
Foot & Ankle Arthritis & Joint Care
Gout & Pseudogout
Causes, symptoms, and treatment for gout and pseudogout, with care at 15 clinics across Middle Tennessee.
Understanding gout and pseudogout and your options.
Gout and pseudogout happen when tiny crystals build up in a joint and cause sudden swelling and pain. Gout is linked to uric acid crystals and often hits the big toe. Pseudogout involves a different crystal and often affects the ankle or midfoot.
An attack can come on fast, often overnight. Prompt care eases pain and helps prevent repeat attacks and joint damage.


Symptoms
Signs of gout and pseudogout.
If you notice these signs, an exam can give you clear answers.
- 01
Sudden severe pain in one joint
- 02
Red, hot, swollen skin over the joint
- 03
A toe or ankle too tender to touch
- 04
Pain that peaks within hours
Why it happens
What can cause gout and pseudogout.
- 01
High uric acid levels in the blood
- 02
Certain foods and drinks, especially alcohol
- 03
Some health conditions and medicines
- 04
Age and family history
Diagnosis and care
How we treat gout and pseudogout.
Step 1 · Diagnosis
We look at the joint and ask about past attacks. Blood tests can check uric acid levels, though they may be normal during an attack. Fluid from the joint can show which crystals are present. X-rays or ultrasound may show crystal buildup or joint damage.
Step 2 · Treatment
Resting and raising the foot helps during an attack. Medicines to calm the flare are usually guided by your doctor. Changes in diet and fluids may lower the chance of repeat attacks. Comfortable, roomy shoes protect the joint while it settles.
Surgery is rarely needed. It may be used to remove large crystal deposits or repair a joint damaged by repeated attacks.
Recovery
What to expect over time.
A flare often eases in several days to two weeks with care. Long-term control of the cause may take months.
When to book
Do not wait it out.
See a podiatrist quickly if a joint suddenly becomes hot, red, and very painful. Seek urgent care if you also have a fever.
Call 615-220-8788Related care
More in Foot & Ankle Arthritis & Joint Care.
FAQ
Your questions answered.
Is gout only in the big toe?
No. It often starts there but can affect the ankle, knee, or other joints.
Can foods really trigger gout?
Some can raise uric acid in certain people. A balanced diet and steady fluids help, and your doctor can guide you.
Get help with gout and pseudogout.
Where we treat it
Gout & Pseudogout care at 15 clinics.
- Brentwood10644 Concord Road
- Clarksville1762 Memorial Dr
- Columbia1215 Hatcher Lane
- Cookeville120 Walnut Commons Lane, Suite A
- Gallatin179 Hancock St, Suite 300
- Goodlettsville824 Wren Rd
- Hermitage3901 Central Pike, Suite 353
- Lebanon430 West Main Street
- Mount Juliet2628 North Mount Juliet Road
- Murfreesboro536 N Thompson Ln, Suite F
- Nashville300 20th Avenue North, Suite 103
- Pulaski306 South 7th Street
- Shelbyville120 Frank Martin Rd, Suite 200
- Smyrna693 President Pl, Suite 103
- Waverly110 Hillwood Drive









