At our office, we DO treat gout attacks when they occur in the foot or ankle. We are able to evaluate, diagnose and treat the acute symptoms such as pain and inflammation until the attack has resolved. We can aspirate (or remove) fluid from the affected joint in many cases to verify the diagnosis.
If you have multiple gout attacks, blood tests can be ordered from our doctors to assess for abnormal uric acid levels (these are the ones that result in gout attacks). Also, often we see pathology in the specific area of your feet affected and can discuss ways to reduce stress to these areas, decreasing joint damage. We partner with your PCP after the initial attack has resolved and defer to them for more chronic treatment of the systemic component of gout.