In the previous blog, we explored joint pain in menopausal women, largely caused by hormonal shifts. With World Menopause Day approaching on October 18th, it’s the perfect opportunity to focus on another issue linked to menopause: the increased risk of developing gout. Traditionally associated with men, gout is now affecting more menopausal women. This overlap between joint pain and gout presents a unique challenge during menopause, making it essential to understand and manage both for better mobility and comfort. This then raises the question, what exactly causes this increased risk of gout, and how can it be managed?
Menopause, Hormonal Shifts, and Gout Risk
You might not immediately link menopause with gout, but hormonal changes during this phase increase the likelihood of developing this painful form of inflammatory arthritis. Gout occurs when uric acid builds up in the bloodstream, forming sharp crystals in joints, particularly in the feet and ankles. For menopausal women, the decline in oestrogen plays a key role. Oestrogen typically helps flush uric acid out of the body, but when its levels drop, uric acid can accumulate, leading to gout flare-ups.
Weight gain during menopause can further increase the risk of developing gout. Although the precise reasons are not fully understood, studies have shown that a higher body mass index (BMI) is linked to a greater likelihood of gout. Excess weight may reduce the kidneys’ efficiency in processing uric acid, leading to its buildup in the body. This combination of hormonal shifts, which already raise the risk, and weight gain makes managing gout even more crucial, as both factors can compound the likelihood of flare-ups.
Managing Gout and Joint Pain in Menopausal Women
Managing gout in menopausal women requires a comprehensive and sustainable approach that goes beyond quick fixes. While prescribed medications such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and Corticosteroids can offer short-term relief, long-term use of it carries risks such as gastrointestinal issues and kidney problems. A more balanced approach begins with dietary adjustments, such as reducing purine-rich foods like red meat and seafood, while also limiting alcohol and sugary drinks, which can trigger flare-ups. Staying hydrated is another crucial step, as it helps flush out excess uric acid. Finally, incorporating non-invasive treatments like shockwave therapy can further support joint health by reducing inflammation and promoting healing, offering a more holistic solution without the side effects of prolonged medication use.
Gender Differences in Gout Symptoms
While men often experience gout as sudden and severe pain in a single joint, usually the big toe (podagra), women tend to develop gout later in life and frequently in multiple joints. This commonly affects the feet, ankles, and knees, requiring effective management to prevent further complications. Seeking guidance from a podiatrist is also crucial, as they can provide tailored strategies to reduce joint strain, recommend supportive footwear, and offer treatments to manage inflammation and discomfort.
Quality Gout Care for Menopausal Women
As women go through menopause, hormonal changes affect more than just joint health. The decline in oestrogen, as mentioned earlier, impacts how the body manages uric acid, reducing the body’s ability to efficiently process and eliminate it, making menopausal women more prone to developing gout. This increased risk highlights the importance of addressing gout with a tailored approach that suits their unique needs. At East Coast Podiatry, we offer treatments designed to target these underlying changes, helping to break down uric acid crystals, reduce inflammation, and provide long-term pain relief. This approach ensures improved mobility, which is vital to maintaining lower limb health. If you are seeking ways to manage your gout symptoms and improve your joint health, our team of podiatrists is here to help you. Book an appointment with us today and take the first step toward lasting relief and better mobility.