Gout is a painful form of inflammatory arthritis that develops when uric acid crystals accumulate in the joints, leading to intense swelling, redness, and stiffness. While it most commonly affects the big toe, the ankle joint is another frequent site for gout attacks — often causing severe pain that can make walking or standing nearly impossible.
At Dr. Burke Orthopedics, we treat patients throughout Pearland, Houston, Friendswood, and Southeast Texas who experience ankle gout and related joint inflammation. Dr. Robert L. Burke, a board-certified orthopedic surgeon, combines advanced diagnostic imaging, lifestyle guidance, and medical management to help patients find relief and prevent recurrent gout flares.
Gout occurs when uric acid, a natural waste product from digesting purines (found in foods and drinks such as red meat, seafood, and alcohol), builds up in the bloodstream. Normally, the kidneys filter uric acid out through urine — but when levels become too high, urate crystals can form in the joints.
These needle-like crystals irritate the surrounding tissue, causing sudden inflammation and severe pain.
Common causes and risk factors include:
- High uric acid levels due to genetics or diet
- Kidney disease, which limits uric acid elimination
- Dehydration or inadequate water intake
- Excessive consumption of alcohol, red meat, or sugary drinks
- Certain medications, such as diuretics or aspirin
- Obesity and metabolic conditions such as diabetes or hypertension
- Family history of gout or chronic arthritis
Gout can develop gradually or suddenly — and even a single episode can cause lasting joint damage if left untreated.
A gout flare often appears suddenly, frequently overnight, and is characterized by:
- Severe, sharp pain in the ankle joint
- Extreme tenderness, even from light touch or pressure
- Limited mobility or difficulty bearing weight
- Lingering discomfort that can persist for days or weeks after an acute attack
Some patients also experience fever or a general feeling of malaise during severe flares. Over time, untreated gout can lead to chronic arthritis, joint stiffness, or tophi (hard crystal deposits under the skin).
At Dr. Burke Orthopedics, diagnosis begins with a detailed medical history, physical examination, and advanced imaging to confirm gout and rule out other conditions such as infection or osteoarthritis.
Diagnostic steps may include:
- Joint fluid analysis — identifying uric acid crystals under a microscope
- Blood tests — to measure uric acid levels and assess kidney function
- X-rays — to evaluate bone changes from chronic gout
- Ultrasound or MRI — to detect crystal buildup and joint inflammation
A precise diagnosis ensures that your treatment plan addresses both immediate pain and long-term uric acid management.
Acute Gout Flare Management
The goal during an active flare is to relieve inflammation and restore mobility.
Dr. Burke’s recommended treatments include:
- Anti-inflammatory medications (NSAIDs or corticosteroids)
- Colchicine therapy to reduce crystal-induced inflammation
- After pain subsides, to restore flexibility and ankle strength
Patients are advised to avoid alcohol, red meat, and high-purine foods during and after a flare to support faster recovery.
Long-Term Gout Management
Preventing future gout flares is as important as treating the acute symptoms.
Dr. Burke’s approach to long-term management may include:
- Lifestyle modification counseling to improve diet, hydration, and activity levels
- Medications that lower uric acid levels (such as allopurinol or febuxostat)
- Weight management programs to reduce joint stress and inflammation
- Custom orthotics to offload pressure and stabilize gait during recovery
- Ongoing monitoring to prevent crystal buildup and joint deformity
For patients with advanced gout or persistent ankle damage, surgical options such as arthroscopy or reconstructive surgery may be considered to remove crystals or repair affected tissue.
Recovery and Prevention
Gout attacks usually subside within a few days to two weeks with proper treatment, but prevention requires consistent management of uric acid levels.
Prevention strategies include:
- Staying well-hydrated throughout the day
- Maintaining a healthy body weight
- Reducing purine-rich foods like red meat, shellfish, and organ meats
- Limiting alcohol and sugary drinks
- Regular exercise and stretching to improve circulation
- Taking prescribed uric acid-lowering medications consistently
Early treatment and prevention not only stop painful flares but also protect the ankle joint from long-term arthritic damage.
When to Seek Medical Care
You should contact an orthopedic specialist or physician if you experience:
- Sudden, severe pain or swelling in the ankle
- Repeated gout attacks or persistent inflammation
- Redness and warmth accompanied by fever (possible infection)
- Difficulty walking or performing daily activities
- Chronic pain despite lifestyle or medication management
Prompt evaluation allows for accurate diagnosis and long-term relief.
At Dr. Burke Orthopedics, we proudly serve the communities of Pearland, Houston, Friendswood, and Southeast Texas with expert care for inflammatory and degenerative joint conditions. Our mission is to help patients live pain-free, active lives through compassionate, evidence-based treatment.
Regain Control Over Ankle Pain and Mobility
If recurring ankle pain or swelling is affecting your movement, specialized orthopedic care can help you manage gout effectively and restore confidence in your step.
Call (713) 436-3488 or Request an Appointment Online to consult with Dr. Robert L. Burke, board-certified orthopedic surgeon serving Pearland, Houston, Friendswood, and Southeast Texas.
Our team focuses on comprehensive diagnosis, personalized treatment, and preventive care to help you achieve lasting joint health.
