Musculoskeletal and orthopaedic conditions

Gout

A type of arthritis causing sudden, severe joint pain, often in the big toe, due to uric acid build-up.
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About

Gout is a type of arthritis caused by the buildup of uric acid crystals in the joints. This leads to sudden, severe pain, swelling, and redness, most commonly in the big toe. It can occur when the body produces too much uric acid or doesn’t excrete enough.

This condition is often invisible.

Many disabilities, including this one, may not have outward signs—people can be significantly impacted even if they appear “fine” on the outside.

Common Challenges

  • Difficulty walking or standing for long periods.
  • Pain during movements or while lifting objects.
  • Limited ability to perform physical tasks.
  • Need for frequent breaks due to pain.
  • Flare-ups can happen unexpectedly.
  • Difficulty concentrating due to pain or medication side effects.

Practitioner Help

  • Prescribe medications to manage pain and reduce uric acid levels.
  • Recommend lifestyle changes, such as diet modifications.
  • Offer physical therapy to maintain joint mobility.
  • Advise on weight management.
  • Provide support for managing flare-ups and preventing future attacks.

Common Accommodations

  • Remote work or telecommuting options for certain jobs
  • Flexible work hours or breaks to manage medication schedules
  • Ability to work from a seated position
  • Adjustments in workload to reduce stress
  • Access to pain management options at work
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Notes

Gout flare-ups can last for hours to days and can be triggered by stress, certain foods, or alcohol.

Managing uric acid levels through diet and medication is essential to preventing flare-ups.

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Gout awareness day is May 22nd

Resources

  • Gout – symptoms,causes and treatment | healthdirect
  • Gout— Arthritis Australia
  • Gout- Symptoms and causes - Mayo Clinic
  • Gout | Arthritis |CDC
Musculoskeletal and orthopaedic conditions

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