Pain, spine & orthopaedic care in Ocean & Monmouth County, NJ
Garden State Medical Center
Patient handout · Rheumatology

Gout

What it is

Side view of a foot with the big toe joint shaded and small crystals inside, showing a gout flare.

Gout is a type of arthritis caused by too much uric acid in the blood. Crystals form in a joint and cause sudden, very painful swelling. The big toe is often affected.

Common symptoms

  • Sudden, severe joint pain, often at night
  • Red, hot, swollen joint, commonly the big toe, ankle or knee
  • Tenderness so strong that even a sheet hurts
  • Firm lumps under the skin (tophi) in long-standing gout

What to expect at GSMC

  • First visit: A rheumatologist reviews your symptoms, history and medicines, and examines your joints and skin.
  • Tests: Blood tests and imaging, as needed, help confirm the diagnosis.
  • Follow-up: Regular visits and lab checks help us adjust treatment over time.

Self-care tips

  • Drink plenty of water. Limit alcohol, sugary drinks and large servings of red meat or shellfish.
  • Take your medicines exactly as prescribed. Do not stop them on your own.
  • Keep all lab and follow-up visits.
  • Stay active with gentle exercise, and rest during flares.

When to call us

  • A hot, swollen joint with fever
  • A flare that does not settle with your usual plan
  • Fever or signs of infection while on your medicines
  • New symptoms, such as a rash, chest pain or leg swelling

Call 911 for chest pain, trouble breathing, or signs of a stroke.

Call 732-202-3000

One number for all offices. Questions about this handout? We are glad to help.

Our 7 offices: Whiting · Toms River (Hooper Ave) · Brick · Barnegat · Manahawkin · Freehold · West Long Branch

gsmedicalcenter.org/services/rheumatology/conditions/gout/

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This handout is general information and is not a substitute for medical advice.

Watch and learn

Video: “What is Gout? An Introduction to Gouty Arthritis (1 of 6)” from Johns Hopkins Rheumatology on YouTube. It loads from youtube-nocookie.com only when you press play. Shown for general education; GSMC did not produce it. Watch on YouTube