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How is gout treated?

03 Oct 18

How to treat gout on the legs - tips

Gout on the feet or gouty arthritis is a chronic inflammatory disease of the joints of the big toes. One of the main causes of this disease is excess uric acid in the blood. Most patients are predominantly mature men suffering from metabolic disorders.

How to treat gout on the legs?

To achieve a positive effect in the treatment of this disease, you first need to undergo a complete diagnosis:

  • laboratory blood tests;
  • radiography;
  • ultrasonography.
  • Gout on the legs has the following clinical picture:

  • sudden and unbearable joint pain;
  • the skin over the affected area becomes red and inflamed;
  • increased temperature of the joint and the whole body;
  • intense tingling, especially at night;
  • general malaise and chills.
  • Treatment of gout consists of several areas:

    1. reducing the concentration of uric acid in the body;
    2. relief from acute signs of illness;
    3. treatment of chronic manifestations of polyarthritis;
    4. preventing the consequences of this disease.
    5. Nutrition for gout on the legs

      Nutrition for gout on the legs is one of the most important aspects in the treatment of this disease. Let's take a closer look at those aspects of the diet that you should pay attention to:

    6. mandatory increase in the amount of liquid you drink (water, fruit and berry juices, compotes, fruit drinks);
    7. Vegetable and milk soups, fish, dairy products, and cereals are recommended for consumption;
    8. minimize all smoked, fried, various spicy foods, coffee and chocolate;
    9. give up alcoholic drinks.
    10. As a rule, nutrition also involves monitoring the patient’s weight.

      Treatment of gout on the legs depends on the severity of the disease:

    11. for acute pain - a one-time injection directly into the affected joint, the procedure can be repeated if necessary;
    12. in case of a moderate course of the disease, a medicinal method is used - the use of anti-inflammatory drugs;
    13. if the disease spreads to several joints at once - a course of treatment with non-steroidal antibiotics for approximately 10-12 days;
    14. if the pain intensifies, you need to counteract the symptoms - applying ice, physical therapy.
    15. How to cure gout on the legs?

      To do this, you should at least adhere to the general recommendations:

    16. protect your legs from various bruises, dislocations and microtraumas, especially your big toes;
    17. do not wear uncomfortable and tight shoes;
    18. keep your legs elevated during a gout attack or apply ice to the affected area for 10-15 minutes;
    19. accustom yourself to drink herbal decoctions (aralia, yarrow, rose hips, peppermint);
    20. provide adequate rest to the affected joint;
    21. lead a healthy lifestyle.
    22. Foot gout primarily affects the big toes, thereby causing deformation of the feet and heels. Over time, other joints become involved. This disease is popularly called heel spur. Gout of the foot most often makes itself felt at night. The pain may intensify with each such attack, so you need to immediately begin treatment for this disease.

      Treatment of gout is with drugs from the NSAID group: voltaren, ibuprofen, movalis, as well as a special short-acting medication - colchicine. Purinol is used directly to reduce the formation of uric acid in the body.

      A blood test for gout is the basis for diagnosing this disease , which can show the level of uric acid. Using the data obtained, you can monitor the course of the disease. Rules for collecting blood tests:

      1. in order to avoid deviations in the data, it is not recommended to take a blood test at the time of an attack - since during it almost all of the uric acid accumulates in the affected joint;
      2. For more accurate results, it is necessary to measure the concentration of uric acid in the blood several times.
      3. And remember, if the question arises about how to treat gout on the legs, then you cannot do without an accurate diagnosis, which will help you correctly determine the treatment methods. After all, gout can lead to very undesirable and serious consequences not only for the joints, but also for the kidneys.

        Gout on the legs - symptoms, diagnosis and treatment methods

        Gout is a polyetiological disease with a chronic relapsing course, which is characterized by the deposition of compounds and intermediate products of urate metabolism in various organs and tissues of the body. Urates are deposited in various tissues in the form of monosodium urate or uric acid.

        The accumulation of purine metabolism products in the body is associated with a violation of their excretion by the kidneys. As a result, the constant concentration of urates in the blood increases and their deposition mainly in soft tissues with the formation of gouty nodes - tophi.

        Another specific sign of gout is gouty arthritis, which does not develop in all cases, but is of great diagnostic importance.

        Criteria for diagnosing gout

        In 2000, WHO adopted diagnostic criteria that make it possible to verify the diagnosis of Gout with a high degree of probability. Each therapeutic clinician in his diagnosis must follow the scheme adopted in this document.

        The first diagnostic sign is the detection of urates during puncture of intra-articular fluid. This sign is detected by puncture of the articular cavity, which in itself is a very painful procedure.

        The second sign, pathognomonic and mandatory for making a diagnosis of gout, is the presence of tophi - accumulations of urates in soft tissues. This symptom is usually detected during a simple clinical examination by an experienced doctor and does not require additional instrumental diagnostic methods.

        The third prerequisite for making a verified diagnosis of gout is the presence of at least half of the following symptoms:

        more than 1 case of exacerbation of gout in history;

      4. the most pronounced inflammation of the joint on the first day of the disease;
      5. damage to only one joint, without involvement of neighboring ones;
      6. redness of the skin over the affected joint;
      7. swelling or sharp pain most often localized in the first metatarsal joint on the foot;
      8. increased concentration of urate in urine;
      9. unilateral damage to the joints of the foot;
      10. unilateral damage to the first metatarsophalangeal joint;
      11. asymmetric swelling over the affected joint;
      12. identification of subcortical cysts on radiographs;
      13. failure to detect flora in the joint fluid.
      14. Despite the large number of symptoms listed above, the greatest diagnostic value is still the identification of urates in the synovial fluid, a history of gout attacks and the identification of tophi. As a rule, these three manifestations are enough to conclude that the patient has gout.

        As can be seen from the clinical picture described above, the most characteristic of gout is damage to the joints of the legs, namely the first metatarsophalangeal joint.

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        Considering the polyetiology and variety of manifestations of gout, the approach to its treatment should also be comprehensive, taking into account all the pathological processes that develop in this disease.

        In this regard, the following mandatory areas are distinguished in the treatment of gout:

        Relief of a painful attack (during exacerbation of gout, or the so-called “gout attack”);

      15. Achieving stable remission and preventing new exacerbations of the disease;
      16. Regression of disease complications associated with urate deposition in various organs and tissues;
      17. Treatment of concomitant diseases that aggravate the course of gout (treatment of obesity, hypertriglyceridemia, arterial hypertension)
      18. Prevention of the development of nephrolithiasis due to impaired urate metabolism.
      19. Treatment of manifestations of an acute attack of gout with damage to the first metatarsophalangeal joint of the foot

        Treatment of an acute gout attack, or “gout attack,” has a number of features and is aimed mainly at relieving pain, relieving the inflammatory process in the joint (most often the first metatarsophalangeal joint on the foot) and improving the general condition of the patient.

        Colchicine is most often used as an anti-inflammatory drug for gouty arthritis. This is a remedy that has been proven over the years and has proven its effectiveness in relieving an attack of gout.

        Colchicine is prescribed at a dose of 0.5 mg every hour or 1 mg every 2 hours until the symptoms of gout exacerbation subside. The maximum daily dose of the drug is 6 mg.

        If there is no effect from the hourly administration of a total dose of 6 mg, colchicine is discontinued and the patient begins to administer drugs that are more powerful in their effect. However, most often this treatment regimen turns out to be effective and brings relief, according to various sources, from 75 to 80% of patients.

        An unpleasant side effect from the use of this drug is unpleasant symptoms from the gastrointestinal tract (nausea, vomiting, diarrhea). Often the severity of these adverse reactions reaches such strength that they reach the same level as the actual manifestations of gout itself and require separate treatment.

        Colchicine can be given intravenously or orally. When administering colchicine intravenously, nurses should be extremely careful, since due to non-compliance with the technique of injecting colchicine, it can enter neighboring vessels and cause sharp pain at the injection site, and subsequently necrosis. Another unpleasant side effect from the administration of colchicine is the development of alopecia, in other words, hair loss, baldness.

        In high doses, colchicine can cause respiratory depression and even death, so doctors should be extremely careful when prescribing this drug.

        Other anti-inflammatory drugs that have shown good results in relieving gout attacks are: fenoprofen, indomethacin.

        Indomethacin is prescribed at a starting dose of 75 mg, after which the patient is given an additional 50 mg of the drug every 6 hours until the symptoms subside. After the attack has been stopped, the intervals of drug administration are increased to 8 hours.

        Thus, the patient is administered indomethacin at a maintenance dose of 50 mg every 8 hours. Indomethacin can also quite often cause disruption of the gastrointestinal tract as a side effect, decreased mood (even to the development of depression).

        However, the toxicity of this drug is still significantly lower than colchicine, so indomethacin is the drug of choice for relieving an attack of gouty arthritis.

        If colchicine and NSAIDs are ineffective, patients are shown intra-articular injections of glucocorticoids. In this case, drugs containing glucocorticosteroids can also be prescribed for oral administration. In this case, you should also be extremely careful with dosages and not “overdo it.”

        How to treat gout at home

        Many patients are supporters of treating the manifestations of gout on the legs at home. There are a number of traditional methods for treating gout. One of the most effective ways to combat the manifestations of gout at home is to follow a diet and fight obesity.

        The principle of nutrition for gout is that you should sharply limit the consumption of foods that increase the formation of urates in the body during their metabolism. These are foods containing purines.

        Mostly it's meat and fish. For this reason, a vegetarian diet is recommended for gout. With a sharp limitation on the amount of protein consumed.

        In addition, patients suffering from gout should sharply limit the amount of alcohol they consume, as this sharply increases the likelihood of exacerbation of the disease.

        In addition, it should be said that in recent years, a number of clinical studies have shown that weight loss has a beneficial effect on the development of remission and helps reduce episodes of exacerbations of gout.

        Based on the foregoing, we can conclude that it is extremely important for patients with gout to reconsider their lifestyle. It’s not for nothing that gout has long been considered a disease of people prone to lavish celebrations, overeating and consuming large amounts of alcohol. And despite the fact that the role of hereditary factors in the formation of this pathology has now been proven, the importance of such factors as a healthy diet, moderate consumption of alcoholic beverages and spices, physical activity and an active lifestyle should not be diminished.

        Folk remedies for the treatment of gout

        Traditional medicine is also widely used to treat gout. These are various kinds of ointments, tinctures, decoctions, etc.

        A. Ointment for the treatment of gout according to an old recipe

        This ointment has long been widely used by the Slavs to treat gout at home. To prepare the ointment, take butter and alcohol. Mix the ingredients in a 1:1 ratio. Next, evaporate the alcohol from the mixture - and the ointment is ready!

        B. Treatment of gout with iodine

        Another well-known folk method that allows you to treat gout at home is iodine-based compresses. In order to prepare a composition for compresses, mix 10 ml of iodine and 5 aspirin tablets.

        Remember! Before you start treating gout at home, be sure to consult your doctor! Otherwise, such treatment may be not only ineffective, but also dangerous! At the first manifestation of gout symptoms, go for treatment to an experienced doctor.

        Gout: signs and treatment, symptoms, full description of the disease

        The oldest disease, the history of which goes back two thousand years! A couple of centuries ago, it was exclusively the privilege of rich people, for which it received the name “disease of kings,” and the treatment of gout in those days came down to waiting out attacks and slowly turning into a disabled person.

        Intemperance in food and alcohol abuse invariably led to gout.

        Description of the disease

        It is important to know! Doctors are shocked: “An effective and affordable remedy for joint pain exists. " Read more.

        Falling asleep sweetly in bed, no one expects that exactly at midnight the peaceful sleep will end and hellish torment will begin. There is no other way to call this.

        The affected joint burns as if on fire, it is impossible to touch it. Among doctors, the name has stuck - “sheet pain”, when from a light sheet placed on the site of inflammation, the pain manifests itself with such force, as if the skin is being torn off alive. The temperature often rises even to a critical level of 40 0 ​​C.

        So, what is all the torment about? What is the reason?

        The answer is simple - the culprits are uric acid crystals. It is they, which precipitate, that cause an inflammatory process in the soft tissues near the joint, and in large quantities they practically destroy the joint itself.

        An interesting fact: gout can be considered both as a disease of the joints - after all, it is they that hurt, and as a metabolic disease - after all, the initial cause of the development of inflammation is the improper metabolism of uric acid in the body, which is normally excreted by the kidneys, and in cases of abnormalities - accumulates in the form of crystals in the joints or kidneys.

        The main cause of gout is lifestyle. Eating foods rich in purines - meat, fish, smoked meats, and frequent alcoholic libations lead to the fact that urates begin to accumulate in the body. For this reason, gout became the “disease of kings” - after all, luxurious feasts and gluttony were characteristic of the nobility.

        Note: during wars or famines, there was a noticeable decrease in the number of gout - after all, the amount of meat consumed decreased several times.

        To date, other causes that contribute to the development of gout have been identified:

      20. Deficiency of calcium and ascorbic acid.
      21. Overweight, poor eating habits.
      22. Long-term use of diuretics.
      23. Some diseases.

      Men over the age of 40 are more susceptible to gout; for women, the development of the disease is typical only after menopause. Obesity and hypertension are also factors that can trigger gout.

      To date, it has been confirmed that hereditary predisposition is an important reason for the occurrence of gout.

      An interesting fact: the term “genius of the gouty type” has even taken root among geneticists. Excess urate in the blood causes a surge of activity and performance, its effect is similar to caffeine. Some researchers even associate talent and success with this feature of gout. History only confirms their conclusions - among the gouty people were Ivan the Terrible, Pushkin, Turgenev, Columbus, Alexander the Great, Maupassant, Darwin.

      Stages of the disease and their symptoms

      A disease such as gout occurs in several stages, some experts call them types.

    23. Asymptomatic gout - the clinical picture is very vague, only slight pain in the joints is noted. There are no acute attacks. It is dangerous because due to unexpressed pain symptoms the patient does not see a doctor, and this allows the disease to progress.
    24. Arthritic gout - manifests itself as pain in the tendons, after some time the joints become deformed, their mobility becomes limited. The deposited salts can be felt - they feel like small growths on the joints. Without proper treatment, it spreads to the muscles, which, together with joint disease, can completely immobilize it. Most often it is chronic.
      • Rheumatoid form. It appears primarily on the joints of the hands. The pain is acute, attacks can last from 2-3 hours to several days.
      • Classic gout, sometimes called acute gout. Clinical symptoms - sharp acute pain at night, the temperature is low, but the patient is febrile - he feels either cold or hot. The attack lasts from 2 to 10 days, after which the symptoms of gout slowly subside. During the acute period, the mobility of the joint is sharply limited, any movement brings pain.
      • Subacute gout. Its symptoms are not as pronounced as in the classical one. The joints swell, but the inflammation goes away much faster.
      • Kidney form. This disease most often develops against the background of pyelonephritis and is complicated by kidney stones. If complications occur, it can lead to kidney failure.
      • The rarest type of gout is allergic, the symptoms of which are often confused with polyarthritis. The clinical picture is pain, the joint is hard, the skin is purple.
      • In the classic course of gout, there are primary (idiopathic) and secondary forms. Idiopathic is caused by a disorder of purine metabolism. Secondary gout occurs against the background of diseases that cause excessive formation of uric acid - psoriasis, hemolytic anemia, hemoblastosis or its reduced excretion - kidney disease, acidosis.

        In 90% of cases, gout affects the joint of the big toe. Much less common are knee joints and hand joints. But if the disease is not treated, it can spread to any joints in the body.

        The causes of a gout attack are most often the same - overeating, gross diet violations, or drinking alcohol (especially wine or beer).

        Signs of acute gout are characterized by:

      • Sharp pain in the joint, its redness.
      • Feeling of heat in the joint.
      • Fever.
      • Before an attack, patients usually feel completely healthy, but many note a tingling feeling in the affected joint. Many noted increased fatigue and irritability.

        In addition to these signs, gout also has others:

      • The formation of tophi - subcutaneous gouty nodules of a yellowish color. Inside them are urate crystals. The main location of tophi is the ears, forehead, cartilaginous septum of the nose, the dorsum of the elbow joints, on the hips and knees.
      • Renal colic in the acute period of its course, characterized by acute pain in the lower back and urinary disturbances. Colic often causes pyelonephritis.
      • During a gouty attack, fistulas form in the tophi, allowing the contents to drain out. What is released is liquefied urate crystals.

        Which doctor should I contact?

        Even “advanced” joint problems can be cured at home! Just remember to apply this once a day.

        If your joints have ever made themselves felt, you must see a doctor. And it doesn’t matter how quickly the attack passed or how severe the pain was. Otherwise, you can lead to disability.

        Which doctor treats gout? Rheumatologist. At the first appointment, he will conduct an external examination of the joints and diagnose the patient’s condition. If necessary, he will prescribe a blood test for uric acid levels. He will also determine the causes of the disease.

        In some cases, you may need to consult a specialist - a nephrologist, if you have kidney disease.

        In normal practice, treatment is carried out by a rheumatologist together with a general practitioner. Typically, such a tandem is created at the initial stage of gout, when the patient comes in after the first attack. In such cases, the primary treatment is carried out by a therapist, while the rheumatologist acts only as a consultant in prescribing procedures or medications to remove urate from the joints.

        In later stages, treatment is carried out only by a rheumatologist.

        The main treatment for gout is aimed at reducing uric acid levels to prevent it from crystallizing.

        In the acute period, treatment is aimed at reducing pain and relieving the inflammatory process. For this purpose, painkillers and sometimes antipyretics are prescribed. Inflammation is successfully relieved by non-steroidal anti-inflammatory drugs. They must be prescribed by a specialist, taking into account the general condition of the patient and the presence of concomitant diseases.

        During an attack, it is necessary to ensure complete rest for the joint. If the pain allows you to at least touch the joint, you can apply ice wrapped in a rag to it, but not longer than 10 minutes, otherwise the joint will get cold.

        After relieving an acute attack of gout, you need to engage in comprehensive treatment. Comprehensive treatment of gout includes:

        Drug treatment for gout involves taking medications to reduce the level of uric acid in the body and normalize its metabolism.

        Only a rheumatologist prescribes medications and their dosage! You cannot decide on your own which medications to treat in this matter!

        The main rule when treating with drugs is to strictly adhere to the medication regimen developed by the doctor, observing the timing of administration, duration of treatment and dosage.

        Physiotherapy will increase blood supply to the affected joint, relax muscles and reduce pain. At the time of acute gout, ultraviolet radiation and pulsed currents have proven themselves to be effective.

        During periods of remission, mud baths and ultraphoresis help. Phonophoresis is often used in conjunction with hormonal drugs.

        Massage is also used only during periods of calm of the disease. You can master self-massage techniques and actively use them:

      • Smooth rubbing and stroking in the tophi area.
      • First, the tissues surrounding the joint are rubbed, gradually moving to the joint itself.
      • You can knead the joint when the painful symptoms of gout are completely absent.
      • If you have gout, you need to massage the joint daily for 15-20 minutes.

        Note! If you have an acute attack of gout, you should not engage in massage!

        The last resort in treatment is surgery to remove tophi. They rarely resort to it, only in cases when:

      • Urate deposits are very large;
      • The treatment carried out is not effective - tophi do not resolve;
      • Tophi have grown into soft tissue;
      • The deformation of the joint is so great that its destruction is expected.
      • Any treatment for gout must be accompanied by changes in the patient’s diet. It is necessary to exclude products that lead to increased formation of urates - meat, alcohol, especially wine and beer, smoked foods, and from drinks - coffee, tea, sweet soda.

        It must be remembered that gout is a disease forever. By carrying out effective treatment, but without changing your lifestyle, you can quite quickly provoke new salt deposits in the joints and a new round of the disease.

        There is no need to waste time asking the question “How to treat gout on your own?” This is a disease for which only a specialist can make the necessary appointments. Folk remedies will only help relieve her attack and reduce pain. By not seeking qualified help and continuing to apply cabbage leaves in the hope of recovery, a person gives the disease a chance to destroy his joints and lead to more serious illnesses.

        Please note: quite often it is the advanced form of gout that causes kidney failure, and its fatal outcome is 40%.

        Prevention of gout

        It is impossible to completely cure gout. The only thing you can really do is to adjust your lifestyle in such a way as to reduce the likelihood of her attacks. First of all, changes should concern nutrition:

        • Alcohol, carbonated drinks containing sodium benzoate, store-bought juices with fructose are all prohibited.
        • The maximum possible consumption of animal proteins is 120g. The bulk of food should be vegetables, fruits, and cereals.
        • It is better to exclude smoked meats, sausages, and meat by-products from the diet.
        • 2 liters of clean water per day is the norm, which will allow the body to effectively remove uric acid. Tea and coffee are not the drinks that are good for gout. It is good to drink alkaline mineral waters - Borjomi, Essentuki.
        • A good complex of vitamins will not be superfluous to anyone, and even more so in cases of gout. Ascorbic acid (vitamin C) can be taken additionally.
        • Losing excess weight is a vital necessity if you have gout.

        Physical activity also needs to be reviewed:

      • Physical education for half an hour every day should become the norm.
      • Walk more (during periods when the disease recedes), swim.
      • Exercises aimed at strengthening the muscles and ligaments of the joints help well. Physical activity will “accelerate” the metabolism, and accordingly, the level of uric acid in the blood will decrease. It is necessary to control the intake of medications that affect purine metabolism - aspirin, diuretics.

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        Normally, the level of uric acid should not exceed 60 mg/l. If finances allow, you can purchase a device to monitor its level. This will allow you to notice an increase in urate concentration in time and take appropriate measures to correct your diet.

        How to forget about joint pain?

      • Joint pain limits your movements and full life...
      • You are worried about discomfort, crunching and systematic pain...
      • You may have tried a bunch of medications, creams and ointments...
      • But judging by the fact that you are reading these lines, they did not help you much...
      • But orthopedist Valentin Dikul claims that a truly effective remedy for joint pain exists! Read more >>>

        If you want to get the same treatment, ask us how?

        How to treat gout at home?

        Gout is an inflammatory disease that in most cases spreads to the joints and surrounding areas, causing swelling and severe pain. Also called gout, the appearance of a protruding bunion on the big toe. It appears due to improper circulation of uric acid through human organs. You can learn more about the disease from the article: What is gout?

        There are many recommendations regarding how to combat it. Let's look at a fairly large section. His topic is gout, self-treatment at home . When acid deposits in joints interfere with movement, you need to know what to do.

        The fastest and most reliable way to get rid of bunion pain

        The most effective way to prevent the growth of this same bunion is to use: “Valgus PRO”. Research and customer reviews have shown that with this device, the bunion on your foot begins to shrink, the pain goes away, and finally with it you can put on your favorite shoes. Link to product description: "Valgus PRO"

        Gout - treatment at home

        It is effective to place the limb in an elevated position. It is important to visit a doctor as soon as possible. Then there will be anti-inflammatory drugs in stock. They always complement gout treatment at home , but sometimes they are only available by prescription. The doctor will also give recommendations regarding portions to take.

        Treatment of gout with folk remedies. Recipes:

        Of course, first of all, you need to see a doctor so that he can accurately diagnose the disease and prescribe the necessary treatment for the disease. If the prescribed treatment does not help at all and does not even temporarily alleviate the pain attack, then you can think about traditional medicine.

      • When acute pain does not go away within several hours, you can try to get rid of it with regular activated carbon; there is probably no person who does not have such a remedy in their home medicine cabinet. So, how to relieve acute pain with activated charcoal? To do this, you need to take several tablets, 4 of them will be enough, grind them into powder granules, then pour in a little water, you can also add one tablespoon of flax oil. Mix everything thoroughly and apply to the sore spot overnight. In the morning there should be no such pain. If acute pain occurs in broad daylight, then this method will also be very useful. True, activated charcoal is unlikely to be able to completely cure gout, but it can relieve acute pain.
      • The following recipe: Pour boiling water over a kilogram of lemons so that they are all in it for 5 minutes. First you need to remove the seeds. Then the workpiece is cut and ground with a meat grinder. You should drink a teaspoon in a glass of water, where a quarter spoon of soda should be mixed, just once a day. The product must be stored in the refrigerator.
      • We need ordinary iodine, we need to take 10 milligrams and dissolve 4 aspirin tablets in it. After this, the iodine will lose its color and become transparent. It is necessary to thoroughly lubricate the growths with it, then wrap the problem areas with a warm cloth; if the growths are on the legs, then you can put on warm socks, and if on the hands, then gloves. 10 times will be enough to forget about such growths once and for all.
      • Cherries have a strong anti-inflammatory effect. A person with gout needs to eat at least 300 grams of cherry berries per day. You need to eat berries every day for a week. Cherries reduce uric acid in the blood, making gout worsening quickly go away. Juice from fresh celery will relieve joint pain. You need to drink 3-4 teaspoons of juice before meals, every day for a week.
      • Medication for gout at home

        For acute pain, medications will help. We need drugs called non-steroidal anti-inflammatory drugs:

        • Movalis.
        • Ketoprofen.
        • Butadion.
        • Ibuprofen.
        • Diclofenac.
        • The course of admission is a week. They are well absorbed, reduce pain, and fight inflammation.

          Colchicine is taken - it is based on the tubers of the colchicum plant. It fights the formation of salts and their transformation into crystals.

          How to cure gout at home

          There is the most proven drug - Allopurinol . This is the best remedy for preventing gout. Take one tablet per day for a month.

          Alcohol should be excluded, especially beer. , limiting consumption of meat and most seafood will help you avoid thinking about how to treat gout at home They contain a lot of purines, which are a favorable background for the development of uric acid.

          Traditional medicine has devoted an entire section to the treatment of gout. You should definitely consult a medical specialist.

          Cherries have an anti-inflammatory effect, as does devil's claw herb. more about how to cure gout at home using folk remedies here. It is better to always keep on hand the products prescribed by a specialist. Among them there should be not only one that will overcome a momentary attack, but also one that helps cure the disease, although it lasts longer.

          How to treat gout on the legs: simple tips

          Gout is the deposition of uric acid salts in joints and other soft tissues. Initially, gout is hereditary. It is caused by the presence of a certain X chromosome, so men are more affected by this disease, and women are only carriers of the disease.

          gout on the leg

          Just because a person has a genetic predisposition does not mean that he will get sick. Gout may appear as a concomitant disease with cancer of the hematopoietic organs or leukemia, or as a reaction to diuretics and other medications.

          With gout, salt crystals form in the joint, which lead to an inflammatory process and are accompanied by acute pain. The big toe joint is often affected.

          If the disease is chronic, it is accompanied by frequent exacerbations. Salt deposition occurs in all types of tissues in the form of lumps that can be easily felt. Such nodules form in patients who have suffered from gout for more than ten years.

          The development of exacerbations of the disease can be caused by a number of reasons. Conventionally, they can be divided into groups:

        • chronic or age-related renal failure. Gout in this case is a consequence of poor filtration of uric acid from the blood;
        • consequences of the trauma. Very often, athletes, having left professional sports and stopped actively engaging in physical exercise, develop gout. The effect of a sudden change in lifestyle is at work here;
        • unhealthy lifestyle (drinking alcohol, smoking), accompanied by severe stress;
        • excessive physical activity. The joints are torn, resulting in the formation of crystals;
        • use of aspirin or diuretics. These types of medications promote the production of urea and create additional stress on the kidneys;
        • wearing high heel shoes. This is a common problem among women. Due to the constant stress on the fingers, they are subject to deformation of the joints and, as a result, gout develops on the leg.
        • Symptoms of the disease

          Gout of the big toe has a number of symptoms by which every person can diagnose it. It develops in the form of a sudden attack characterized by acute pain. Often accompanying symptoms are a feeling of fatigue, headache, swelling, redness of the skin, and fever, both in the joint area and in the whole body.

          A patient comes in complaining of sudden pain in the metatarsophalangeal joint. The pain often occurs at night, especially after drinking alcohol. The joint location becomes hot, swollen and red. The first attack quickly passes and heals, but after some time the effect of anti-inflammatory drugs becomes less and less effective, and the inflammation spreads to other joints.

          Most often, an experienced specialist makes a diagnosis quickly and correctly based on the patient’s complaints, medical history and visual examination. For more complex cases, there are modern laboratory diagnostic methods.

          A general blood test in the acute course of the disease will show the presence of an increased number of neutrophils. A urine test will show oxalates and protein. By conducting a biochemical blood test, you can detect an increased level of uric acid.

          Gout is clearly visible on an x-ray in the form of destruction of cartilage, the formation of pineal accumulations in soft tissues and the occurrence of erosions on the bones.

          The diagnosis is made if at least five symptoms are detected. The diagnostic criteria for gout are as follows:

        • acute attacks of arthritis;
        • inflammation in the metatarsophalangeal joint of the big toe;
        • arthritis of one joint;
        • damage to the foot joints on one leg;
        • asymmetry of joint swelling;
        • increased level of uric acid in the blood;
        • redness of the skin in the toe area.
        • This disease is not completely curable. Only symptomatic treatment is possible during exacerbations. Treatment for gout in the legs usually involves taking painkillers and anti-inflammatory drugs, as well as medications that reduce the amount of uric acid in the blood. During an exacerbation, it is better to provide the patient with rest. It is important to control the amount of water consumed and your own weight.

          Treatment with folk remedies

          From time immemorial, people have been looking for a remedy to treat gout on the legs . As in conventional medicine, it is impossible to completely cure gout. In this regard, there are a huge number of recipes that help alleviate the patient’s condition: all kinds of poultices, decoctions, tinctures, lotions. Many herbal recipes will really help relieve pain and relieve inflammation.

          Here are examples of some recipes:

        • Grind the boiled turnips to a porridge and apply to the sore spot.
        • Take 200 g of garlic, 300 g of onion and mix with 0.5 kg of cranberries. Mash all this and leave for a day in a dark place, tightly closing the lid. Add a kilogram of honey to the resulting slurry and mix again. Take this mixture one teaspoon three times a day half an hour before meals.
        • Drink 200 g of celery juice every day on an empty stomach. This helps eliminate uric acid.
        • Another good treatment option for gout is bath therapy . Herbal baths really help in combating the symptoms of gout. Oat straw, soapwort, nettle root, chamomile, sage, pine branches, currant leaves and other medicinal herbs can treat not only the physical symptoms of gout. A herbal bath will help you relax and unwind. Here are some effective bath recipes:

        • Pour 300 g of chamomile into five liters of boiling water and leave for two hours. Strain the infusion and pour into the bath.
        • Pour 250 g of calamus root with three liters of water. Place on fire and bring to a boil. Strain and pour into a bath with a water temperature of 36-37 degrees.
        • You can help yourself with gout by massaging the area around the affected joint, and then the joint itself. In case of acute illness, it is better to refuse massage.

          When the pain is tolerable, begin stroking, rubbing and light exercises of the affected joint.

          Prevention of gout on the leg

          First of all, pay attention to the shoes. It shouldn't cause discomfort. If you are unable to wear comfortable shoes, try to at least walk barefoot at home. After a long walk at the end of the day, it is advisable to carry out foot baths and massages.

          It is helpful to check your uric acid levels in your blood twice a year. Proper nutrition and a healthy lifestyle are the best prevention of hereditary gout. Giving up bad habits won't hurt either. Physical activity should be moderate to increase the level of urate excretion - uric acid.

          On average, according to statistics, three people out of a thousand suffer from gout. Most often, the disease manifests itself in adulthood, usually after forty. But there are known cases of the disease occurring among younger people.

          Unfortunately, gout has no cure. But this disease can be controlled. Timely diagnosis will help minimize the severity and frequency of exacerbations.

          Gout is a chronic disease associated with metabolic disorders in the body, more specifically, the elimination of uric acid salts (urates) from the body. This leads to the deposition of urates in joints and organs, which subsequently turns into growths (tophi) and inflammation due to the fact that the human body perceives these deposits as foreign bodies. Uric acid salts are formed as a result of crystallization of uric acid - a breakdown product of purines - compounds obtained by the human body from meat products.

          Gout is a fairly rare disease; per 1000 people on earth there are only 4 people with gout. Moreover, out of 20 patients, only 1 is a woman. The risk group for developing gout are people of advanced age, with genetic predispositions to metabolic disorders or leading a sedentary lifestyle.

          Today, when asked whether gout is curable, doctors answer in the negative. Therefore, medicine is faced with the task not of curing gout, but of slowing down its development as much as possible. Modern methods of treating gout boil down to preventing the disease and normalizing the level of uric acid in the body. Getting rid of gout completely is unlikely, but you can delay the onset of a gout attack for many years.

          With all the variety of methods, the foundation on which the treatment of gout is based is strict adherence to a special diet and an active lifestyle. The patient needs to give up many taste preferences. Among these products and habits will be:

        • consumption of alcoholic beverages;
        • passive lifestyle;
        • drinks that stimulate the nervous system (coffee, strong tea, etc.);
        • food rich in spices;
        • meat food, offal food, smoked meats, lard;
        • confectionery products with rich creams;
        • vegetables, fruits and berries high in purines.
        • Moreover, food intake should be regular, at least 4-5 times a day. And over the course of a month, 2-3 fasting days are desirable, during which the patient can eat one product.

          As for the disease itself, the following methods of treating gout can be distinguished: medication, homeosynia method, physiotherapeutic methods, folk methods.

          Medication method

          Traditional treatment method of traditional medicine. If the disease develops, the patient is prescribed a number of drugs called anti-gout.

          Within the group, anti-gout drugs can be divided into two subgroups:

        • drugs used for the onset of a gout attack;
        • drugs for the treatment of chronic manifestations of gout.
        • The first subgroup includes drugs whose purpose is to relieve pain, relieve inflammation and reduce the temperature in the inflamed joint. This shortens the duration of a gout attack.

          The second subgroup includes drugs that affect the metabolism and excretion of uric acids from the body. Based on the principle of their work, two directions can also be distinguished:

        • drugs that block the formation of uric acid (preventing the breakdown of purines) - uricodepressives;
        • drugs that enhance the excretion of uric acids from the body - uricosuric;
        • mixed-action drugs that block the formation of uric acids and enhance their removal from the body.
        • Homeosiniatric method

          Quite an old method, widely used in Western countries. This is a painless method of treatment with homeopathic remedies. Its peculiarity is that, in addition to homeopathic ones, it also uses Chinese acupuncture techniques.

          The procedure involves homeopathic medicines being injected into the patient’s body strictly at acupuncture points. The combination of two techniques improves the functioning of the body as a whole and the condition of organs damaged by gout.

          Physiotherapeutic methods

          Physiotherapeutic methods of treating gout involve cleansing the body of uric acids using external influences on the patient’s body. Such factors include electric current, ultrasound, heat, air, magnetic radiation, etc. Physiotherapy offers to treat both chronic gout and reduce the intensity of attacks using the following methods:

        • plasmaphoresohemosorption method;
        • ultrasonic irradiation;
        • heat treatment;
        • phonoresis with hydrocortisone;
        • electrophoresis;
        • Dimexide applications.
        • Plasmophoresohemosorption method

          A new word in the treatment of gout. It is a process of cleansing the blood of excess uric acids by influencing the body from the outside using special equipment. During the procedure, the blood is cleared of formations of uric acids and other waste products.

          Ultrasound irradiation

          It involves irradiating gout-affected joints with ultrasonic waves. This can significantly reduce inflammatory processes, reduce pain in the joint, and promote the absorption and fragmentation of uric acid salts by the body.

          Heat treatment

          In the process of treating gout with heat, an application of various heating mixtures is applied to the inflamed joint. Such mixtures can be healing mud, paraffin, mountain wax. Often, together with thermal effects, electromagnetic irradiation of damaged tissues is combined. This method helps improve joint health and has an analgesic and anti-inflammatory effect.

          Phonoresis with hydrocortisone

          A method of treating gout in which, during irradiation of the affected joints with ultrasound, the throughput of the skin and tissues of the body increases. This ensures maximum effective absorption of medications. In this case, various ointments and gels that have anti-inflammatory and analgesic effects are mainly used. The method gives greater results than simple ultrasound irradiation due to the additional effect of drugs.

          Electrophoresis in the treatment of gout

          The method of treating gout with electrophoresis is a combination of the effects of medications and electric current on the patient’s body. The effect of electric current itself already has an anti-inflammatory and vasodilating effect. In combination with medications, the effect is enhanced.

          Dimexide applications

          Being a substance that can penetrate the tissues of the body without harming them, dimexide is an excellent remedy for combating gout. Dimexide applications have an excellent analgesic and anti-inflammatory effect on the affected area.

          Traditional methods of treating gout

          Gout is treated using traditional methods according to the same principles as medications. The difference is that anyone can prepare folk remedies at home. The main directions in the treatment of gout with folk remedies are:

        • treatment with compresses and ointments;
        • baths for joints;
        • medicines for internal use (decoctions and infusions).
        • Treatment with compresses and ointments

          The main goal of treating gout with compresses and ointments is to reduce inflammation of the joints affected by gout and have an analgesic effect. They may contain iodine, activated carbon, chamomile flowers, etc. The recipes for their preparation are simple, and the ointments themselves are no less effective than pharmacy ones.

          Baths for joints

          It happens that the inflammation and pain in the joints affected by gout is so severe that the patient cannot bear the pressure from a compress or ointment. In such cases, joint baths based on iodine and medicinal herbs will come to the rescue. The liquid soothes inflamed areas and relieves inflammation and pain.

          The purpose of all kinds of tinctures and decoctions is to influence the disease from within the body. They play a significant role both in removing uric acid salts from the body and in relieving pain during an attack. Depending on the situation, you can prepare both a prophylactic and analgesic infusion. Infusions can be water or alcohol based on medicinal herbs.

          Naturally, the fastest way to treat gout is to prevent its occurrence. As with most other diseases, the prevention and treatment of gout are closely related. Their main goal is to reduce the level of uric acid salts in the body and normalize its excretion.

          To prevent the development of the disease, it is necessary, as mentioned above, to lead an active lifestyle and give up several bad habits:

        • alcohol consumption;
        • smoking;
        • drinking strong tea, coffee, energy drinks;
        • addiction to dishes with a lot of spices
        • eating large amounts of meat;
        • consumption of smoked meats, offal, lard;
        • confectionery products based on fatty creams;
        • fashionable but uncomfortable shoes;
        • passive lifestyle.
        • It is enough to minimize the amount of purine-rich foods in your diet, quit smoking and alcohol, and take walks or bike rides more often. It is impossible to cure gout forever, but you can freeze its development as much as possible and delay the onset of an attack.

          Found 33 doctors treating the disease: Gout

          Categories : Treatment methods

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