This remarkable case is a great example of the many reasons why you shouldn't wait to treat a foot condition; even if it doesn't cause a lot of pain. This active middle aged male has been dealing with a gout condition on his first metatarsal region as well as his great toe. After consulting with his doctor, the usual conservative management of gout was suggested but no preventative efforts for his toe.
Over time, the development of gouty tophi (the crystals that precipitate from the circulating high levels of uric acid in the blood stream) deposit in these joints and lead to a severe degenerative joint disease. The next two images show the excessive amount of these deposits. The stuff that looks like cream cheese... those are the tophi... the bad stuff!
Unfortunately after some period of time, joints left in this condition become arthritic and the cartilage on the surface degenerates to a level that only a joint replacement can provide relief.
Another problem resulting from leaving the region to develop tissue breakdown over time is the extensive deposition of gouty tophi in the tissues surrounding the joint result in a difficult dissection and a more challenging case.
Fortunately the evo team was able to not only remove 90%+ of the gouty tophi, but also replace the joint and get this foot back to a functional state. Once the recovery process is complete, this patient will finally be able to move his joint and regain his mobility!
Another fantastic #transformationtuesday by Dr. Sadrieh and his team! #evofoot