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Gout on the feet

17 Apr 18

How to treat gout on the legs - effective ways

If you have gout on your legs, you need to start treatment immediately. But before this, it is important to correctly diagnose the disease and consult with a specialist.

How to recognize the disease?

The main symptom of gout appears as an attack of gouty arthritis. This is an inflammation of the joint (usually the thumb). The disease is especially acute at night or in the morning. During this period, a person feels unexpected and sharp pain, the affected area becomes inflamed, swollen, and the local temperature rises. In addition, there are other signs of gout: redness of the dermis and crunching in the joints.

Peculiar growths appear on the affected areas, and the level of uric acid increases. When tophi burst, a person observes white crystals. There are a number of other symptoms that accompany gout on the leg:

  • sudden onset of acute pain;
  • joint deformation;
  • loss of mobility of the affected area.
  • Depending on the nature of the disease, it can be chronic or acute.

    Use of medications

    If you have gout of the big toe, then you cannot do without medications. In addition, before starting therapy, it is necessary to reduce the motor activity of the limb. Experts often prescribe drugs from the NSAID group, but it is strictly forbidden to use Acetylsalicylic acid. Effective agents - Indomethacin, Ibuprofen, Naproxen, Diclofenac.

    It is recommended to use such medications very carefully, since they negatively affect the liver, blood clotting and gastrointestinal tract.

    To treat the disease, it is recommended to use a group of steroid hormones (Diprospan, Kenalog). They are effective if administered intra-articularly. Such drugs can cause adverse reactions, so they should be prescribed by a specialist. The most common treatment for gout is Colchicine tablets. To remove uric acid salts, it is necessary to use the drugs Urodan, Etamide and Sulfinpyrazone. It is very important to consult a doctor before use.

    Preparation of special baths

    Treatment of gout on the legs is carried out using special baths. Such procedures have an analgesic and anti-inflammatory effect. The most common recipes:

  • Based on juniper. You need to take 5 g of flowers and fruits of the plant, place them in an enamel container and pour 1 liter of boiling water over the raw material. After this, you need to keep the mixture on low heat for half an hour. Then the preparation must be cooled to a temperature of 40°C. The resulting mixture needs to be poured into a basin or other special container and lower your feet there for about 20 - 25 minutes.
  • Based on medicinal chamomile. You should purchase it at the pharmacy, take 10 g of raw material and iodized salt (20 g). This mass needs to be poured with boiling water, then cooled and the affected fingers should be immersed in it for 30 - 35 minutes.
  • Based on sage. You need to take flowers (25 g) and fill them with 1200 ml of water. After this, you need to boil the liquid in a closed container for 10 - 12 minutes. Use for baths 2 times a day for half an hour.
  • To ensure that the manifestation of the disease is not very pronounced, it is necessary to regularly perform healing procedures based on pine needles and willow bark. The components are taken in equal proportions, brewed with boiling water and added to the bath.
  • Recipes using herbs

    If you have gout on your legs, then it can be treated with herbal recipes.

  • The string from which tea is prepared has a good effect. The most useful are those buds that have not yet opened.
  • Very often an alcoholic tincture is prepared from lilac. You need to take a glass container with a capacity of 0.5 liters, pour flowers into it and pour 200 ml of vodka. After this, the mixture is infused in a dark room for 12 - 14 hours. In this case, it must be shaken periodically. When the tincture is ready, it is recommended to take 25-35 drops before meals. The frequency of administration is 3 times a day.
  • Lingonberry tea is used to treat gout. It is prepared from 2 tbsp. l. leaves of the plant, which are poured with boiled water, left for half an hour and consumed 1/3 cup 3 - 4 times a day.
  • Gout is useful in the treatment of gout. You need to take 3 tsp. substance and mix it with 2 cups of boiling water. The drug must be infused for 2 hours, after which it must be strained and taken 0.5 cups 2 - 3 times a day before meals.
  • Very often, gout is treated with pine compresses. You need to take 500 g of this substance, pour boiled water over it, then leave for an hour, then put the product on low heat (about 60 - 65 minutes). Next, you need to pull the needles out of the water, place them in a plastic bag and apply them to the sore area, securing them with a warm cloth. Keep the compress for approximately 10 – 12 hours.
  • If you have gout on your leg, you can make a lotion from chamomile. You need to take its flowers, add black elderberry (1:1), add water, heat, but do not boil. After this, you need to take a piece of cloth, soak it in the resulting broth and cover the inflamed joints.
  • Gout is often treated by applying an ointment made from butter to the affected joint. You need to take 2 - 3 pieces of this product, melt it in a frying pan to form foam. After this, you need to add a little alcohol there, set it on fire and keep it until it burns out completely. Next, you need to transfer the mass into a deep plate and store it in the refrigerator.

    It is recommended to use this drug during the period when the disease worsens. You need to rub the ointment near a heater or fireplace.

    If you have gout on your leg, you can treat it with onion broth. You need to take 3 vegetables (no need to peel them), then pour in 1 liter of water and put on fire. The product will be ready when the onion is completely boiled. The broth must be strained and consumed before meals 3 times a day for 14 days. It is recommended to stop therapy when all pain disappears.

    In addition, to get rid of the disease, you can treat with garlic. To prepare an effective drug, you need to take 500 g of gruel made from this vegetable and pour 1 liter of alcohol into it. Then the product must be placed in a sunny place for 10 days. When the specified time is over, the medicine must be filtered and taken 25 - 35 drops. It is recommended to take the drug with milk or freshly squeezed juice.

    You can also make compresses from this vegetable. You need to take 3 - 4 heads of garlic, chop them, pour a glass of table vinegar (9%). After this, it is required that the drug infuse for 15–17 days. After the specified time, the rag is dipped in the tincture and applied to the affected joints.

    To make gout on the leg disappear faster, it is treated with lard. You need to take the product, cut it into 3 - 4 thin pieces, and then each of them is applied to the affected toes. In addition, lard needs to be rubbed into sore joints until it decreases. Compresses are also made from this product. To do this, pieces of lard are applied to sore spots and wrapped in a woolen scarf.

    If your foot has been affected by gout, you can use fish to treat the disease. Every day before going to bed, you need to apply fillet to the affected area. Fish can be the cheapest, the main thing is that it is kept on sore joints for as long as possible. The next morning, the fillets must be removed and discarded, and the legs must be washed with cold water.

    For gout, eating fresh apples is considered very beneficial. If you don’t like them raw, you can prepare a decoction based on them. You need to take 4 - 5 fruits, wash them, place them in a saucepan (no need to peel) and put on low heat for 10 - 15 minutes. After this, it is recommended to leave the product for 4–5 hours and use it instead of water or tea. On average, there should be at least 3–4 doses per day.

    Cinnamon and honey have a good effect. You need to take 1 - 2 tbsp. l. beekeeping product, mix it with 20 g of spice and rub into sore joints.

    Other treatments

    If you have gout on your leg, you can use activated charcoal. To prepare a medicine based on this substance, you need to take 6 - 10 tablets, grind them by hand or in a coffee grinder. The result should be approximately 0.5 cups of powder. After this you need to add 1 tbsp. l. flax All components need to be mixed and added with water to form a paste-like mass. It is recommended to lubricate the sore areas with the resulting product (it is best to do this at night). It is imperative to secure the medicine with cling film and insulate it well.

    You can also prepare a product based on Aspirin. You need to take 5 tablets and dissolve them in 10 ml of iodine. The result is a colorless liquid that should be used to wipe sore joints. After this, be sure to wear warm socks. In addition, experts recommend doing iodine-based baths. To prepare them you need to take 9-10 drops of medicine and add 3 tsp. soda If you regularly apply such procedures, then salt deposits on the affected areas will decrease.

    Gout can also be treated with cold. You need to take several pieces of ice, crush them into a paste, place them in a bag and apply to the inflamed areas, but not longer than 10 minutes.

    If you know how to treat gout on the big toe, you can quickly overcome the disease and forget about the discomfort.

    What is gout? Why does it appear? Why does gout occur specifically on the legs?

    All these questions are of interest to a significant number of people who either themselves have encountered this disease, or have interacted with people who suffered from this extremely unpleasant, painful disease.

    Gout on the feet or bulging bones on the feet is a serious type of arthritis, that is, a disease of the joints, which is quite widespread among modern residents of cities and villages. Neither man nor woman are safe from it if they do not maintain a correct and healthy lifestyle.

    According to statistics, the majority of people who suffer from gout are men. It's easy to explain:

  • Firstly, men, in total and in greater quantities, consume alcoholic beverages.
  • Secondly, men smoke more. All these habits cause reactions in the body that affect the amount of uric acid, which, during inflammation and swelling of the joints, moves to the site of inflammation.
  • Purine-rich foods also have a significant impact on the likelihood of gout.
  • Gout is a disease based on joint inflammation and salt deposition. The balance of uric acid is disturbed, its volume increases, and sodium salts accumulate in the form of crystals. This disease is chronic. Most often the patients are men. You can read about what gout looks like in a photo here: Photo of gout

    Diagnosis of gout on the legs

    A positive effect in treatment is achieved in simple ways. In order for gout on the legs to receive the correct treatment , it is necessary to accurately identify the patient’s condition. A thorough diagnosis is required:

  • Laboratory types of research.
  • Radiography.
  • Ultrasound examination.
  • How to treat gout on the legs

    It is necessary to reduce the amount of acid, called uric acid, in the body. It is also necessary to get rid of the acute manifestations of the disease. Let us remember that this includes tumors, severe pain, inflammation, etc.

    When deciding how to treat gout on the legs , you need to find ways to eliminate the chronic manifestations of polyarthritis. It is also necessary to prevent the consequences of such a disease.

    Treatments for “gouty arthritis” have many variations and may have different treatment options.

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    Drug treatment

    The medicinal method of treatment is the most common, that is, this disease is treated with the help of special medications. For this disease, the attending physician prescribes procedures for taking special medications. These medications are not anti-inflammatory, non-steroidal in nature.

    Read more articles on the topic:

    If an acute attack of gout occurs , the doctor may give the necessary injection directly into the joint itself. Such measures are carried out in a single order, but if there is an urgent need, a second injection can be carried out. If gout has affected several joints of the toes, then a course of non-steroidal antibiotics may be prescribed. The course of drinking, when gout on the legs is difficult to treat, is determined by the complexity and nature of the disease, which lasts from one to two weeks.

    Physiotherapy for gout

    Also, modern methods of treating “gouty arthritis” make it possible to overcome this disease using physiotherapy procedures. The inflamed area of ​​the affected joint is exposed to electromagnetic radiation, and treatment is also carried out using an electrophoresis procedure. Uric acid is removed from the body thanks to microcurrents emitted by a special apparatus, which, in addition to everything, destroy salty deposits inside the joint.

    Severe cases of gout sometimes even require surgical intervention, when it is necessary to surgically remove the inflamed growth. The most modern way to treat this disease today is blood purification, which is carried out using special devices.

    Treatment of gout toe

    The disease is treated comprehensively. The acute period requires complete rest; bed rest is needed. It is necessary to eliminate inflammation and prevent intoxication. Non-steroidal anti-inflammatory drugs work well. Diclofenac is indicated, as well as corticosteroids. Intra-articular injections are prescribed, in particular Kenalog.

    Basic remedies are certainly prescribed to normalize the metabolic processes of uric acid. Thanks to them, the risk of kidney stones decreases. Recommendations regarding Allopurinol, Uralit, Sulfinperazone are very common. They are used in a long course of treatment.

    A diet must be prescribed . To gout on your big toe , you need to drink more water. Its volume is increased to 3 liters. They drink not only regular water, but also fruit drinks, natural juices, and teas without sugar. During acute periods, the diet is very strict - all heavy foods are excluded. Even a chicken egg can only be eaten one per day. You can eat dairy products, soups, lean fish, vegetables and fruits, and a small amount of pasta.

    Additional secrets

    There are many helper methods. Among them are physiotherapy, massage, therapeutic physical education, and sanatorium-resort treatment options.

    When large tophi form against the background of tissue ulceration and the development of fistulas, surgical treatment is most likely required. The diseased bone must be removed, since harmful formations will not disappear even when taking anti-gout medications, and because of them, the function of the joints is significantly limited. Removal of tophi of the legs is carried out using the best time-tested methods - for example, laser. Thanks to this effect, tophi disappears, and salt deposits are eliminated from the body. Blood cells are also cleansed using a special drug.

    Treatment of gout on the legs with diet

    Gout, a joint disease, is caused by the deposition of uric acid salts. Today, gout is quite rare. This disease usually affects men over 40 years of age. Also, salt deposits can lead to unpleasant consequences in women after menopause.

    Experts identify several common symptoms of gout:

  • inflammation of one or more joints;
  • mild to significant redness of the skin;
  • increased temperature of the inflamed area;
  • deformation and destruction of the joint.
  • Symptoms can vary significantly depending on the stage of gout:

  • Asymptomatic hyperuricemia. At this stage, there is an increased level of urate, but deposits and other symptoms are not yet observed.
  • Acute gouty arthritis. Characterized by severe pain. The pain persists for 23 weeks. If you start treatment, the duration of this stage will decrease.
  • Chronic gouty deposits. At the third stage, the formation of tophi begins. In advanced cases, the formation of kidney stones is noted.
  • The main symptom of the acute form of the disease is an attack accompanied by inflammation of the joint. In most cases, these are the joints on the legs: knees, ankles, big toes. As a rule, the attack begins late at night. The pain becomes increasingly severe over the course of 3 hours. Sometimes there is swelling of the joint and noticeable redness of the skin. Towards the morning the pain subsides and almost completely disappears, but in the evening it returns.

    During an attack, some patients report chills, increased sweating and a slight increase in temperature. These symptoms persist for several days, although the attack can last even a week. With a second attack, which occurs after 3 months, other joints begin to become inflamed, which can lead to their partial destruction.

    The above symptoms are observed in the acute form. Chronic gout is characterized by the deposition and accumulation of salts in the form of granules. In other words, the patient has gouty polyarthritis. In some cases, it is accompanied by kidney damage.

    Other main symptoms of chronic gout are:

  • restricted movements;
  • crunching in joints;
  • partial or complete inability of the joint;
  • strong pain;
  • development of cystitis and renal failure.
  • Most often, gout occurs in people with a hereditary predisposition. Sometimes a person doesn’t even know about it. When all relatives eat properly, exercise and do not drink alcohol, gout may not appear. However, if one of the family members begins to abuse meat dishes, salty foods and alcoholic drinks, the level of uric acid in the blood will increase markedly. Minor salt deposits may not cause discomfort until a person provokes the development of an inflammatory process.

    Experts consider acute gouty arthritis and the formation of tophi to be the main signs of the disease. The attack almost always occurs in the afternoon. It can be triggered by the consumption of meat dishes and alcoholic beverages.

    Another sign of gout is a bunion on the foot. It is a tophi, that is, the deposition of uric acid salts. These painful bones are a manifestation of chronic gout. They form in the area of ​​joints, heels and tendons. Sometimes tophi accumulate on the ears, tongue and hands. Over time, salt deposits take on the appearance of small white nodules. They do not cause much harm, but interfere with their normal lifestyle due to severe pain.

    It is worth noting that in women the disease is much milder. Thus, gout attacks in the fair sex occur quite rarely. This also applies to the formation of tophi. “Female” gout manifests itself as unexpressed chronic pain in the area of ​​the damaged joint. Because of this feature, the disease can be confused with arthrosis.

    If you do not pay attention to all the mentioned signs and do not start treatment, then you may develop urolithiasis, pyelonephritis, and damage to the heart vessels. The attacks will become more frequent and longer over time. The joints of the legs, and then the arms, will gradually become deformed. As a result, the patient may become disabled.

    Gout is one of those diseases that cannot be completely cured. Symptomatic treatment is usually prescribed. This is especially true during periods of exacerbation. So, anti-inflammatory and painkillers are prescribed. It is also recommended to take medications that activate the removal of uric acid from the body.

    In the fight against gout, eliminating the causes of the disease, namely hyperuricemia, is of particular importance. To do this, you need to adhere to a special diet and use proven folk remedies.

    For treatment of gout in the legs to be effective, physical activity should be limited during attacks. In addition, it is important to drink plenty of water and monitor your weight changes.

    Treatment, which includes injections, taking tablets and using ointments, is prescribed by a rheumatologist. After a thorough examination, the specialist selects medications that will help alleviate the patient’s condition. Thanks to proper treatment with medications, it is possible to reduce the concentration of uric acid and gradually remove it.

    For gout, and especially during an attack, the following drugs are prescribed:

  • NSAIDs. For example, this is diclofenac or naproxen. These remedies relieve pain and inflammation in the joint. It must be remembered that this group of drugs does not treat gout itself. The remedies simply help get rid of the symptoms. It is worth noting that for gouty arthritis, acetylsalicylic acid and other drugs based on it are contraindicated. This is because they increase the concentration of uric acid. It is necessary to take NSAIDs in accordance with the recommendations given by your doctor, since such drugs negatively affect the gastrointestinal tract, liver and blood clotting.
  • Colchicine. The medicine reduces inflammation and helps restore the functioning of the affected joint. The drug must be taken for 1-2 days every 3 hours. When the attack passes, colchicine administration is completed. The drug is contraindicated in renal failure, which often develops with prolonged gout.
  • Hormonal drugs. We are talking about glucocorticoids, namely betamethasone or methylprednisolone. Medicines are injected into an area near the joint. Injections are prescribed when colchicine is ineffective.
  • As you know, with gout, tophi begin to develop on the patient’s legs. They cause tendon inflammation and increase pain. Salt deposits can be removed or significantly reduced by taking medications that lower uric acid levels. This may be allopurinol, sulfinpyrazone or etamide.

    All of the above drugs help get rid of a gout attack within 2-3 days.

    When the attack is over, you can begin physical therapy. The most commonly prescribed procedures are electrophoresis, UHF and magnetic therapy. The first option is the most popular. In addition, electromagnetic radiation helps relieve joint inflammation. Microcurrents promote rapid removal of uric acid and destruction of salt deposits.

    In severe cases, instead of surgery, you can try a blood purification procedure. This modern technique often helps to avoid surgical removal of inflamed growths.

    When dealing with gout, nutrition is of particular importance. Thus, certain restrictions help to significantly improve the condition. The main thing is not to feel a constant feeling of hunger and not to overeat. Patients who suffer from gout should not follow a fasting diet, as it can cause an increase in uric acid levels. This is fraught with exacerbation of the disease and increased frequency of attacks.

    The diet should be based on boiled and steamed foods. You will have to give up salt almost completely. No more than 0.5 tsp per day is allowed. salt, as well as 10 g of butter or vegetable oil.

    Any hot sauces and various spices are strictly prohibited. Contraindicated dishes include fish and meat broths, jellied meat. If you have gout, you should not eat fatty foods, alcohol, strong coffee and tea. It is also worth excluding some by-products from the diet, namely liver and brains, mushrooms, legumes, eggs. All of these foods lead to increased concentrations of uric acid.

    The diet should be based on:

  • Various raw vegetables. If desired, they can sometimes be baked or boiled. Sauerkraut is very useful. By the way, it can be used when applying cooling compresses that reduce pain and relieve inflammation. You will have to give up carrots, spinach, tomatoes, sorrel and cauliflower, because they are all sources of purines.
  • Berries, fruits. This is especially true for all citrus fruits and watermelon, which perfectly flushes the body.
  • Boiled lean varieties of fish and meat without adding spices.
  • Low-fat dairy products.
  • Bakery products.
  • Various cereals.
  • Water regime is of no small importance for gout. You need to drink at least 2 liters of water throughout the day. Experts recommend preferring non-carbonated alkaline drinks. Also shown are mint and bran decoctions, infusions of rosehip or yarrow. Instead of tea, you can drink jelly, kvass and compote.

    This diet will help alleviate the condition and get rid of the main symptoms. However, just reviewing your diet is not enough in some cases.

    Increasingly, a variety of folk remedies are used for home treatment of gout: lotions, compresses and baths. You can also apply ointment that you prepare yourself to the sore joint.

    The easiest way to treat an attack is to apply cold compresses to the inflamed joint. It is important that rewarming is carried out in this area the next day. A regular alcohol compress is ideal for this purpose. So, gauze soaked in alcohol is placed on the leg, after which the joint is wrapped in film. A layer of cotton wool is placed on top. You can secure such a compress with a woolen scarf or bandage.

    Rubbing is considered an equally effective remedy. To prepare it, you need to mix equal parts of butter and chopped hop cones. The ingredients are slowly heated in a water bath and then gently rubbed into the inflamed joints. Instead of hops and oil, you can take chamomile and elderberry. Dried flowers are poured with 1 cup of boiling water and left for 2 hours. The cooled infusion should be strained and rubbed into the affected areas.

    To enhance the excretion of uric acid, it is recommended to use herbal decoctions. It is best to make infusions from strawberries. By the way, this berry can also be eaten fresh. To increase its effectiveness, you should take a glass of fresh birch sap 3 times a day. Doctors also advise drinking a decoction of celery roots, 2 tablespoons 3 hours before meals.

    Some patients with gout prefer to steam their feet, although taking medicinal herbal baths is considered more effective. Nettle root, chamomile flowers, pine branches, oat straw and currant leaves are suitable for these purposes. A hot bath relieves pain and helps you relax. To make this effect last as long as possible, you should use the following recipes:

  • 300 g of dried chamomile flowers must be placed in a container with 5 liters of boiling water. The mixture is infused for 2 hours. Then the strained infusion should be poured into the bath.
  • Add 250 g of dried calamus root to a saucepan with 3 liters of water. The container must be placed on low heat. When the liquid boils, turn off the fire. The hot broth is filtered and poured into a bath of water, the temperature of which is about 36 o C.
  • If the pain is not too severe, you can massage the area located next to the inflamed joint. It is best to start with light stroking and gentle rubbing. During an attack, massage should be avoided.

    Treatment for a gout attack

    Some patients refuse to see a doctor or take medications. Naturally, these patients often experience severe attacks. To make it easier, you should follow these recommendations:

  • Maintaining bed rest.
  • You need to place a small pillow under your sore leg.
  • The inflamed joint should be carefully smeared with Vishnevsky ointment. Compresses with dimexide are also suitable.
  • During an attack, a half-starved diet is indicated, consisting of any liquid porridge, low-fat vegetable broths and jelly.
  • If your kidneys are functioning normally, you need to drink a lot. This could be mineral water, oatmeal broth or lemon juice. Alkaline drinking is recommended.
  • Means intended for prevention will not help during an attack. Their use is allowed only if the patient has previously taken them.
  • NSAIDs such as movalis, diclofenac or indomethacin will help reduce pain. Aspirin should be avoided.
  • For severe pain, colchicine should be taken according to a specific regimen. So, on the first day you need to drink 1 mg 3 times, on the second - 1 mg in the morning and before bed, on the third - 1 mg before bed.
  • A special diet, the mentioned folk remedies and medications do not always help with gout on the legs. Sometimes the amount of salt deposits is too large, which causes irreversible changes in the joints, including deformation and complete destruction. In this case, surgical intervention will be required: joint replacement or plastic surgery.

    Gout - photo on the legs. What does it look like on the foot - pictures

    Gout is an inflamed joint condition characterized by the deposition of uric acid salt crystals. The cutoff age for people suffering from gout is 40 years. The male part of the population is more susceptible to the disease than the female part. The disease affects any joints: fingers and toes, elbows and knees, feet. Risk factors may include concomitant diabetes mellitus, high blood pressure (hypertension), poor diet, and hereditary predisposition. Gout is classified into two forms: primary (heredity) and secondary (a consequence of other diseases, for example, leukemia). Acute attacks can often occur due to the consumption of alcoholic beverages. Gout of the foot causes sharp attacks of pain and incredible suffering for the patient.

    Gout: causes and main symptoms of the disease

    The cause of gout can be simple overeating, excessive consumption of spicy and fatty foods, especially meat products and fatty fish. Increased consumption of alcoholic beverages also contributes to the development of the disease. These components - overeating foods rich in purines and drinking large quantities of alcohol - contribute to an increase in the amount of uric acid in the human blood, and it, breaking down into crystals, injures the joints and the entire body as a whole.

    A sedentary lifestyle and nervous fatigue of the body - all these components are included in the risk zone of the disease. The risk in this case can equally be considered to be the presence of excess weight in combination with physical inactivity, and excessive zeal in sports, since both options place additional heavy stress on the joints.

    An attack of gout usually occurs suddenly and is accompanied by redness of the inflamed area and intense pain. Acute pain occurs from any touch to the sore spot. In addition, the affected area becomes swollen, and the skin looks shiny; a subjective feeling of heat in the joint may be present. The pain may appear and subside suddenly. It is very rare that the pain does not subside within several weeks. If you do not pay due attention to the symptoms of the disease during this period, then severe complications may subsequently occur.

    It is, however, necessary to distinguish the symptoms of gout in representatives of different sexes.

    In men, it is a sharp, unbearable pain in the joint area, swelling and hyperemia of the skin. Most often, the disease develops more rapidly in men and affects the joints of the hands more.

    Unlike men, women are more likely to experience gout in their legs. The disease mainly “selects” one joint as a target, and neighboring ones are involved in the process over a long period without treatment. Symptoms include weakness and malaise, irritability, the skin over the source of inflammation begins to peel, and the mobility of the limb is sharply limited.

    And if gout occurs in a chronic form, then, regardless of gender, the symptoms will be weaker and the intervals between attacks will be shorter.

    What myths about foot gout should you not believe?

    There are a number of myths that still exist today that confuse people. Often, having believed a false statement, a person begins self-treatment of foot gout and misses an important point in the fight against another problem, or tries to treat himself in the wrong ways. The most common myths about gout and its treatment:

    1. A peculiar “bump” that appears on the thumb is gout. No, in fact, such a “bump” occurs due to deformation of the foot and this is an exclusively orthopedic problem.
    2. In order to cure gout, you need to flush your kidneys with beer. Again, a mistake, because alcoholic beverages with absolutely any alcohol content provoke an exacerbation and worsen the course of gout.
    3. Gout develops only in people who abuse alcohol. Again, wrong judgment. Alcohol is not the basis of the etiology of gout.
    4. Gout cannot be cured. Currently, medicine is at a level where gout is not only easily controlled, but also responds well to treatment. But it is important to consider that this requires timely contact with a specialist and careful adherence to his instructions.

    Gout of the foot: diagnosis of the disease

    Gout can be diagnosed using laboratory tests. First of all, it is necessary to establish the level of uric acid in the blood and the daily rate of urine output from the body. The level of uric acid in the blood should not exceed 420 µmol/l in men and 350 µmol/l in women.

    For reference: for children under 14 years of age, the norm is 120-320 µmol/l.

    In addition to blood and urine tests, a biopsy and x-ray of the affected areas are performed. During a biopsy, local anesthesia is used and a sample of tissue or intra-articular fluid is taken to see if there are needle-shaped urate crystals in them. And during x-rays, it is possible to see bone damage caused by gout and tophi.

    When diagnosing gout, it is very important to determine the general condition of the kidneys and urinary tract. This is done using an ultrasound examination.

    What provokes an exacerbation

    There are a number of reasons and risk factors that can provoke an exacerbation of gout of the foot, and are confirmed by clinical observations.

    Among the reasons, the most common are poor diet, consumption of large amounts of purine-containing foods, and alcohol. Taking medications that cause hyperuricemia, such as vitamin A, can also become the basis for an exacerbation. Other causes include pathologies such as arterial hypertension, sudden physical overload of the body, simple hypothermia, and even the use of tight shoes.

    In turn, risk factors may include:

    • Male gender;
    • Age category over 50 years;
    • Weakening of skeletal muscles;
    • Excessive weight and especially obesity;
    • Intoxication with alcoholic beverages;
    • Sudden changes in blood pH levels;
    • Reduced excretion of uric acid by the kidneys, which can be observed with their pathology.
    • Diet and treatment of foot gout

      Gout is treated in conjunction with the need to adhere to dietary standards. The consumption of all foods containing uric acid compounds should be excluded from the diet or significantly reduced. This is necessary to reduce the level of uric acid in the blood. All foods containing purine and nitrogen-containing bases (for example, liver, kidneys, brains, tongue) should be strictly excluded from the diet. Only a small amount of lean meat (200-300 grams) per week is recommended. Cooked food should be extremely bland. Salt consumption is reduced to 5 grams per day. However, when treating gout, you should never fast, so as not to increase the level of uric acid in the blood. Only by following strict dietary recommendations can gout be treated effectively.

      In addition to diet, there is medication, hardware and surgical treatment, as well as the use of homeopathic remedies, physiotherapy and balneotherapy.

      Drug treatment includes the use of non-steroidal anti-inflammatory drugs to relieve pain, such as Ibuprofen or Diclofenac. It is also important to use corticosteroids, which also have an anti-inflammatory effect - Diprospan. And agents for removing uric acid from the body, such as Allopurinol, cannot be excluded from basic therapy. During attacks, compresses with Dimexide can be used, and patients can optionally use pain-relieving ointments or gels.

      As for hardware treatment, ultraviolet irradiation, ultrasound, laser therapy and ultraphonophoresis are most often used. Ultraviolet irradiation is mainly aimed at preventing an approaching exacerbation, that is, for prevention. Ultrasound has a resolving, analgesic and anti-inflammatory effect on the affected joint. Laser therapy helps destroy tophi. And ultraphonophoresis helps reduce inflammation, increase blood circulation, improve lymph flow and accelerate the removal of salts from tissues. Ultraphonophoresis is carried out with hydrocortisone and is often alternated with ultrasound therapy.

      Surgical treatment is resorted to in severe cases. Various surgical interventions can be performed, for example:

      • Removal of urate deposits, large gouty nodes, especially when fistulas develop or the skin becomes ulcerated;
      • If the basis of gout is the presence of kidney stones or they contributed to the deterioration of the patient’s condition, then they are destroyed with shock wave therapy;
      • In extreme cases, when the joints have undergone significant destruction, reconstructive surgery is performed in the form of arthroplasty.
      • Homeopathic remedies are not as relevant as other methods of treatment, but they have their positive qualities. They help restore joints with minor deformities, reduce swelling and fight disorders associated with gout in the legs. However, to use them, consultation with a homeopath is required.

        Physiotherapeutic measures include application with mud, ozokerite or paraffin during remission, which helps reduce pain, reduce the level of inflammation and improve joint mobility.

        Balneotherapy is a visit to baths and pools with mineral waters and is aimed at improving microcirculation in tissues, normalizing and even enhancing the functionality of the kidneys and liver, as well as stabilizing lipid metabolism in the patient’s body.

        Non-traditional (folk) methods of treatment

        The treatment procedure can also be performed at home. For this, various traditional medicines are used:

        1. You can prepare a “homemade” ointment. Mix butter with alcohol in proportions 1:1. After the alcohol has evaporated from the pulp, the ointment is ready. You need to rub your feet daily and before going to bed.
        2. For a softening compress you will need 10 ml of iodine and 5 aspirin tablets. Apply to the inflamed area and leave the warm compress overnight.
        3. Pour 300 grams of sage herb into 5 liters of boiled water. This will be an excellent tincture for taking baths with a sore foot. The effect will be achieved by cooling to the maximum tolerable temperature when steaming the gout-affected area. It is recommended to steam your feet daily for a month.
        4. A treatment method using honey, soda and mustard powder will be effective. All ingredients 1 tsp. can be mixed in equal parts. The resulting mixture is applied to the previously steamed sore spot. Wrap the leg in plastic wrap and leave overnight. Repeat daily for two weeks.
        5. Apples are excellent at preventing the body from producing uric acid.
        6. For a compress, take the same amount of chamomile and elderberry and pour water over them, then wait over low heat until the water boils. After this, the composition is put aside to let it brew and cool, and after this time, compresses are applied to the joints using gauze lotions at night.
        7. Take 5 dry bay leaves and crush them, then pour in 100 ml of ammonia and leave for a week. After this period, before using the tincture, steam the joints, and then slowly and thoroughly rub the product into the tissue, drawing a mesh of iodine on top.
        8. Potato baths are also good for feet suffering from gout. The potatoes are peeled and it is this skin that is placed in a pan of water. Boil the peel over low heat for 15 minutes. At this time, fill a bowl or basin with lukewarm water, immerse your foot in it and gradually add the resulting broth to the water so that it is warm. Slightly cooled peel can be applied to swollen joints and “bumps”.
        9. Disease prevention

          First of all, preventive measures should be aimed at generally promoting a healthy lifestyle. Maintain food culture. An active lifestyle should consist of an even distribution of physical activity and frequent walks in the fresh air. Foot massage should be carried out with the aim of quickly resolving exudate and eliminating muscle tension. Spa treatment will also help reduce the risk of the disease.

          Take care of yourself and your body and be healthy!

          How and with what to treat gout on the legs: medications and baths for treatment

          Gout on the legs occurs as a response to metabolic disorders, primarily purines, which are responsible for the creation of DNA.

          As a result, the content of uric acid in the blood begins to increase, and uric acid crystals are deposited in the tissues of the musculoskeletal system, joints and internal organs.

          With an excess of uric acid, the patient begins to feel acute attacks of pain, and restrictions in motor function begin.

          Causes

          The first signs of gout can be noted when using certain medications, such as aspirin, cyclosporines, and some diuretic diuretics and medications.

          Concomitant diseases that can cause the development of gout are:

          1. coronary heart disease,
          2. diabetes,
          3. blood disease
          4. psoriasis,
          5. chronic renal failure,
          6. metabolic syndrome,
          7. lead poisoning,
          8. obesity.
          9. Numerous injuries, as well as the consequences of surgery, can also act as a cause of gout.

            At the same time, the causes of the disease may lie in the area of ​​poor nutrition; this applies to eating large amounts of foods high in purines.

            Fatty meats, seafood, alcoholic drinks, and carbonated sweet waters largely lead to the accumulation of purines in the body, which leads to the development of gout.

            If we talk about risk groups, gout most often affected men aged 30 to 50 years. However, recently the disease has begun to be registered more often in female patients, especially during menopause.

            There is an opinion that gout can develop against the background of heredity, arriving in a latent form; in this form, the disease can remain in the body for a long time. However, under adverse influences, it begins to manifest itself in attacks.

            In terms of forms, gout is divided into: primary and secondary.

            The primary form occurs due to excessive accumulation of purines in the blood. That is, we can say that this is an independent form.

            The secondary form of gout always develops as a consequence of other diseases, or as a response to certain medications.

            In order to understand and correctly identify all the symptoms of gout, it is necessary to immediately say that the disease has seven different stages, each with its own manifestations and symptoms.

            The first stage is acute gout, which is characterized by nocturnal manifestations. The main symptoms are here:

          10. headache,
          11. weakness in arms and legs,
          12. trembling and arthralgia.
          13. the joint of the big toe begins to swell,
          14. the skin on the fingers becomes bluish-red, shiny and hardened,
          15. sharp pain appears in the finger joint,
          16. motor functions of the fingers decrease,
          17. does body temperature rise
          18. The stage of acute gout can last from 3 to 10 days, after which a certain period of calm begins, which can last from a month to several years.

            Moreover, at this time, gout practically does not manifest itself in any way.

            The second stage is subacute gout, which manifests itself as monoarthritis or disease of one joint.

            Most often localized on the toe. It cannot be said that there is severe pain, mostly aching and some discomfort.

            Rheumatoid gout affects several joints, and the symptoms here continue in the form of pain for several hours, sometimes even several days. In this case, gout of the legs is most often localized in the knee joint.

            Pseudophlegmonous gout also affects one joint, but the surrounding tissues are involved in the process. Signs of this stage additionally appear in the form of:

          19. increase in body temperature,
          20. inflammation of the affected joint,
          21. leukocytosis,
          22. fever.
          23. Gout is a type of allergic infectious polyarthritis. This stage is quite rare, similar to the manifestation of polyarthritis, but the pain does not have a clear localization and can manifest itself in different joints of the legs.

            In this case, the inflammatory process develops very quickly and the skin turns purple due to inflammation.

            Low-symptomatic stage of gout. During this stage of gout, inflammation is present, but patients experience few to no symptoms.

            As for the chronic form, gout of the legs here manifests itself as tophi. Tophi are visible and hard nodules in the joints. Tophi develop within 5 years after the onset of the disease.

            Treatment of gout on the legs

            Gout of the legs requires drug treatment, which will consist of relieving pain, as well as restoring purine metabolism in the body. Taking these requirements into account, medications are selected and a treatment regimen is considered.

            If there is an acute attack of gout, it is necessary that the patient observe bed rest and complete rest.

            Gout of the legs suggests in this situation placing the leg on an elevation, you can apply ice to the sore area. And after the pain subsides, a warm compress is placed on the affected joint.

            To reduce pain, anti-inflammatory drugs are used, the dosage and remedy are chosen by the doctor.

            It is imperative to reduce the level of lactic acid with medication; for this, anti-gout drugs are used, such as:

            It is the doctor who necessarily decides how to treat gout on the legs, since the patient will take medications for this disease for many years.

            If tophi are found, they can only be cured by surgery; in other words, they need to be removed.

            This approach is due to the fact that tophi is not able to resolve if only medication is used. In this case, tophi leads to serious limitation of motor functions.

            Treatment of gout on the legs involves the use of physiotherapeutic methods, for example, applications from:

            Such applications do not cure gout, but they have a serious anti-inflammatory effect and help reduce pain. This application to the affected joints improves their function and reduces the amount of urate.

            Applications can be made in combination with medications and herbal medicine.

            You can give an example of tinctures of lingonberries and black currants and blueberries, which are excellent in treating gout.

            The treatment also uses baths with various components, for example, warm baths with chamomile have proven themselves to be very effective; baths with:

          24. simple straw
          25. nettle,
          26. roots of forest angelica,
          27. medicinal soapwort.
          28. All of them can be easily done at home.

            We should also talk about the importance of proper nutrition, which should be present during the treatment of the disease.

            Leg gout in any form requires a diet, and for this it will be necessary to completely exclude foods high in purines from the daily diet:

            • Liver,
            • Younger meat
            • Lungs and kidneys
            • Fish and meat broths,
            • Carbonated sweet drinks.

            Energy will have to be supplied to the body by carbohydrates. Here, the food system will have to contain dishes made from cereals and flour, beef, lamb, eggs, in order to maintain the balance of vitamins in the body, it will be necessary to make a decoction of rose hips, black currants, lemon; diet and treatment for gout go hand in hand.

            Naturally, this complex includes medications, food, and baths. All together allows you to adequately survive an attack of gout and treat this disease.

            If detected early, gout on the legs is treatable, and the prognosis of the disease is always positive.

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