Keith’s GoutPal Story 2020 Forums Please Help My Gout! Gout Symptoms Can a "stubbed toe" bring on a gout attack?

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    I had my first incidence of gout about 4 years ago, and my second about 6 months ago. On Wednesday I stubbed my big toe. I felt the pain and thought it might be broken, but was able to walk it off for the most part. But the pain seemed to get worse out of nowhere, and by Friday I had a lot of difficulty even walking. Today (Saturday) the pain has been very intense making it almost impossible to walk.

    My first two gout attacks were on my right foot. This stubbed toe happened on my left foot. The big toe area is noticeably swollen and reddish, especially around the second joint from the toenail and just below that. The toe area does not feel as sensitive to touch as in my first two gout attacks. But there is an almost constant throbbing pain, especially when I try to stand after lying down, presumably because the blood is rushing to the affected area. Of course trying to walk on it is extremely painful as well.

    So I’m wondering if I might have a sprained toe instead of a gout attack? Or if it is a gout attack could stubbing my toe have brought the attack on?

    • This topic was modified 6 years, 6 months ago by ohthepain.
    • This topic was modified 6 years, 6 months ago by ohthepain.
    Al O’Purinol

    I have been trying to get back into exercising as I am a bit young (27)
    to be experiencing gout, but apparently I have too many hereditary
    factors conspiring against me. So far I have only had two flare-ups,
    the latter caused by an exercise injury.

    Understanding the importance of hydration long before I found out about
    this condition, I typically over-hydrate before, get dehydrated during,
    then re-hydrate immediately after (as in, on the way to the car) any
    exercise activity. These had mostly been hikes, runs, or workouts
    scattered a couple to a month. After the first flare-up, caused by an
    excessive work schedule (I work in a busy restaurant) of 4 15+ hour
    days in a row, I made sure to keep my water levels up as much as
    possible. This prevented flare-ups for over a year.

    Then, in world cup fever, I was persuaded to play some pick up soccer
    on a day off. I took my usual precaution before hand. However, while
    playing, I tripped and had a spectacular spill that culminated in a
    forward roll. After playing for a while longer, I realized I needed to
    get off my feet. It turned out that I twisted an ankle, scraped and
    jarred the same knee and landed on the opposing wrist. Although I made
    sure to re-hydrate, I was ignorant about other triggers and iced both
    leg joints and took aspirin (no other analgesics in the house). While
    I am sure it was the second two things that made this bout much, much
    worse than my initial attack, I am certain that it would have been
    limited to my big toe/foot as before if I hadn't hurt the other joints.
    This time, however, it hit all three of them.

    After some googling I wound up at, and your site
    has provided me with some good tips; Thank you for your efforts and the
    serendipitous discovery that I like fresh cherries (I've always assumed
    they were terrible because I hate maraschinos).


    I had a similar experience. I am 29 and have just recently been diagnosed with kidney stones and high levels of uric acid. I was playing football and did not think I injured myself. After football I starting drinking beer. Within an hour I felt like my ankle was broken. I visited the hospital and found out that it was just a bad gout attack and not a fracture.   


    Just a bad gout attack?  Sometimes, I'd actually prefer a fracture! 

    I've had many experiences of triggering gout attacks due to sports and exercise.  These usually happened when an attack was already on its way and it just took a bump or bang to put it over the top.  I've been a very active person my whole life up until this year.  At 35, I've had to stop doing most of the things I love while I try to rid my body of the uric acid that has built up over the past 15 years.  It sucks, but I'm hoping it will make the future brighter.

    Since both of you are still young, I'd recommend starting a regiment to lower and rid your body of uric acid before things become too serious.  Just see the many great and informative posts by GoutPal, Zip and Trev.  Of course, talk to a good doctor too.  Good luck!


    Sports Injury and Gout Treatment

    I’m having a horrible time with my first gout attack. ?I play rugby and am an avid jogger. ?I had a horrible attack that I initially thought was a broken ankle. ?X-ray was negative, and being a dumb jock I played through the pain two days later and now it’s about 40 days after the initial attack and I can’t do much on it besides walk. ?I can’t stand not being able to jog/play. ?

    Over the course of the 40 days I’ve taken, 2 prednisone packs, had shots into the joint itself, on tons of anti-inflammatories, drinking apple cider vinegar, and eating cherries, ice/heat, and my Uric levels have been staying pretty low after the initial attack. ?Anyone have any idea/advise on what might help get me back on the field or at least jogging again? ?



    Short answer: Yes – a joint injury can cause a gout attack.

    Any injury to a joint can cause a gout flare. The swelling associated with the injury (even very minor swelling) causes changes in how the blood flows through that area. As the swelling increases the blood vessels get constricted causing more uric acid crystals to build up (like a beaver dam) in those areas.

    My very first gout attack came shortly after stubbing my toe really bad (bad enough to lose my big toenail). I thought I had broken my toe and went to the emergency room.

    The rush of white blood cells (which are several times larger than red blood cells) to that area can also cause roadblocks and general circulation changes. Fortunately the NSAIDS you take for your injury will also help with the gout pain.

    Not knowing anything about your specific gout I can only hope you are taking Allopurinol to get your uric acid number lower. If not, only time will help the pain go away (though the gout is still there doing damage to your joints).


    Great explanation @tavery

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