Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe joint pain, swelling, erythema, and warmth, typically monoarticular (most commonly first MTP joint). Symptoms often peaked within 24 hours, triggered by dietary intake, alcohol, or recent trauma. Patient reports limited range of motion and extreme tenderness to light touch.
Clinical Examination Findings
Physical examination reveals localized erythema, significant edema, and exquisite tenderness over the affected joint. Joint effusion may be present. Range of motion is severely restricted due to pain. No signs of systemic infection or cellulitis noted. Podagra (inflammation of the first MTP joint) is confirmed.
Treatment Protocol
Initiate NSAIDs (e.g., Indomethacin or Naproxen) or Colchicine for acute flare management. Consider intra-articular corticosteroid injection if systemic therapy is contraindicated. Advise rest, ice application, and joint elevation. Long-term management includes Allopurinol or Febuxostat for urate-lowering therapy once the acute flare resolves.