How do I know if I have gout or plantar fasciitis?

Gout commonly starts in the big toe but can also affect other joints in the body. By contrast, plantar fasciitis causes pain and swelling in the arch of the foot and heel. Applying ice to the affected areas and taking NSAIDs is the first-line treatment for both conditions.
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Can gout present as plantar fasciitis?

Patients with some seronegative spondylarthropathies and gout may have an increased incidence of plantar fasciitis. While most cases of plantar fasciitis respond to conservative management and the passage of time, around 1% of patients will require surgery.
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Can gout affect the arch of your foot?

Most patients experience their first gout attack in the middle of the night - they wake up to a throbbing pain in the joint just below the big toe (the same area where bunions develop), which is frequently swollen as well. Gout may also appear in the arch of your foot, ankle, heel, knee, wrist, fingers, or elbow.
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What can be mistaken for plantar fasciitis?

Probably the most common nerve entrapment symptom confused with plantar fasciitis is when the “inferior calcaneal nerve” (aka “Baxter's Nerve”) that runs along the bottom of the heel is pinched. Clinical symptoms of Baxter's Entrapment and plantar fasciitis can be virtually identical.
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What part of your foot hurts with gout?

Gout most commonly affects the joint at the base of the big toe. The signs and symptoms of gout almost always occur suddenly, and often at night. They include: Intense joint pain.
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Gout and Plantar Fasciitis



What can be mistaken for gout?

6 Diseases That Can Mimic Gout (and Delay Your Diagnosis)
  • Pseudogout. It sounds like gout, it looks like gout, but it's not gout. ...
  • Infected joint (septic arthritis) ...
  • Bacterial skin infection (cellulitis) ...
  • Stress fracture. ...
  • Rheumatoid arthritis. ...
  • Psoriatic arthritis.
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What are the warning signs of gout?

7 Gout Symptoms You Might Be Ignoring
  • Pain in your big toe. ...
  • Pain in your knees, ankles, wrists, and/or elbows. ...
  • Intense pain that strikes in the middle of the night. ...
  • Pain that occurs in flares: rapidly worsens, then starts to ease up. ...
  • Fatigue/lack of energy. ...
  • Strange lumps and bumps around your joints. ...
  • Kidney stones.
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Can gout affect your heel?

Although the heel isn't the most common place to have gout, when gout affects your heel, every step can be painful. There is no cure for gout, but medications are available that can help reduce painful symptoms and attacks.
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Does plantar fasciitis hurt all day?

A hallmark of plantar fasciitis is that it gets worse in the morning. After a night of rest and healing, it hurts a lot to put pressure on the inflamed point. Typically, after some use the pain lessens. If it doesn't ease up at all and stays very painful throughout the day, it's probably getting worse.
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Can plantar fasciitis affect your toes?

If your pain is in your heel, you may have plantar fasciitis. That's an irritation or inflammation of the band of tough tissue connecting the heel bone to the toes. Usually, it hurts the worst in the morning when you're getting out of bed.
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What does gout feel like in your feet?

If you have gout, you'll probably feel swelling and pain in the joints of your foot, particularly your big toe. Sudden and intense pain, or gout attacks, can make it feel like your foot is on fire.
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What does gout in the heel look like?

The symptoms of gout in the heel are subtly different from those of plantar fasciitis in the heel: Redness, swelling and tenderness that is most pronounced where the heel meets the ankle. You are also likely to notice symptoms at the base of the big toe.
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What is the fastest way to get rid of gout?

How to Get Fast Relief From Gout Attacks
  1. Over-the-counter pain relievers. ...
  2. Apply ice to the affected joints. ...
  3. Drink plenty of water. ...
  4. Prescription Treatments. ...
  5. Medications for gout. ...
  6. Diet changes. ...
  7. Lifestyle changes.
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Is it OK to go walking with plantar fasciitis?

Every patient is different and some patients even receive relief from their symptoms by simply changing shoes. Walking around after lying or sitting for a time may ease plantar fasciitis symptoms as the ligament stretches out.
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What happens if you ignore plantar fasciitis?

Over time, the inflammation and stress to the plantar fascia can result in small tears in the fascia. This will cause your pain levels to increase gradually and if left unaddressed, these tears might grow in size and number, making the plantar fascia more vulnerable to rupture and debilitation.
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What triggers plantar fasciitis?

Plantar fasciitis can be caused by a number of factors, including type of shoes, foot structure, overuse and types of walking surfaces. The main symptom of plantar fasciitis is heel pain. Treatment for plantar fasciitis usually does not require surgery.
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Why did I suddenly get gout?

This condition is triggered by high levels of uric acid in your blood. Uric acid is a natural compound in your body. However, if you have too much of it, sharp crystals of uric acid can collect in your joints. This causes a gout flare-up.
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What are the 10 foods that trigger gout?

The top 10 foods and drinks that trigger gout are:
  • Sugary drinks and sweets. ...
  • High fructose corn syrup. ...
  • Alcohol. ...
  • Organ meats. ...
  • Game meats. ...
  • Certain seafood, including herring, scallops, mussels, codfish, tuna, trout and haddock.
  • Red meats, including beef, lamb pork and bacon.
  • Turkey.
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What happens if gout goes untreated?

If the cause of gout isn't treated, acute attacks happen more and more often. The inflammation caused by these attacks, as well as the growth of tophi, causes damage to joint tissues. Arthritis caused by gout may lead to bone erosion and cartilage loss leading to complete destruction of the joint.
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Does walking with gout make it worse?

Is it OK to walk with gout? It is safe for people to walk with gout. In fact, doing joint friendly activities such as walking can help improve gout-related pain. Gout is a form of arthritis that usually affects the big toe joint, but it can also affect the lesser toes, ankles, and knees.
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Can you test for gout at home?

There is no single, simple test to diagnose gout. First, your doctor will perform a physical examination to assess your overall health and ask about your history of joint pain and other symptoms that suggest gout, as well as your family history and any pre-existing medical conditions you have or medications you take.
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What feels like gout but isn't gout?

Pseudogout is similar to gout but is generally less painful. It is caused by calcium pyrophosphate (CPP) crystals in the joints. The crystals can build up in the joint fluid. When that happens, it can cause a sudden attack of pain, similar to gout.
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Why does gout hurt more at night?

While sleeping, the body loses moisture through breathing and sweating. As this happens, the blood loses some of its water content. As water content decreases, the concentration of uric acid in the blood increases. This increase leads to or exacerbates hyperuricemia, the precursor to gout.
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Should I wrap my foot if I have gout?

Wrap it with a thin towel and an ace bandage to secure to your foot with mild pressure for up to 20 minutes. This can be done in spaced increments several times a day during the flare-up. While some may advise soaking your aching foot in hot water, we only recommend this if your inflammation is intense.
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How long does a gout flare up last?

An acute gout attack will generally reach its peak 12-24 hours after onset, and then will slowly begin to resolve even without treatment. Full recovery from a gout attack (without treatment) takes approximately 7-14 days. An accurate and colorful discription of a gout attack was elegantly written in 1683 by Dr.
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