The pathology manifests itself in middle age and more often affects men.
Previously, gout could be used to roughly determine a person’s standard of living, and it was even called “the disease of kings,” since only a few could afford the diet that led to the development of pathology.
Before finding out which doctor deals with gout, you should evaluate the presence of symptoms of this disease . The main ones are:
The doctor who treats gout must differentiate these general and nonspecific signs from many other joint pathologies. The main difference in the clinical picture of the disease is the presence of a painful attack.
In exacerbation of the disease, a gout attack occurs, which is characterized by acute pain in the joint (mainly the big toe, since it is affected first), as well as local redness and swelling.
If you have gout, you should seek specialized help immediately, as the disease gradually progresses and causes irreversible changes in the joints and bones. However, it is quite difficult to answer the question of who exactly treats the pathology, since the disease affects several systems at once.
The first person to treat such joint damage is a therapist . If you suspect excess uric acid, a person should go to him. The doctor will adequately assess the patient’s condition and conduct the necessary studies. If the therapist confirms the patient’s suspicions, he will write a referral to another doctor.
The main specialist in this field of medicine is considered a rheumatologist. The doctor treats gout and arthritis, as well as all pathologies associated with problems of connective tissue and joints (systemic lupus erythematosus, arthrosis, spondyloarthritis, and so on).
First, the doctor will accurately establish the diagnosis, since the disease does not have pronounced specific symptoms, and only then will prescribe appropriate therapy. Unfortunately, the disease is a chronic disease, so treatment by a rheumatologist will be lengthy. A specialist in this profile is knowledgeable not only in the field of gout treatment, but will also help in the prevention and rehabilitation of the patient.
The success of treating the disease will depend entirely on the patient's response rate. It is possible to avoid irreversible consequences by contacting a doctor immediately after the first attack of pain. If you ignore the symptoms of the disease, the process of destruction of the joint begins, and other organs are also affected. The effectiveness of therapy depends on which doctor treats gout. This should be done exclusively by a rheumatologist.
The doctor treating gout tries to achieve complete control over the pathology, reduce the number of attacks and prevent the development of dangerous complications. The patient must strictly adhere to all recommendations received to improve the quality of life.
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To answer the question of which doctor treats gout, you first need to understand what this disease is, how it affects a person and what the danger of the pathology is.
Gout is a disease of the musculoskeletal system, and more specifically, changes in the joints. As a result of the disease, the shape of the foot is characteristically modified. Not all people know the name of this disease. Most often, gout is simply called “protruding toe bone.”
Humanity has known about gout since the dawn of medicine. The disease has many unpleasant manifestations and possible complications. Gout on the feet affects the musculoskeletal system, changing the joints in the feet and forming a bunion that hurts and causes discomfort when wearing shoes.
Over time, the leg expands as the modified joint needs more area. A pathological bunion brings not only discomfort due to the inability to wear the shoes you like, but also pain.
Bony growth is not just a displacement of the joints. The process begins with inflammation of the joint and the deposition of salts, and sometimes urinary crystals. Such deposits negatively enhance the inflammatory process, and the joint begins to collapse from the inside.
The development of the process is influenced, first of all, by the characteristics of a person’s daily diet.
Products that are undesirable to eat:
The development of gout is influenced by the presence of other diseases, regardless of the nature of their origin. Gout is a common companion for people who lead a sedentary lifestyle.
The disease has a large number of characteristic symptoms. The most important symptom is pain in the area where the big toe joins the foot. In addition, this area should swell and visually change. As a rule, these phenomena are observed when a person consumes foods prohibited for gout.
There is a high probability of this symptom appearing when combining several groups of forbidden foods in the diet. For example, a combination of fatty foods and wine has a negative effect on the body. Poor eating behavior harms not only the joints of the thumbs, but also all other joints.
The disease can affect different joints, but the most common is gout of the big toe. The joint is affected very quickly, pain occurs from the slightest touch. The skin around the diseased joint begins to turn red, which is characteristic of a future tumor.
A person may experience discomfort continuously for several days. All the bones of the skeleton are interconnected, so due to pain, it is sometimes impossible to step on the foot.
When the first slightest symptoms appear, you should consult a doctor. Even with the use of strong painkillers that quickly relieve pain, a person with gout cannot independently stop the development of the pathological process.
When a patient with the first symptoms of the disease consults a doctor, he is prescribed a list of tests and given appropriate directions. The patient must undergo diagnostics so that the doctor receives comprehensive information about the person’s health status.
The doctor may recommend that the patient do four types of tests:
There are signs that are characteristic only of people suffering from gout:
An experienced doctor can detect gout during the initial examination. But to make an accurate diagnosis, he needs information from the above tests.
Since gout is a disease of the joints of the foot, patients can consult doctors such as:
The list is not complete, because gout is considered to be caused by poor diet. A person needs to contact a nutritionist who will prescribe a suitable diet.
Modern medicine offers two ways to combat gout:
Due to the wrong choice of medications, a person may develop the following complications after a short time:
There are other types of gout treatments. These include instrumental devices designed to fight the inflammatory process and return the foot to its original shape. The possibility of such treatment and its duration is within the competence of the doctor.
And the video in this article will give a comprehensive answer on what to do for a patient with this disease and what to do to improve life.
Gout is a protruding bone in the feet in front of the big toe. This disease occurs due to metabolic disorders in the body and the accumulation of uric acid.
Despite the widespread belief that gout on the legs is more common in women from wearing heels, the cause of the disease lies elsewhere and is more common in men 45-50 years old. Due to the fact that the stronger sex has a higher concentration of uric acid in the body. In women, the disease can develop during menopause, closer to 60 years of age.
In addition to the inconvenience of wearing shoes, signs of gout may be accompanied by severe pain and inflammation of the joints. If you don’t know which doctor treats gout, then we will tell you in more detail who to contact.
As a rule, gout can be easily diagnosed and treated by a qualified doctor. This can be done by a good therapist, an experienced orthopedist, a professional rheumatologist, and even a surgeon. Which doctor to go to still depends on the availability of specialists and their level of qualifications in your clinic. Since a rheumatologist is the most competent in such diseases, it is better to contact him. If it is not available at your local hospital, you will be given a referral to a consultation center for rheumatic and autoimmune diseases. You can also contact a neurologist. When treating gout, an integrated approach from several specialists at once will not be superfluous.
The diagnosis is made based on characteristic symptoms. After examination, the specialist identifies the degree of inflammation of the joints and the presence of tophi - the formation of characteristic lumps. A blood biochemistry test will determine the level of urates - the presence of crystals that must be excreted through the kidneys. An X-ray will also help determine the extent of joint damage, the formation of subcutaneous nodes and their consistency.
At home, with such a pathology, the patient, first of all, needs to remain calm. It is recommended to apply cold compresses to the joints. To remove urates, you should take vitamins C and P.
However, if the disease has worsened, it is better to undergo treatment in an inpatient rheumatology department. The treatment period will take from 7 to 14 days depending on the severity of gout.
Important! In order not to worsen the disease, comprehensive and timely treatment is necessary.
Drug treatment under the supervision of a physician will prevent complications and prevent the possibility of relapse. In the hospital, a course of treatment with colchicine is usually carried out, and uricodepressants are prescribed that reduce the level of uric acid concentration in the blood. Taking uricosuric drugs helps eliminate acids.
After completing clinical treatment during the rehabilitation period, it is recommended to undergo a course of physiotherapeutic procedures. It is possible to use laser, magnetic or paraffin therapy. It is necessary to increase physical activity.
Brew 200 ml of boiling water with 1 teaspoon of madder roots. Infuse and soak in water steam for 15 minutes. Take 100 g orally twice a day.
Pour 2-3 onions and peels into a liter of water, boil until steamed. Insist. Take 100-150 g 3 times a day before meals for 10-15 days.
Combine three bottles of pharmaceutical tincture of valerian with a bottle of triple cologne. Leave for 12 hours. Before going to bed, lubricate sore spots with the resulting solution - bumps on the legs. Wrap your feet in a bag and put on wool socks. Repeat daily.
After several such procedures, the joint will begin to twist, and itching may appear. You need to be patient and carry out a course of such compresses.
Pour 500 g of iodized salt with water and boil until the water evaporates. Then add 200 g of medical Vaseline or chicken fat and mix. Make compresses from the resulting mass at night, wrap your feet in a warm cloth, preferably wool.
From 2 kilograms of fish trimmings, separate the bones. Divide the resulting fish fillet into 10 servings, put it in bags and put it in the freezer. For 10 days, put a bag of defrosted fish on your leg and wrap it in warmth.
Grind 10 packages of pharmaceutical activated carbon into a fine powder. Add 1 tablespoon flaxseed and water, stir. Before going to bed, lubricate the sore spot with the resulting mixture, apply the bag and put on warm socks.
Prepare two containers. Pour very cold water into one, and boiling water with the addition of cereal grains into the other. When the grains have steamed and the water is still hot, place your foot first in a container with cold water, and then with hot water. Wear wool socks.
Repeat the procedure daily for 2-3 months. The grains must steam and remain hot so that the joint can be lowered into them. Now lower the sore joint first into a container of cold water for 3-5 seconds, and then immediately into a container with grains.
Note! It is recommended to take orally decoctions of linden, bay leaves, lilacs or fir cones.
When treating gout at home, you must follow a fairly strict diet, since uric acid is included in many foods. In the diet of a person suffering from gout, its amount should not exceed 150-200 mg. Whereas a healthy person is allowed 500 mg of its consumption. Otherwise, medications will not have time to break down the acid until a new portion appears. It is recommended to drink more water - from 2 liters per day. Avoid coffee, carbonated drinks and alcohol.
The patient's menu should include as much dairy and other calcium-containing products as possible. Include more fresh vegetables and herbs in your diet. It is important to strictly monitor the number of kilocalories consumed (no more than 1500). But sweets should be limited, as this will slow down the period of removal of uric acid from the body.
Gout is a chronic disease of the joints and organs that develops as a result of impaired excretion of uric acid from the body. As a result of such a failure, uric acid accumulates and is deposited in the body in the form of urate salt crystals. Uric acid is synthesized as a result of the breakdown of compounds that make up meat foods (purines).
Symptoms of the disease are:
The main symptom of the disease is a gout attack. It is a sudden attack of acute pain in a joint. The joint swells and turns red. The joints most often affected are the joints of the legs (the big toe joint).
It develops mainly in men over 40 years of age and in women during menopause. It also affects people who are overweight, have chronic joint injuries, lead a sedentary lifestyle, and eat large quantities of monotonous meat foods. However, gout is primarily observed in people with a genetic predisposition to metabolic disorders.
If the first signs of any disease occur, you must contact a qualified specialist for advice, diagnosis and treatment. If you suspect the development of gout, you need to act immediately, because any delay can lead to complications. What kind of doctor treats gout? Due to the fact that the disease affects several vital systems of the body at once, there is no single answer to the question of which doctor to contact for gout.
If gout is suspected or one of the symptoms of the disease is observed, the patient should consult a physician. Having assessed the entire picture of the patient’s condition, the general practitioner will accurately determine whether there is any basis for suspicion or whether pain in the injured joint was mistaken for an attack of gout. If, based on the results of tests and examination, the patient is diagnosed with gout, the therapist issues a referral for treatment from an appropriate specialist.
A doctor who treats gout in the acute and chronic stages is called a rheumatologist. A rheumatologist treats rheumatic heart disease, connective tissue and joint diseases. Therefore, a rheumatologist is the doctor who treats gout on the legs and in all its manifestations, since during its development, the joints of the legs are primarily affected. Due to the fact that gout is chronic, treatment of joints by a rheumatologist will be lengthy and complex. It will include both medication and physiotherapeutic methods.
Also, gout treatment can be carried out by two doctors: a therapist and a rheumatologist. In this case, a rheumatologist can consult a therapist on the issue of prescribing medications or procedures to remove deposits of excess uric acid from the joints. Such joint work of two specialists is usually observed in the early stages of the development of the disease, when the patient goes to the hospital after the first gout attack.
Since an important condition in the treatment of gout at any stage of development is the normalization of the level of uric acid in the body, the course of treatment, in addition to medications, necessarily includes a strict diet that excludes foods containing purines. In this case, a rheumatologist or therapist can contact a professional nutritionist to create an individual diet depending on the patient’s condition.
It is very important to prevent the disease from spreading throughout the body and leading to serious consequences. Therefore, regardless of whether a gout attack has already occurred or not, if you suspect the development of gout, contact a specialist immediately.
Found 33 doctors treating the disease: Gout
The cause of the pathology may be a specific pathogen, metabolic disorders in the body, or autoimmune lesions. However, before consulting a doctor, you should conduct a minimum self-diagnosis.
You should see a doctor treating arthritis if you are concerned about the following symptoms:
When thinking about who to contact with joint inflammation, you should take into account the general manifestations of the pathology, for example, rashes, cough, and so on. In addition, arthritis is sometimes mistaken for arthrosis, which is a chronic pathology associated with impaired articulation of adjacent bones.
It is impossible to unequivocally answer the question of which doctor treats arthritis. Several specialists deal with pathology at once, each of whom is more in demand for one or another variant of the disease.
In some cases, consultation with related specialists is required. If a person does not know which doctor to see, he can go to a therapist who treats general somatic diseases and will write out the necessary referral.
There are many variations of joint inflammation, so before treating arthritis, the doctor conducts a comprehensive examination of the patient to make an accurate diagnosis.
The sooner the correct diagnosis is made, the greater the chances of restoring the joint’s activity completely. Therefore, if you have arthritis, you should consult a doctor when the first signs of inflammation appear.
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A disease associated with metabolic disorders is called gout. It is characterized by the deposition of uric acid salts in the joints. Today, gout on the legs is a rare disease; it occurs in three out of a thousand people. It mainly affects men over 40 years of age. Women experience gout during menopause.
The main cause of the disease is excessive levels of uric acid in the blood. The course of the disease is characterized by significant deposition of urate crystals in the joints. They can accumulate in organs and other body systems. The causes of gout on the legs are due to metabolic disorders. As a result, small particles of sodium urate are freely deposited in the joints, leading to its partial or complete destruction.
Excessive uric acid occurs for two reasons. The first option: healthy kidneys are not able to cope with the removal of large amounts of this “material”. The second reason: acid production occurs normally, but the kidneys cannot remove it.
Every year, gout affects more people, despite its low prevalence. Doctors associate this phenomenon with the consumption of foods rich in purines. This also includes alcoholic products. Previously, it was not easy to get gout; there were practically no foods that provoked its development.
The disease is caused by elevated levels of uric acid in the blood. This is the pathogenesis of gout. Today, this symptom is comparable to a disease called hyperuricemia. Changes in uric acid levels occur due to damage to the kidneys and blood. Excessive physical activity and eating large amounts of fatty and unhealthy foods can cause this process.
There are three main elements that provoke the development of gout. These include: the accumulation of a significant amount of urate compounds in the body, their deposition in organs and tissues, the development of acute inflammatory attacks in the affected areas. Finally, this includes the formation of so-called gouty granulomas and tophi (they usually occur at the location of the joints).
The first manifestations are always short-term in nature. It all starts suddenly, most often at night. Inflammation covers the big toes. Less commonly, lesions are observed on the hands, heels, knees and wrist joints. The main symptom of the development of gout in the legs is severe pain. A person simply doesn’t know what to do about it and literally “climbs the wall.” The affected joint is characterized by redness and swelling. The finger feels very hot to the touch. A light touch to it gives a person a lot of unpleasant sensations, including severe pain.
Any movement brings unbearable pain, this continues for 4 days. Then everything goes away by itself and the person continues to live his previous life. After a certain time, the attack repeats again. It is characterized by sudden development and severe course. The situation will repeat until the person takes action. After all, over time, the attacks will be longer and more painful. As a result, there comes a time when pain and inflammation are present constantly, and not in periods. Thus causing the development of chronic gouty arthritis.
Sodium urate crystals may deposit under the skin, causing hard nodules to form. They are filled with a mushy mass. The nodules are called tophi. Their main location is the auricles near the crystals. After the tophi breaks through, the wound heals on its own.
In addition to all the above symptoms, gout is characterized by urate deposits in the kidneys. This leads to the development of urolithiasis, and sometimes pyelonephritis. Gout in women is much milder and is characterized by the absence of acute attacks. Its main location is the ankle joint.
The main symptom of the disease is acute pain in the thumb joint. The attack begins both late at night and in the morning. The first sign is a pressing pain that causes a lot of inconvenience to a person. The joint begins to swell, the temperature at the site of the lesion increases significantly. The skin is characterized by pronounced redness and may become shiny.
During the day the victim feels better, but by night the situation worsens. The duration of the attack does not exceed 3 days. In some cases it can last a week. With a second attack, the situation worsens and the time of suffering increases. If measures are not taken, partial destruction of the joint is possible.
Another of the very first signs of gout is the appearance of a growth at the site of the affected joint. This indicates a sharp increase in uric acid levels. The growth grows and eventually bursts, the wound heals on its own.
This disease is most often localized on the big toes and is characterized by a chronic course. The cause of the disease is excessive deposits of uric acid and salts. Gout on the foot with damage to the big toe never goes away without a trace. Over time, it leads to discomfort and severe pain.
The disease has another name – gouty arthritis. Males are susceptible to its influence, or rather, they are the ones who suffer most often. In women, gout is extremely rare during menopause. The risk group includes people who are overweight and have metabolic disorders.
Often the disease occurs due to a genetic predisposition. In this case, its development is provoked by several main factors. These include: eating high-calorie foods, excessive alcohol consumption, poor quality nutrition and excessive physical activity. Provoking factors are: excess weight, addiction to coffee drinks and chronic kidney disease.
All existing diseases are entered into a single database. Each disease is marked with its own code, which is international. According to the ICD 10 code, gout is recorded under the number (M10).
The ability to classify diseases according to a single code allows a person to receive treatment anywhere in the world. After all, the disease noted in the medical record, even without its name, will be easily identified.
If no measures are taken, the disease can become severe. Attacks of gout will gradually turn into chronic pain that will plague a person throughout his life. To avoid consequences, you need to control your own condition. The sooner a person seeks help, the higher the chance of a full recovery.
The chronic course of the disease requires surgical intervention. If the necessary measures are not taken, the joint may partially collapse. Over time, the situation worsens significantly, leading to his complete defeat.
The development of further consequences depends on the person himself. It’s easy to prevent them; you should identify negative symptoms in time and go to the hospital. It is important to calculate the time between attacks and record their severity.
Lack of timely treatment can lead to serious consequences. The most severe complication is gouty arthritis. The development of urolithiasis and impaired renal function cannot be ruled out.
Gout is characterized by the formation of growths, so-called tophi. They consist of sodium urate crystals and can be deposited in any part of the body. Over time, they get stuck in the joints. The human immune system responds to this, leading to a high concentration of white blood cells. After all, tophi is nothing more than an inflammatory process. As a result, gouty arthritis develops.
Excessive accumulation of kidney stones can cause kidney failure. If left untreated, this will lead to death. From this point of view, gout is a truly serious disease.
Diagnosis can be made based on epidemiological diagnostic criteria. Chemical testing allows us to determine deposits of urate and uric acid in the joints. Diagnosis of gout on the legs includes examining the patient and collecting an anamnesis about his condition. It is necessary to study the location of the swelling, assess the degree of pain and the duration of attacks. Then the tophi are studied, their appearance and objective signs.
X-ray examination allows you to confirm the presence of inflammatory processes in the joints. It is often used when examining a chronic form of the disease. There are certain criteria, the coincidence of which indicates the presence of the disease. The first of them is the detection of urates in the joint fluid. The second criterion is the formation of tophi. The third is an acute attack of arthritis, the fourth is severe inflammation, the fifth is the monoarticular nature of arthritis. The sixth criterion is severe pain and swelling. The detection of several symptoms in a person allows a preliminary diagnosis to be made.
If gout is suspected, it is necessary to resort to laboratory tests. The first step is a general blood test. Thanks to it, it is possible to determine the quantitative content of uric acid and neutrophils. The levels of these components change significantly during the progression of the disease.
A urine test can determine the amount of protein. Together, these two studies help the doctor get an overall picture of what is happening. The specialist assesses the patient’s condition, the degree of danger and, based on this, prescribes effective therapeutic measures.
Tests alone may not be enough; in this case, additional diagnostic methods are used. They will allow you to complete the picture of what is happening, make the correct diagnosis and begin quality treatment.
These diagnostic methods are applicable to almost all patients. They allow you to complement the overall picture of what is happening. In case of gout, instrumental diagnosis is uninformative, but only in the early stages. Despite this, these research methods make it possible to distinguish gout from other rheumatological pathologies. Widely used: ultrasound, technetium pyrophosphate scintigraphy, CT and radiography.
Laboratory tests together with instrumental diagnostics allow us to obtain a complete picture of the disease. They are aimed at identifying the process of formation and excretion of uric acid at various levels. Differential diagnosis includes several areas: general blood and urine analysis, biochemical analysis of blood and urine, examination of synovial fluid and tophi.
The main principle of treating the disease is to control the level of uric acid. To prescribe high-quality drug therapy, you need to seek help from a rheumatologist. Often, treatment for gout on the legs involves the use of non-steroidal anti-inflammatory drugs. Usually prescribed: Methindol, Diclofenac and Indomethacin. To normalize the level of uric acid, they resort to the help of Allupol, Milurit and Allopurinol.
An important part of treatment is diet. It is necessary to maintain a certain balance between feeling hungry and overeating. Sudden weight loss can lead to the production of large amounts of uric acid, leading to the development of gout. A similar effect occurs when overeating.
Sports activities play an important role. You need to move more, do gymnastics, walk, run and ride a bike. Food should be varied, and most importantly, steamed. Salt is completely excluded; if it is impossible to follow this recommendation, its daily dose does not exceed a teaspoon. Spices and hot seasonings must be removed.
Compliance with special rules will eliminate attacks and alleviate the person’s condition. To do this, it is enough to follow three recommendations: proper food, drug treatment and sports.
During attacks, it is necessary to provide the body with a sufficient amount of fluid. A special diet will allow you to cope with the chronic course of the disease. First you need to practice increasing your fluid intake. It has been proven that 5-8 glasses of water per day can improve the condition and reduce the unpleasant consequences of an attack. It is important to avoid highly carbonated drinks. Foods low in purines can effectively relieve an attack of gout, both on the leg and upper extremities.
You need to eat more fresh fruits. They contain virtually no purines, but contain complex carbohydrates and nutrients that ensure good health. Fruits containing vitamin C will help prevent gout attacks. Pay attention to oranges and tangerines.
It has been proven that proper nutrition helps relieve an attack of gout, and not the use of any compresses or other methods. The main task of a person is to reduce the amount of uric acid produced, and this can only be achieved with proper nutrition. The supervising physician should give special recommendations in this regard.
It is imperative to exclude alcohol from the diet. This drink is characterized by a high content of purines and can worsen the situation. Moderate consumption of wine reduces the likelihood of developing gout.
To eliminate the disease, drugs are widely used that are aimed at normalizing the level of uric acid and have an anti-inflammatory effect. Often prescribed medications are: Methindol, Diclofenac and Indomethacin. They have a pronounced anti-inflammatory effect. You can stabilize the level of uric acid: Allupol, Milurit and Allopurinol.
Drug treatment involves complex therapy. Taking medications internally may not be enough; for this purpose, treatment on the legs is supplemented with special ointments for gout. They are particularly effective and effective. Most often they resort to the help of Diclofenac, Butadion, Ketoprofen and Fullflex. Previously, Vishnevsky ointment was widely used.
Traditional methods of treatment can help the body cope with many diseases. Since ancient times, a huge variety of recipes have accumulated. Traditional treatment is aimed at rapid recovery of the body without harming it.
Liquid will help remove toxins and rid the body of harmful components. A large amount of it can reduce an attack of gout and alleviate a person’s condition. Preference is given to mineral water. It helps remove unnecessary purines from the body. This allows you to avoid the development of gout and prevent attacks.
Pay attention to water that contains alkaline and organic substances. They allow you to achieve the maximum positive effect. Recommended brands include: Essentuki and Borjomi. Narzan water has proven its effectiveness. To achieve a positive result, you need to consume 2.5 liters per day.
Water alone will not be enough, so you need to follow proper nutrition. The maximum therapeutic effect is achieved through the use of medications.
Medicinal herbs can have a positive effect in the treatment of many diseases. Gout also falls into this category. Herbal treatment can achieve good results. You should not resort to it yourself, due to the fact that some plants are poisonous.
Gout is an acute disease characterized by severe attacks. You can fight it using both traditional medicine and homeopathy.
For severe attacks, it is recommended to use ACONITE 30. The chronic course of the disease can be alleviated with the help of AMMON. PHOS. 30. A red and inflamed thumb joint requires the use of ARNICA 30. For typical gout symptoms, use BELLADONNA 30. If there is severe swelling, use BRYONIA 30.
Sharp soreness and excruciating pain can be eliminated with the help of COLCHICUM 30. GUAIACUM 30 will help get rid of tophi. If the condition worsens, you need to take LEDUM 30. Acute and chronic forms require the use of SABINA 30. URTICA 30 will help ease a sudden attack.
You can take homeopathic medicines only with the permission of a doctor and under his supervision. It is not recommended to prescribe treatment on your own.
The most radical treatment method is surgical removal. It is aimed at eliminating the growth - tophi. Surgical treatment is resorted to in cases of severe gout. Surgery involves removing uric acid from soft tissue.
Operations of this kind are mainly carried out in Israel or Germany. Drug treatment can only stop an attack, but does not completely get rid of the disease. Many clinics in Russia practice gout removal. The treatment is carried out comprehensively, its cost does not exceed acceptable limits.
Before surgery, the human body is completely examined. It is necessary to know all blood parameters and the level of uric acid in it. Then preparations for surgery are carried out. It should be understood that after removal of the tophi, it may appear again. Not immediately, but after a certain time. Gout is a lifelong disease. Treatment is aimed at maintaining the person's condition.
If you are sick, you need to follow a special diet, this will reduce the level of uric acid in the body. A diet for gout on the legs requires limiting the consumption of certain foods. So, it is necessary to almost completely exclude meat, poultry and fish. These foods are rich in purines. It is necessary to avoid fatty fish, meat by-products and canned fish. It is necessary to reduce fat intake. They are able to influence the body by preventing the removal of uric acid from it. It is advisable to avoid asparagus, beans and cabbage. The diet involves limiting the consumption of alcoholic beverages. Alcoholic drinks provoke the development of gout. Their main action is aimed at blocking the functioning of the kidneys, which prevents the excretion of uric acid. It is acceptable to drink 250 ml of dry wine per day, but not more than 4 times a week.
Fructose is prohibited, so products based on it cannot be consumed. This list includes confectionery, ketchup, corn syrups and juice drinks. Preference should be given to complex carbohydrates. You can eat foods based on whole grains, fruits and vegetables. Confectionery products are prohibited, this includes white bread.
It is advisable to eat low-fat dairy products. This could be low-fat yogurt or milk. Finally, plenty of fluids are key to any gout-relieving diet. You need to drink at least 2 liters of water per day. Detailed recommendations regarding diet can be obtained from your doctor.
In addition to eliminating prohibited foods from your daily diet, you must adhere to a healthy diet. You should eat 5-6 times a day, in small portions, its volume should not exceed one glass. The main essence of diet 6, used for gout on the legs, is to limit your daily calorie intake. Liquid is of great importance; its amount should not be less than 2 liters per day. You are allowed to drink alkaline drinks, fruit drinks, rosehip infusion, tea and coffee.
Experts recommend fasting days. It is advisable to allocate 1-2 days a week for this. The essence of unloading is to consume one product throughout the day. You should give preference to apples, kefir, cucumbers or compote.
A gout diet means following a nutritious and healthy diet. It must be adhered to not only during attacks of the disease, but also for healthy people. You need to eat a certain amount of proteins, fats and carbohydrates. The diet should be diluted with vegetables, fruits and vitamins.
The list of prohibited products includes any meat dishes, including broths. Mushrooms and fish are prohibited; these products are too heavy for the stomach. You will have to give up sausages and smoked meats. This also includes canned food, salted fish and cheese. Daily salt intake should be minimal, and seasonings should be completely avoided. Those with a sweet tooth will not have it easy, because eating chocolate is also not recommended. If the patient is overweight, you need to give up baked goods and confectionery products.
The permitted list is not as limited as it might seem. So, 3-4 days a week you can eat lean meat and fish. You can enjoy chicken eggs, but no more than one per day. The meat must be boiled. It’s worth taking a closer look at fermented milk products. Preference is given to cottage cheese, kefir and sour cream. The main diet should be fruits and vegetables. You can eat any cereals, salads and soups.
Baths and saunas will help you cope with the disease. Before resorting to this method, you should consult your doctor. The bathhouse cannot be called a panacea for all diseases, but it still has some benefits. This method has long been used to alleviate the general condition. Traditional medicine and a bath for gout on the legs are two fundamental components. It is quite possible to combine them together, preparing decoctions of medicinal herbs and steaming your feet.
Contrast procedures are what you need to do in a bathhouse. It is necessary to prepare herbal decoctions and alternately immerse your feet in cold and hot water. It is recommended to massage the affected joints. In the bathhouse, instead of tea, you should drink rosehip decoctions or tincture of elderberry leaves. This will enhance the positive effect. As for brooms, it is desirable that they be birch or eucalyptus. This combination will relieve pain and soothe the joint. After a bath, it is useful to use various tinctures (including those based on lilac), which should be rubbed into the affected areas.
Gymnastic exercises are certainly beneficial. It is even necessary to perform them, but after consultation with your doctor. Depending on the course of the disease, a specific set of exercises is prescribed. For gout on the legs, the effect of gymnastics is aimed at alleviating the condition and maintaining joint mobility.
The simplest movements are flexion and extension of joints. You can supplement this with rotations of the foot in different directions. Often salts are deposited in the big toes; an effective exercise will help to “break” them. It is necessary to clasp the affected area with your hands, hold your breath and bend and rotate the sore finger with increasing effort. When there is not enough air, the exercise ends.
Gymnastics involves performing all exercises in a sitting or lying position. The pace should always be slow. Using your soles, you can roll the rolling pin along the floor, while applying strong pressure to it. The exercise is performed while standing, one leg serves as a support, the other is on the rope.
Strengthen the muscles and ligaments to allow you to press your legs to the floor with special effort. When performing each approach, you need to count to 10 and relax. The exercise should be repeated 3-4 times.
Gymnastics for gout, accompanied by the formation of nodes and tophi, should be combined with massage. This will quickly alleviate the person’s condition and speed up recovery.
Most people believe that drinking a little alcohol is healthy. For people suffering from gout, even 5 grams can be a lot. Alcoholic drinks negatively affect the body of any person. Regardless of what kind of alcohol the patient drinks, if there is gout on the legs, this can be a fatal act. It is quite easy to provoke a new attack.
Men violate the ban more often. A study was conducted in which representatives of the stronger sex drank alcohol for 2 days. This provoked a 2-fold increase in the number of attacks. This is due to the fact that alcoholic drinks contain a large amount of purines. It is enough to drink one glass of something to trigger a new attack.
With gout, there is a deterioration in metabolic function, which is associated with a strict diet. Drinking alcohol under such conditions will aggravate the situation. The attack develops against the background of an increase in uric acid in the body. Alcohol can cause a sharp jump in this component.
Alcoholic drinks contribute to the development of an attack, but this statement applies to men. Women are not so susceptible to the harmful effects of alcohol. But it is still not recommended to consume it or to significantly reduce the amount you drink.