Skip to main content

Gout, Sports Medicine

Kenneth S. Taylor, MD, FAAFP, CAQSM, Natalie Voskanian, MD and Suraj A. Achar, MD, FAAFP, CAQSM Reviewed 04/2019
 


BASICS

  • Gout is an acute disease that can progress to a chronic state.

  • The most common inflammatory arthropathy, affecting >8 million Americans 1

  • Consists of painful inflammatory deposition of monosod...

DIAGNOSIS

HISTORY

  • Initially a severely painful, erythematous, and swollen joint (noninfectious monarthritis)

  • There is no significant trauma of the joint preceding the attack.

  • Rarely, there may be polyart...

TREATMENT

GENERAL MEASURES

  • See “Risk Factors” for what to avoid.

  • Therapy for gout includes diet modification (see “Risk Factors”), using medications that reduce overall uric acid levels (such as losarta...

ONGOING CARE

PROGNOSIS

Prior to advent of preventative therapy up to 2/3 patients undergoing a gout attack will have another one within 12 mo. 

COMPLICATIONS

  • It takes, on average, about 10 yr for chronic...

REFERENCES

1
Hainer BL, Matheson E, Wilkes RT. Diagnosis, treatment, and prevention of gout. Am Fam Physician.  2014;90(12):831–836.
2
Rainer TH, Cheng CH, Janssens HJ, et al. Oral prednisolone in t...

CLINICAL PEARLS

  • Gout is an acute inflammatory arthritis of rapid onset that can mimic infection.

  • A painful, warm, erythematous, swollen joint should be aspirated to evaluate for septic arthritis versus...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×