas? I did pull the tendons over the ankle bone several years ago but the ortho said he fixes just 1 in 5 and if I can take it to leave it alone.
Asked On : Tue, 13 Mar 2012
Answers:  1 Views:  184
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Orthopaedic Surgeon 's  Response
1. Your symptoms of recurring episodes of pain/ swelling in foot and ankle with +/- involvement of great toe is usually because of gout. Usually gouty arthritis resolves say within 10 days of NSAID's. Since you are suffering for nearly 2-3 weeks with recurring episodes, better you check your S.Uric acid level and start treatment for gout if present.
2. Diet modification with restriction of high protein diet - meat/chicken, dal / pulses is good. Alcohol intake also raises your uric acid level in blood.
3. During episodes of attack, NSAID's + diet modification + ice fomentation/crepe bandage will alleviate your problem.
4. The second part of your question regarding your tendon pull is unclear - Achilles tendon rupture? - If it is that there are better surgical techniques to repair it with minimal complications even though the post-op risk for infection and wound gapping is higher compared to other tendon injury repairs.
Answered: Mon, 7 May 2012
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