Foot care is important. Gout is a well-known and common problem that affects the first metatarsophalangeal joint of the feet. Dr. Miguel Cunha, and the physicians at Gotham Footcare offer treatment for gout at their offices in Downtown and Midtown Manhattan, New York.
Gout is a common and complex form of arthritis that is caused by the accumulation of uric acid crystals in a joint, typically the great toe joint. Uric acid is formed from the breakdown of purines, substances that are naturally found in the body. Purines are also found in certain foods that are high in protein such as meat and seafood, as well as sweetened drinks, and alcoholic beverages, especially beer. Normally, uric acid dissolves in your blood and gets filtered by your kidneys into your urine. Sometimes, uric acid is either overproduced by the body or under-excreted by your kidneys. When this happens, uric acid can accumulate in your blood and crystallize in your joint, causing a sudden gout attack which causes your joint to become severely painful, red, hot, and swollen. This attack often occurs in the middle of the night giving you the burning sensation on the affected joint and can be so severe that even the weight of your bed sheet on it may seem intolerable.
At Gotham Footcare, your doctor may perform the following tests to help diagnose gout:
At Gotham Footcare, the first step in the treatment of acute gout is to eliminate or reduce the pain by decreasing inflammation of the joint. Your doctor will prescribe pain-relieving medications, which may include:
The second part of acute gout treatment consists of taking prescription medication to lower the levels of uric acid in your body. At Gotham Footcare, your doctor will explain the various medications available, how they differ, and their potential side effects. The medication that you and your doctor will choose will be based on what is the most appropriate in consideration of your lifestyle and current health status. Some medications may be used to treat acute Gout and others will be used to prevent chronic Gout.
Last but not least, at Gotham Footcare, your doctor will have a thorough discussion with you on the necessary lifestyle changes that you will need to make including increased exercise, weight loss, and modifications in your diet to help prevent future gout attacks.
In an effort to minimize out-of-pocket expenses, we accept most managed care plans and insurance providers. For any questions regarding insurance, please contact our offices.
"Dr. Cunha is kind, takes the time to answer all my questions, and helps me find alternative solutions when my insurance doesn't cover what he first suggests."
"The staff was extremely friendly their positive vibes were contagious! Dr. Cunha was great, he took his time to answer all of my questions."
"Dr. Cunha truly cares for the well-being of his patients. He is extremely professional and knowledgeable."
"Dr. Cunha was attentive, accommodating, and willing to answer any and all questions I had through my recovery process. I would highly recommend Gotham Footcare."
"All of the staff are super friendly, energetic and efficient. Dr. Cunha is attentive and finds solutions quickly, offering more than one option for treatment."
"Dr. Cunha is knowledgeable, personable and really cares about his patients. His staff is wonderful; They are always friendly and helpful."