The following algorithm is used to diagnose arthritis:
Usually, to correctly diagnose and clarify the etiology of arthritis, consultation with a specialist is necessary:
A clinical examination by a specialist begins with a detailed conversation, during which the doctor collects:
Next comes the actual inspection, which includes:
Then the specialist prescribes the necessary laboratory tests to confirm the diagnosis.
Let's consider various instrumental methods that can be used to diagnose arthritis.
This is the main method for diagnosing joint arthritis. It is painless, non-invasive, and carries little radiation exposure to the body (unlike computed tomography).
It is usually used repeatedly, first to diagnose arthritis, then to monitor the dynamics of the process during treatment.
X-ray can determine the condition of bone structures and joint cavity, but does not visualize the condition of soft tissues (muscles, articular discs, ligaments). It reveals:
Radiography can be performed in several projections:
According to indications, photographs can also be taken when performing functional tests (during maximum flexion and extension in the joint). Functional tests are commonly used in the diagnosis of spinal lesions.
Usually, in addition to the affected joint, X-rays of a symmetrical “healthy” joint are simultaneously taken (for comparison purposes).
Refers to auxiliary methods. High bone density does not always make it possible to obtain a clear image of the articular cavity. Therefore, ultrasound is usually used to diagnose arthritis of large joints, which are located superficially and are easily visualized from all sides using an ultrasound probe (knee, elbow, shoulder joints, less often - hip joint and spine).
Computed tomography allows you to view x-ray sections of individual joint structures. As a result, the images are presented in the form of transverse and longitudinal sections. Unlike conventional radiography, it allows you to visualize the condition of soft tissues (but not as clearly as with magnetic resonance imaging). If computed tomography is used to diagnose diseases of the spine, it is often used in conjunction with myelography to clarify the condition of the soft tissue structures of the spinal cord.
The method is very informative, but involves a large radiation dose with X-rays, so it is usually used only in controversial situations to clarify the diagnosis, as well as to obtain a more “clear” picture of bone tissue (osteophytes, fragments in the joint cavity).
In addition, computed tomography requires large financial costs for the hospital and/or for the patient (in many diagnostic centers it is performed only for a fee).
Unlike computed tomography, it is safe, since the study is carried out using electromagnetic waves rather than x-rays, and therefore can be used repeatedly on the same patient. Provides clearer visualization of bone structures and soft tissues. However, the equipment for this study is expensive; not every hospital or diagnostic center can afford its purchase and maintenance. And very few patients will be able to pay for this study on their own.
For some types of lesions, the use of magnetic resonance imaging is indispensable (for example, for diagnosing changes in nerve structures, muscles, ligaments, intervertebral discs and others).
Based on the results of magnetic resonance imaging, an image is obtained in the form of a series of transverse and longitudinal sections in digital format.
This is a radiation diagnostic method based on the introduction of the radiopharmaceutical 99cTs into the body. It is used mainly in cases of suspected synovitis and to identify pathological changes in bone tissue. After administration, the drug selectively accumulates in the organ being studied, which is revealed on a series of x-ray images.
If there is active inflammation of the synovial membrane, then this looks like a diffuse accumulation of 99cTc in this area.
The method is more sensitive than conventional radiography and is able to detect pathological changes at earlier stages.
It is an invasive method. Most often it is carried out to diagnose arthritis of the knee joint, since it is large, accessible to comprehensive examination and convenient for puncture.
During arthroscopy of the knee joint, the synovial membrane, the upper surface of the menisci, the anterior and posterior cruciate ligaments, and articular cartilage are accessible for inspection. With synovitis, there is thickening and hyperemia of the synovial membrane, loss of transparency by the villi and their increase. Fibrin clots or cartilage detritus are often found in the joint cavity, lying freely or fixed on the synovial membrane.
During arthroscopy, it is possible to take a biopsy of the affected tissue or joint fluid for the purpose of subsequent morphological and bacteriological examination, as well as intra-articular administration of medications.
Invasive procedure. It can be carried out for therapeutic and diagnostic purposes.
Indications for puncture are:
Arthrography is an X-ray examination of a joint. It can be performed by introducing gas (oxygen, nitrous oxide) into the joint cavity - pneumoarthrography or water-soluble iodide radiopaque agents.
The method is used to clarify the condition of cartilage tissue and soft tissues (articular capsule, ligaments, menisci) in order to identify their pathological changes.
Acute arthritis, as well as hypersensitivity to iodine preparations are contraindications to this technique.
A highly specialized technique used to diagnose diseases of the spine, namely, the condition of soft tissues (spinal cord, nerve roots). Used in conjunction with computed tomography.
It is performed by injecting a radiopaque contrast agent into the spinal canal.
Detects pathological changes in intervertebral discs by injecting a contrast agent into the disc.
Used to assess the condition of the spinal column. Allows you to identify changes in the early stages, the level of damage, stage, and is also used to monitor the treatment process.
Neuralgic pain of arthrogenic origin must be differentiated from trigeminal neuralgia and arteritis of the superficial temporal artery.
Pain with trigeminal neuralgia is superficial and spreads along the branches of the trigeminal nerve. It appears suddenly and disappears just as suddenly. Attacks of pain can be triggered by washing your face or talking. Paroxysmal pain along the branch of the triple nerve often occurs at rest, during sleep, while arthrogenic neuralgic pain in acute arthritis occurs and intensifies during movements of the lower jaw, when the jaw is shifted back by pressing on the chin. Arthrogenic pain of a reflex nature can occur with spasmodic contractions of the lateral pterygoid muscle. Arthrogenic pain differs in the duration of attacks of ear pain. These attacks are immediately eliminated by injecting an anesthetic into the area of the trigger zones of the masticatory muscle, and attacks of trigeminal neuralgia are eliminated by injection into the area where the branches of the trigeminal nerve exit.
With arteritis (inflammation or enlargement of the superficial temporal artery), severe pain also occurs in the TMJ area and along the superficial temporal artery. Palpation along the superficial temporal artery is painful. Injection of 1.0 ml of anesthetic above the zygomatic arch immediately relieves the attack of pain.
Reflex arthrogenic neuralgic pain can also occur with neuromuscular dysfunctional syndrome. Pain also occurs with atypical movements of the lower jaw, with unilateral muscle spasms. Asynchronous contraction of the muscle groups of the same name, sharp spasms of the lateral pterygoid muscle can lead to compression of the auditory nerve between the posterior bundles of the meniscus tendons and the bony edge of the Glaser's fissure.
Sharp pain upon palpation of the lateral pterygoid muscle through the oral cavity is an early sign of dysfunction of this muscle, which arose as a result of frequent spastic contractions. In addition, with neuromuscular imbalance due to atypical movements of the condyles, there is an incoherence of movements in the joint, which does not happen with acute arthritis. The excursion of the articular heads in acute arthritis is limited, and in case of dysfunction it can be normal or even excessive.
Acute arthritis should be differentiated from myositis and general pulpitis.
With myositis, the pain is diffuse, sometimes covering a significant part of the head, and intensifies when lightly touching the face, joint area, or head. There is no swelling or limitation of movements of the lower jaw.
Neuralgic pain due to pulpitis is detected by carefully taking an anamnesis and examining the dentition to identify the causative tooth.
In arthrology, along with clinical and x-ray examinations for acute inflammatory processes in the joint, the examination plan includes a puncture examination.
The founder of arthrology, M. M. Dieteriks (1937), noted that the study of a joint cannot be considered complete without examining the puncture of the affected joint. Normally, the joint cavity contains a small amount of synovial fluid to lubricate the articular surfaces,
The production of synovial fluid is regulated by iron rioceptors of the synovial membrane.
The close biological connection between the synovial membrane and synovial fluid makes it possible to evaluate the metabolic processes between the synovial fluid and the bloodstream that supply the joint, and also allows us to study some of the responses of joint tissues when they are diseased.
Acute arthritis is known to be caused by any coccal and specific infection. Therefore, the researchers' efforts were aimed at identifying the causative agent of the acute inflammatory process from the obtained punctate.
However, no one was able to detect the pathogen in the joint effusion.
Comparative characteristics of cytograms of synovial fluid in various pathological processes of the knee joint, carried out by A. I. Glandshtein (1963) and O. V. Chizhov (1967), made it possible to detect a certain cellular composition characteristic of a number of pathological conditions.
Acute nonspecific inflammatory diseases of the joints are characterized by the presence of leukocytes with a small percentage of neutrophils. And chronic nonspecific arthritis is characterized by a predominance of neutrophils in the punctate.
Thus, a puncture study can serve as an additional diagnostic test after clinical and radiological studies of the TMJ.
In the domestic literature, T. N. Vladychenkova (1974) was the first to study punctate taken from the TMJ when it was affected by infection.
Table of contents of the topic “Treatment of dislocations and arthritis of the mandibular joint”:
Acute arthritis is very common in people over 40 years of age. But recently there are more and more cases when arthritis begins to manifest itself even in childhood. Arthritis is a very unpleasant disease that occurs as a result of inflammatory processes occurring in the body. Their combined result manifests itself in severe pain concentrated in the joints, usually at night, and it does not matter whether the person is moving at that time or not.
The disease can develop over many years (chronic form) or occur suddenly (acute form). It is not uncommon to encounter cases where fever occurs during an exacerbation of arthritis.
The disease can develop in several forms: chronic or acute. Acute arthritis of the knee joint has symptoms such as very severe pain, slight swelling, increased local or general temperature. A chronic disease may not show any signs of its development for a long time. Only in some situations, most often during hypothermia of the knee or due to physical activity, severe pain occurs.
The acute form of the disease differs from the chronic form in that all symptoms are more clearly expressed. In addition, the disease destroys a person’s joints several times faster and causes regular severe pain. The location of acute arthritis can vary widely, but the most commonly affected areas are the shoulders, elbows, or knees.
There are quite a few symptoms of this disease, and their onset will be incredibly sharp and extremely painful. So, acute arthritis has the following symptoms:
The main symptom is that a person loses the usual mobility of the joints of the arms and legs. Due to severe pain and due to the fact that the connective tissue is gradually destroyed, the affected limb loses part of its functionality. Due to acute arthritis of the joints of the hands, the upper limbs become less mobile. If you have acute arthritis of the legs, you cannot move freely.
If a person begins to develop acute arthritis, then he must immediately consult a specialist for examination and prescribing the correct treatment for the disease. This form of the disease progresses very quickly, and after some time without proper treatment, other, more serious problems will be added to the severe pain.
The disease may begin to develop due to the following reasons:
To diagnose acute arthritis in a person, you must do the following:
Treatment of the disease is carried out in the following directions:
To suppress the inflammation process, antibiotics and non-steroidal anti-inflammatory drugs are prescribed, often in tablet form. If the disease occurs in an acute form, then intra-articular injections of strong anti-inflammatory medications are also prescribed. In order to relieve excruciating pain, the patient is prescribed painkillers. A popular and effective drug in this regard is Colchicine. Chondroprotectors are prescribed to slow down joint deformation. Ointments, gels, and creams used in treatment increase the chances of rapid relief of an exacerbation several times.
If serous acute arthritis is present, then the affected area of the body should be at rest. This will avoid the occurrence of dislocations or contractures. In some situations (for this disease of the legs), traction can be used, which will slightly relieve the pain in the joint. If it is not possible to stretch the limb, then splints or fixing bandages can be used. With their help, the tension in the joint is slightly relieved, and the pain becomes less severe. This treatment cannot be used for very long, otherwise ankylosis may occur.
In the case of purulent acute arthritis, it is also necessary to remove pus from the joint.
As a rule, doctors perform puncture and aspiration of the joint. After these manipulations, antibiotics and painkillers are used.
An important point is that during an exacerbation of the disease, massage, warming ointments or compresses should never be used for treatment. This will only contribute to the development of the inflammatory process.
Acute arthritis is one of the forms of arthritis (inflammatory joint disease). It occurs in absolutely all types of the disease. Regardless of location (ankle, knee, elbow, hip, shoulder joint, hands or foot), it is characterized by constant severe pain in the affected joints. It can be serous, serous-fibrous, purulent. Although there are cases when an attack of acute arthritis goes away on its own. The vast majority of exacerbations need to be diagnosed promptly and fully treated. The disease has characteristic, strongly expressed symptoms and will not go unnoticed even at an early stage, when treatment will bring the greatest benefit.
The occurrence of primary acute arthritis can be triggered by several factors:
Joint pain is the first sign of arthritis
The following symptoms of this disease should be the reason for a visit to the clinic:
Diagnosis of joint arthritis
If symptoms appear that indicate the onset of acute arthritis, you must immediately see a specialist, since treatment in the initial stage is much more effective than treatment of an advanced disease, when irreversible destruction of the joint has already occurred. The doctor will conduct an initial examination and survey to find out whether the symptoms correspond to the acute form of arthritis. If suspicions are confirmed, a set of additional studies is prescribed:
Shock wave therapy treatment
Treatment of acute arthritis is somewhat different than treatment of this disease in the chronic stage or remission. This is explained by acute inflammation, which makes some methods included in the complex treatment of arthritis of any etiology ineffective and contraindicated. Prohibited methods include:
The main factor influencing treatment is the form of acute arthritis: serous, serous-fibrous, purulent. The affected area also matters: ankle, knee, elbow joint, arms and foot. Complex treatment, prescribed individually, includes several options for the purpose of relieving inflammation, reducing or eliminating pain, and preventing the transformation of the disease into a more serious stage, accompanied by severe deformation of the joints:
Use of antibiotics for arthritis
Treatment of acute arthritis with medications has several directions:
A special diet helps in recovery from arthritis
No drug treatment for acute arthritis will be effective unless you adhere to a strict diet during this period. It promotes enhanced removal of harmful compounds from the body and a decrease in the level of purines, which helps relieve acute inflammation in the joints and restore metabolic balance. Poor nutrition with consumption of large amounts of meat, preservatives, fats and strong drinks are the main causes of an attack of acute arthritis. As soon as the first symptoms of arthritis of the elbow joint and other joints appear, it is necessary to formulate your diet strictly in accordance with the recommendations of doctors:
Acute arthritis in a purulent form (regardless of the cause of its appearance) must be treated only with the use of surgical intervention in the first place. This is especially true when the knee, ankle, or elbow joints are affected. This technique is used much less frequently in the treatment of hands. To prevent destruction of the membranes of joint tissue, as well as to exclude possible damage to the entire body, purulent deposits accumulated in the articular cavity are pumped out using local surgery. After removing the purulent substance, injections of antibiotics and anti-inflammatory drugs are administered into the joint.
Surgery for arthritis
Due to the fact that such an operation in the area of the elbow, knee, (very rarely hands) and other joints is a serious procedure, it is performed only during inpatient treatment. For acute arthritis of the lower extremities (hip, knee, ankle), hospitalization is the best option for treatment. Diseases of the upper parts (shoulder, elbow and arms) usually do not require such measures and are limited to outpatient treatment with rest.
Many diseases can be treated using folk remedies in addition to traditional drug treatment. Acute arthritis responds well to such therapy. The main condition is not to use warming agents during an attack of acute arthritis: ointments, compresses, hot baths. During this period, all efforts are aimed at reducing severe inflammation in the joints and reducing the pain component. You can use some recipes that can help in the treatment of acute arthritis:
Compliance with all recommendations and implementation of individual complex treatment prescribed by a doctor, together with a healthy lifestyle, will help overcome even such a serious disease as acute arthritis.
Acute infectious arthritis (septic, purulent) - damage to the joint caused by direct entry of microorganisms into its cavity from any primary lesions or from an open injury (puncture) of the joint. The etiological factors can be a variety of microbes, but in the first place are staphylococcal (Staphylococcus epidermidis et aureus), streptococcal (hemolytic streptococcus group A, viridans streptococcus) infection and gram-negative microbes (Escherichia coli, Proteus vulgaris, Klebsiella pneumoniae, Pseudomonas pseudomallei, Aeromonas hydrofhila) . Infectious arthritis can sometimes be caused by direct invasion of the joint by microorganisms such as Shigella, Salmonella, and Yersinia.
Acute infectious arthritis can occur against the background of furunculosis, peritonsillar abscess, tonsillitis, scarlet fever, inflammation of the middle ear, pneumonia, infective endocarditis, with infected wounds of any location, after cystoscopy, operations on the abdominal organs and genitourinary system, etc. Sometimes the primary lesion cannot be identified. succeeds. The elderly, people weakened by such general diseases as blood diseases, malignant tumors, PA, SLE, especially if they were on long-term corticosteroid or immunosuppressive therapy, as well as premature infants and alcoholics are predisposed to the development of infectious arthritis.
As can be seen from the above, in all these cases we are talking about the development of primary or secondary immunodeficiency.
In most cases, one or two joints are affected. Arthritis begins acutely with severe pain, swelling of the joint, hyperemia and hyperthermia, only sometimes these phenomena are preceded by migrating polyarthralgia for several days. Simultaneously with the development of articular syndrome, hectic fever, chills, and heavy sweats are observed. Leukocytosis with a pronounced shift of the leukocyte formula to the left, an increase in ESR and other indicators of inflammatory activity are detected in the blood. In elderly and extremely weakened patients, arthritis can begin gradually, manifesting itself with moderate general and local signs of inflammation and acquiring a chronic course. The most commonly affected joints are the knee and hip joints (usually in children), as well as the shoulder, elbow, wrist, ankle joints, spine and iliosacral joints.
When examining the synovial fluid, high cytosis is detected (20·109/ml) with a predominance (up to 90%) of neutrophils. The liquid is cloudy, its viscosity is reduced, the mucin clot is loose, disintegrating, microorganisms are found in it. At the earliest stages of the disease, the synovial fluid is sometimes not purulent in nature, and repeated aspirations are required to obtain informative results.
X-rays reveal epiphyseal osteoporosis, narrowing of the joint space very early, and with inadequate treatment, such a characteristic symptom of infectious arthritis as the rapid development under the influence of proteolytic enzymes of pus, destructive changes not only in the cartilage, but also in the bone skeleton of the joint. The outcome of the disease can be secondary deforming osteoarthritis, which progresses over the years, or bone ankylosis of the affected joint.
Diagnosis of the disease can be untimely, since in the early stages of acute purulent arthritis it is mistaken for traumatic arthritis, an attack of gout, rheumatism, RA, etc. It is important to take into account the presence of chills, temperature ranges, the wrong type of fever, and leukocytosis. It is necessary to strive for etiological diagnosis of the process. A tentative diagnosis can be made by viewing Gram-stained smears of synovial fluid, and a definitive diagnosis can be made by isolating a culture of the microorganism from the blood or synovial effusion.
It is necessary to immobilize the limb in extension for a short period of time (1-2 weeks); When the patient’s condition improves, they begin to actively develop movements in the joint.
The basis of therapy is antibiotics, which should be prescribed whenever possible, taking into account the sensitivity of the microbial flora to them. For streptococcal and staphylococcal infections, penicillin is used at a dose of 250,000 units/(kg·day), on average for adults 12,000,000-20,000,000 units intravenously, dividing the dose into 4 administrations. The duration of therapy varies from person to person - 3-6 weeks. Broad-spectrum antibiotics can also be used, for example, ceporin 60-100 mg/(kg·day) in 2-3 doses.
For gram-negative intestinal flora, gentamicin is indicated at a dose of 3 mg/(kg day), divided into 3 doses. Treatment is carried out for 2-3 weeks, replacing gentamicin with ampicillin (6-10 g/day in 4-6 doses) or zeporin.
Daily drainage of the joint is indicated: aspiration of pus through a wide needle and intra-articular administration of antibiotics. Drainage of the joint is carried out until the synovial fluid becomes clear.
A positive result of such conservative therapy in most cases should be obtained by the end of the first week, but active therapy should continue until complete cure. In cases where the microorganism that caused the development of arthritis is resistant to antibiotics, sanitation of the joint is difficult, if after 2-3 weeks of therapy there is no persistent improvement and the risk of developing destructive changes in the joint increases, surgical drainage is resorted to. The latter is especially indicated in children with damage to the hip joints. When destruction of the joint occurs, it is necessary to surgically remove necrotic fragments and foci of infection in the soft periarticular tissues. All patients with infectious arthritis are subject to observation and treatment by orthopedic surgeons.
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You ? It is necessary to take a very careful approach to your overall health. People do not pay enough attention to the symptoms of diseases and do not realize that these diseases can be life-threatening. There are many diseases that at first do not manifest themselves in our body, but in the end it turns out that, unfortunately, it is too late to treat them. Each disease has its own specific signs, characteristic external manifestations - the so-called symptoms of the disease . Identifying symptoms is the first step in diagnosing diseases in general. be examined by a doctor several times a year in order not only to prevent a terrible disease, but also to maintain a healthy spirit in the body and the organism as a whole.
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Gout is a chronic disease associated with impaired metabolism of uric acid and its salts. The pathology mainly affects the joints, also affecting the condition of the renal parenchyma. The settling of crystals of uric acid salts in the joints causes gouty arthritis, with a clear specific clinical picture, a persistent course and a number of complications leading to a disabling condition. Most often, gouty arthritis affects men 40-50 years old, women less often, and those in menopause.
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Gout itself can develop primarily when the cause is heredity and an increased content of purine bases in food (purines contribute to the formation and deposition of salts in the joints), usually this is an excess of meat in the diet.
Secondary gout can be a consequence of hyperuricemia in certain pathological conditions: tumors, heart failure, kidney disease, hematological malignancies, other metabolic disorders, hormonal imbalance, long-term use of diuretics and cytostatics.
Gouty arthritis develops in the following way:
In parallel with arthritis, urolithiasis develops, as salts are deposited in the renal pelvis and ureters.
As a rule, gouty arthritis appears in the small joints of the extremities, usually the legs, starting with the big toe; less often, gouty phenomena are observed in the fingers, knee, ankle joints, elbow and wrist joints. Damage to several groups of joints at the same time is gouty polyarthritis.
Gout is often called age-related arthrosis, although these two joint diseases have different clinics and, accordingly, treatment. Severe gout occurs, affecting several large joints with destruction at once, which leads the patient to severe disability, as does long-term gouty arthritis.
There is no clear causative factor causing the disease, but there are a number of provoking phenomena:
For more information about the causes and symptoms of this disease, watch the video:
Urate crystals can accumulate in the joints for quite a long time, without giving any symptoms until an acute attack of gout is provoked by increased physical activity, injury, infection, hypothermia and other factors.
The clinic consists of three periods:
There are no obvious symptoms, tests show an increased concentration of urates in the blood.
Characterized by a typical picture of gouty arthritis, on the basis of which a diagnosis can be made:
Remissions between attacks of gout may increase; an attack of gouty arthritis may occur once a week or a month, or maybe 1-2 times a year or less. Attacks become more severe, systemic manifestations of gout are noticeable, such as periodic chills, fever, fatigue, and malaise. Gout spreads to surrounding tissues, joint capsule, and other joints. Specific whitish gouty nodules form in the joint area - tophi. In patients taking diuretics, tophi may appear before signs of arthritis develop. Occasionally, the skin over the tophi ulcerates, releasing the contents. Gradually, the chronic process leads to stiffness of the joints, and symptoms of crunching and stiffness during movements are noted. Joint deformity becomes noticeable, periods of remission begin to decrease.
The symptoms of gout in women are less pronounced than in men; for this reason, gouty arthritis in women is easily confused with arthrosis. Hands and phalangeal joints of the fingers affected by gout often give a similar clinical picture to rheumatoid arthritis and polyarthrosis.
The listed symptoms relate to the classic course of gouty arthritis, but it is also worth considering atypical forms of gout:
Read more about the symptoms and treatment of gout in this program:
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The disease is diagnosed based on medical history, laboratory tests and x-rays.
Gouty polyarthritis must be differentiated from arthritis and arthrosis of other etiologies. Age-related arthrosis most often affects large joints of the limbs - knee, elbow and others.
Therapy boils down to increasing remission between gout attacks, stopping the attack of arthritis, stabilizing purine metabolism and returning the joints to full functioning. Treatment is carried out by a therapist, a rheumatologist, and as the acute phenomena subside, a rehabilitation specialist and a physiotherapist are added.
Treatment of the disease is complex and long-term, carried out in two stages - relief of an acute attack and maintenance therapy during periods of remission. Treatment methods include medication, diet, and elimination of the causes of uric acid metabolism disorders.
During periods of exacerbation the following are prescribed:
Basic therapy for gout includes the following drugs:
Medications can be combined with each other, taking into account compatibility and contraindications. Also, when treating gout with medications, it is necessary to increase water consumption to 2.5-3 liters per day.
Drug treatment of gout outside periods of exacerbation can be supplemented with physiotherapy: thermal procedures, laser, massage, exercise therapy.
Diet for gouty arthritis
Metabolic disorders in gout are associated with poor nutrition. Therefore, it is impossible to treat gout and gouty arthritis without following the principles of nutrition. The diet should exclude foods high in purines; often this factor already reduces the severity of arthritis. Patients are recommended diet No. 6 for gout. It excludes fatty meat and fish, broths from them, seafood, meat by-products, sausages, salted and spicy cheeses, canned food, smoked meats, spicy dishes, cakes and pastries, pastries, legumes, some types of greens - spinach, sorrel , salad, from vegetables - rhubarb, cauliflower, asparagus, radishes, from berries and fruits - grapes, figs and raspberries; coffee, strong tea, and alcohol are prohibited from drinks. Hot spices and salt are also removed.
Foods recommended for gout include: bread, vegetables, cereals, milk soups, grain porridges (except oatmeal), boiled chicken, rabbit, beef, lean fish (no more than 3 times a week), milk and fermented milk products, cereals, pasta, vegetables - carrots, cucumbers, beets, zucchini, eggplant, pumpkin, tomatoes, white cabbage, any fruits and berries, except prohibited ones, nuts, vegetable oil. For sweets, jam, marshmallows, and honey are allowed, and for spices, cinnamon. Recommended drinks: juices, fruit drinks, green and any herbal tea, as well as alkaline mineral water. As such, you can drink water to which soda has been added. During periods of remission, you can drink wine in small quantities.
During acute periods of gout, the menu remains mainly vegetables, fruits, vegetable and cereal soups, and dairy products.
Traditional recipes for the treatment of gouty arthritis
Therapy with traditional methods is aimed at relieving symptoms; it is used only in combination with a prescribed course of medications and under the supervision of specialists. Recipes include preparing and drinking infusions of medicinal plants at home, for example:
You can make compresses on the affected joint at home - with onion decoction, drink a decoction of the string, iodine rubs and baths, sage baths, a compress of crushed flax seeds and activated carbon tablets also reduce pain.
The prognosis for gouty arthritis is relatively good, provided that all medical recommendations are followed, then the performance of the joint remains at an acceptable level. In case of renal failure, the prognosis is unfavorable.
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