Gout is often a chronic disease caused by a high content of uric acid substances in the blood - urine. The disease is accompanied by acute attacks, relapses, the formation of tophi, and severe pain. There are ways to relieve pain from gout - medicinal, non-traditional using traditional medicine recipes.
The nucleus of a cell in the human body contains purines. These substances come from food or are synthesized by the body. During the natural destruction of cells, purines are converted into uric acid, which is excreted by internal organs. When there is a large accumulation of purines and the excretion process is disrupted, uric acid turns into urine - crystalline salts. They are deposited in the supra-articular part of the legs and create a lot of problems. This is gout.
At the initial stage, the disease does not manifest itself externally. Men more often suffer from gout after the age of forty. Long-term progression of the disease leads to an acute attack, which is eliminated by painkillers. In an advanced, severe form, uric nodes (tophi) form on the legs. They are characterized by a dense structure, visibility, inflammatory process, and tumor formation. Sometimes only surgery can help.
The clinical diagnosis of an acute attack of gout is characterized by the following phenomena:
The severity of the disease determines the choice of gout treatment methods and methods of eliminating pain.
Ankle gout makes the area of the leg tender. Touch is accompanied by pain. To help the patient, medications are prescribed:
Involves the use of targeted drugs - uricosuric, uricodepressive drugs. The former promote the removal of salt deposits of uric acid from the body, the latter suppress synthesis.
Allopurinol, milurit, losartan are classified as uricodepressive medications and are used to prevent attacks. They work effectively to lower the level of urine in the body. Take 100-300 mg three times a day in equal parts at the onset of the disease. Double the dose during the first month. The level of urate salts decreases. The drug is not used during an attack; it is prescribed for prevention purposes.
Anturan, ketazone, benemid, aspirin improve the ability of the kidneys to excrete uric acid and are classified as uricosuric drugs. Aspirin salicylates in an amount of three grams per day destroy urate salts; due to its high toxicity, the product cannot be used for a long time.
Drug treatment with long-acting drugs is aimed at treating the disease. The drugs are used after a gout attack.
Gout does not pose a threat to the patient's life. The disease affects the lower limbs, if not treated comprehensively it will lead to disability. To maintain joints in normal condition, it is recommended to treat gout with medication and do physical exercise.
The goal of physical therapy is to quickly relieve pain and eliminate the inflammatory process. Exercises:
Physical exercise temporarily eliminates pain, and in combination with treatment methods gives a lasting effect, the main condition is that physical education must be constant.
Natural compounds have a positive effect on gout. The disease cannot be completely cured, but the urine content in the body can be reduced. Recipes for decoctions and herbal tinctures:
There are many traditional medicine recipes based on the beneficial, active effects of plants. When your legs hurt, a person strives to eliminate the pain in accessible ways. Herbal medicine will ease the suffering of the patient.
For pain in the ankle joint, the action of radioactive substances is used - an alternative option for eliminating pain. Radon baths have an active effect on the affected area. Hydrogen sulfide baths have a uricosuric, uricodepressive effect. Sometimes complete disappearance of tophi was observed. It is explained by the thermal effect on uric acid, the compounds of which disintegrate.
A diet for gout is recommended for all patients. Some doctors recommend fasting for 2-3 days to cleanse the body so that purines do not come from food. Other doctors do not advise doing this.
Fasting will not quickly reduce pain. If it is used, it should not be used for acute gouty attacks. The body should receive beneficial substances from fruits (especially citrus fruits) and dairy products. It is better to avoid meat, fatty foods, high-calorie sweets, coffee, and alcohol.
Diet therapy and sanatorium-resort treatment are considered as effective additional measures to combat the disease and should be used together with physiotherapy and medications.
In case of an acute attack, an alternative method of pain relief - local cryotherapy - gives immediate results. It is theoretically justified and proven in practice that exposure to cold quickly relieves pain. Cold gas at a temperature below 180 degrees affects the affected area, relieving inflammation. You can stay in the cryosauna for no more than three minutes. The method is effective and safe.
Any joint is susceptible to disease. More often, gout affects the lower extremities. There are many ways to help the patient get relief.
Pain in the legs is a consequence of a combination of signs of various types of pathologies. Discomfort in the legs can be caused not only by diseases of the spine, joints and muscles, but also by pathologies of other organs and organ systems.
Nagging pain can bother the patient during the day or appear exclusively at night , at rest. Nagging pain in the legs, the causes and treatment of which must be determined by a specialist, can significantly affect a person’s quality of life and, in some cases, lead to disability.
Osteochondrosis is a disease in which there is a disruption of the structure of the intervertebral discs, drying out of the nuclei pulposus and thinning of the fibrous rings. The result of this pathological process is pinching and inflammation of the spinal nerve roots, which causes painful suffering to the patient.
The intensity of pain in the legs varies from moderate to severe. Sometimes the pain is nagging in nature, and in some cases it manifests itself in acute attacks.
The pain can be localized in any part of the leg. Sometimes discomfort is noted only in the thigh area, but, as a rule, pinching of the sciatic nerve leads to pain being felt along the entire length of the nerve - from the lower back to the toes.
Additional signs of the condition include:
Osteochondrosis is treated by a neurologist, rheumatologist and osteopath .
Diagnostics includes:
Treatment consists of taking the following groups of drugs:
Varicose veins are an irreversible lengthening and expansion of blood vessels in the lower extremities , which causes thinning of the vein walls, the formation of venous networks and the appearance of venous nodes.
Varicose veins of the legs are characterized by nagging pain in the legs throughout the day, which becomes more intense in the evening and is already bursting in nature. Cramps in the lower extremities are also often observed.
Varicose veins occur with swelling in the legs, a feeling of heaviness in the calves when sitting or standing for a long time. A characteristic feature of the pain syndrome in pathology is a decrease in its intensity when walking or after rest.
As the disease progresses, a person notices a feeling of heat and burning in the calves and the appearance of vascular networks that visually stand out on the surface of the skin.
Next, you can visually distinguish intradermal veins of a dark blue color .
Experts recommend seeking medical help already at the stage of swelling of the legs, since untimely diagnosis greatly complicates the treatment of the disease. Advanced varicose veins are one of the causes of thrombophlebitis, which is life-threatening.
The diagnosis and treatment of the disease is carried out by a phlebologist, who determines the presence of varicose veins using the following diagnostic methods:
Depending on the stage of the disease, 3 treatment methods :
A lack of vitamins and microelements in the human body often causes muscle pain, including in the legs.
Nature and location of pain
Prednisolone is one of the most popular glucocorticoids. It is used to relieve inflammatory and allergic processes, especially if they are accompanied by severe pain or unbearable itching. Prednisolone suppresses tumor growth, immunity (which is especially important in autoimmune processes) and has a number of other properties.
The human adrenal glands produce glucocorticosteroid hormones (GCS), which regulate the functioning of almost all organs and systems of the body. Synthetic corticosteroids, including prednisolone, are produced today as medications.
Prednisolone affects all types of metabolism. It suppresses the destruction of proteins in the area of inflammation, promotes the formation of glucose from glucose: Glucose: a source of energy from the products of protein metabolism, which leads to a decrease in the amount of proteins in the blood plasma and suppresses the growth of children. It increases the breakdown, but at the same time, the synthesis of fats - fat is deposited in the form of fat reserves and is redistributed in the body. An increased amount of glucose is formed in the blood, and an increased amount of insulin is produced to absorb it into the tissues. The principles of insulin action - science saves lives.
Prednisolone has a significant effect on mineral metabolism: it retains sodium and water in the body, removes potassium and calcium, washing the latter out of the bones and causing osteoporosis (thinning and increased fragility of bones).
Prednisolone suppresses the synthesis and entry into areas of inflammation and allergies of biologically active substances that cause these processes, including histamine, prostaglandins, interleukins, and so on. This causes a pronounced anti-inflammatory and anti-allergic effect, relieves swelling, pain and itching. But at the same time, the amount of prostaglandins in the gastrointestinal tract (GIT), which protected its wall from various influences, also decreases, which leads to the formation of ulcers, erosions and gastric bleeding.
The anti-shock effect of prednisolone develops due to its activation of the action of adrenaline, which causes spasm of blood vessels and an increase in blood pressure.
The immunosuppressive (suppressive immunity) effect develops due to the suppression of both cellular and humoral immunity.
Prednisolone also suppresses proliferation - the reproduction of tissue cells, which is actively used in the treatment of cancer.
For what diseases is it used?
Prednisolone is prescribed for severe inflammatory processes, especially if they are accompanied by pain. For example, it often has to be prescribed for diseases of the spine and joints, such as arthritis, arthrosis, ankylosing spondylitis, and so on. Where other medications are powerless, prednisolone easily relieves inflammation, swelling and pain.
Prednisolone is also prescribed for chronic allergic diseases, such as bronchial asthma, allergic skin diseases (atopic dermatitis, neurodermatitis), and allergic rhinitis. In acute allergic processes, such as anaphylactic shock or Quincke's edema, prednisolone is administered intravenously and quickly stops the development of the allergic process.
Prednisolone is also used for systemic connective tissue diseases (systemic lupus erythematosus, scleroderma), rheumatism and rheumatoid arthritis, cancer (except skin tumors) and many other diseases that require the effect of GCS.
When should prednisolone not be used?
Prednisolone should not be used if the patient’s body is hypersensitive to it (this also happens, although rarely), with peptic ulcer of the stomach or duodenum, osteoporosis, severe diabetes mellitus, high blood or intraocular pressure, thrombophlebitis. And also for some endocrine diseases that can be significantly aggravated by the influence of prednisolone (for example, with Itsenko-Cushing's disease), with acute infectious processes of any origin, psychosis and when feeding a child. Breastfeeding is a personal choice of breastfeeding.
During pregnancy, prednisolone is used only for health reasons.
What side effects does it cause?
There are a lot of side effects, especially with long-term use of prednisolone in high doses. These are ulcerative processes in the gastrointestinal tract, increased blood pressure, a sharp decrease in immunity (spread of infection and slow healing of wounds), depletion of the adrenal cortex and endocrine diseases (for example, Itsenko-Cushing's disease), diabetes mellitus Diabetes mellitus is a formidable and incurable disease, excretion from the body potassium (this leads to weakening of the heart muscle), osteoporosis, vascular thrombosis, the appearance of a pustular rash on the skin, stretch marks, pinpoint hemorrhages, psychosis, growth disturbances in children.
Prednisolone is a highly effective drug that has many side effects.
Prednisolone is a synthetic analogue of hydrocortisone (glucocorticoid). This drug has the following effects:
This medication is used for various diseases, including pathologies of the musculoskeletal system. Let's consider reviews from patients who have used this drug.
“A few days ago I was discharged from the therapeutic department. The diagnosis was extensive: psoriasis, moderate anemia, psoriatic polyarthritis, lumbar osteochondrosis. There were also a bunch of accompanying people, but that doesn’t matter. The treatment was complex.
They also prescribed me prednisolone [information about the dose was deleted] (no longer possible, since HIV was also detected). I don’t know why exactly, but my condition has improved.
The joints hurt much less, the swelling has subsided. The only drawback is severe nausea, but I can’t say that this is specifically from prednisolone. Such an abundance of medications, as I had, can itself contribute to the development of side effects.”
“At the age of 32, I first encountered the problem of joint pain. The hospital diagnosed him with reactive polyarthritis. One of the medications was prednisolone. He was prescribed for 3 days with a gradual reduction in dose.
The effect is already noticeable, the swelling has noticeably decreased, the pain has almost disappeared. Now I’m wondering whether it’s worth continuing the course of treatment. There are a lot of side effects indicated in the instructions, I wouldn’t want to earn even one of them.”
“Several months ago I was diagnosed with necrotizing ulcerative vasculitis. The knee became swollen, then the whole process shifted to the ankles, followed by pain in the joints and ulcers on the legs. I was prescribed prednisolone at a dose of [dose information removed]. Two weeks later the dose was halved. I desperately want to jump off it completely, since its side effects do not give me peace.
First of all, my weight changed (I gained 3-4 kilograms in two weeks), my face became swollen, my limbs were thin, I felt some kind of incomprehensible weakness, weakness, and I also had a cough. If I had known that I would suffer so much, I would never have agreed to such treatment.”
“I am diagnosed with systemic lupus erythematosus. One of the most unpleasant symptoms is arthritis. Wild joint pain and a feeling of helplessness are the worst things in this whole situation.
They treated me with prednisolone. I was very worried about the weight, but what I gained even suited me. At first there was nausea and discomfort in the stomach, but soon everything went away.
I think that you shouldn’t be afraid to use it, since health is more important. All its side effects together cannot become an argument for refusing treatment with prednisolone. This is a highly effective drug that can relieve you of the painful manifestations of the disease.”
“I was also prescribed prednisolone injections. He was diagnosed with rheumatoid arthritis. However, I am ready for any treatment methods except hormonal ones. I really wouldn’t want to get hooked on a drug whose use can cause so many side effects.”
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“Prednisolone is a quite serious and effective drug. My doctor prescribed it to me for the treatment of ankylosing spondylitis. Let me tell you that the effect was amazing.
I no longer hoped that I could continue to enjoy life, forgetting about my illness. However, prednisone turned my world upside down. Now I can enjoy life, at least for a while, forgetting about my ailments.”
“Only a specialist should prescribe prednisolone, taking into account the weight, height and clinical picture of a particular patient. An acquaintance of mine voluntarily took credit for treating his knee joint with prednisolone.
As a result of such treatment, his immunity was undermined, he suffered a bunch of side effects, and also determined the withdrawal plan incorrectly. Treatment with prednisolone requires a responsible approach and strict adherence to all medical recommendations.”
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“Prednisolone is quite difficult to tolerate. At least that's how it was for me. However, its effectiveness in systemic diseases involving joints is undeniable.
This drug has a pronounced anti-inflammatory effect, due to which it helps to cope with pain and inflammation in the joint in the shortest possible time.
There is no need to hesitate or worry about the negative effects of the medication on the body if prednisolone was prescribed by a competent specialist.”
“Modern medicine today has a high level of development, capable of providing assistance to a patient with minimal side effects. I believe that prednisolone is an old method of treatment, especially for sore joints.
If we resort to hormonal treatment, then only with the use of more modern drugs with a minimum number of possible side effects.”
“I have been taking prednisolone for more than five years. I have a severe form of rheumatoid arthritis.
After starting treatment, I felt a long-awaited relief that I had not seen with other drugs. But now I have another problem - I can’t refuse prednisone. The body simply demands this drug.”
“About six years ago I was diagnosed with gout. There were all kinds of treatments, but a couple of years ago the doctor prescribed prednisolone and I did not stop taking it all this time.
A week ago I underwent another examination and its results showed that in addition to the existing gouty polyarthritis, atherosclerosis of the legs was added, as well as polyneuropathy of the sensory-motor type.
He urgently began to reduce the dosage of the drug [dosage information removed]. Unfortunately, the pain in the leg muscles (unbearable pain in the calves) increased sharply. Today my legs started to fail, I’m taking tons of painkillers, but there’s almost no use.”
“My favorite aunt was recently diagnosed with arthritis. Her joints sometimes hurt a lot. The doctor prescribed me to take [dosage information deleted] prednisolone every day for six months. When I found out, I immediately panicked - this is a hormonal drug and it has many side effects.
Friends were also unanimously convinced that [information about the dose was deleted] was too much, and if you take it, then take additional inhibitors. In general, it’s good that among my friends I came across one smart person who persuaded me to go to the doctor again and clarify the treatment. It turns out that [information about the dose was deleted] is simply necessary for her, and a smaller amount will not have an effect (by the way, the pain stopped after the first doses). The initial prescription included omeprazole to protect the stomach, but we didn’t understand and started sounding the alarm in vain.”
“A year ago, having been diagnosed with polyarthritis (constant pain in the knees and ankle area), I slipped on the ice. As a result, I was unable to get up on my own. Thanks to a passing neighbor who brought me home and called an ambulance.
The emergency doctor injected me with painkillers and prednisone and prescribed regular doses of the latter. However, having left my apartment in a hurry, she did not explain how many tablets to take per day and how to take them in general. After a month of taking four pills a day (even though I was essentially taking them before bed) without any bowel medication, I developed a terrible ulcer. The joints did not hurt, but obesity suddenly began. It turns out I did everything wrong."
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“I have had rheumatoid arthritis for over 20 years. In general, I’m used to the pain, but it’s scary to even remember periods of exacerbations. This is how I became acquainted with the unfortunate drug prednisolone.
I agree, he accomplished his primary goal with a bang - the pain disappeared, but I never expected that I would become addicted to him, like a heroin addict. There is little information about addiction, but side effects are being shouted at every corner.
I never saw any side effects, but reducing the dosage was unbearably difficult. It would seem that I drank [information about the dose removed] a day and nothing bothered me, but as soon as I took half a tablet less, I remembered the sensations as during old exacerbations. You endure it, the next day too [information about the dose was deleted] - again unbearable pain.
You want to climb the wall, you howl into your pillow, but you continue to take the reduced dose. This went on for almost 2 years. All this time I reduced the dosage until I stopped taking the drug altogether. The doctor still doesn’t believe that I didn’t take additional painkillers and other medications. But I overcame the pain on my own. Now I go to physiotherapy, take a minimum of medications and remember with horror those long two years.”
“At the age of 29, I was diagnosed with polyarthritis. My work is hard and terribly harmful (I sort chemical raw materials at a machine-building plant). At thirty, the joints of the legs and arms were swollen - the knees simply did not straighten completely, and the hands were afraid of pain at the slightest load.
The doctor said that the case was serious and therefore we needed to take drastic measures - he prescribed me to take five prednisolone tablets in the morning.
I immediately forgot about the pain, but while shaving in the morning, I began to notice strange changes on my face - it seemed to be aging and swelling before my eyes. A month later, problems with vision appeared, and the face became round and ugly. Before there were no problems with women, but now they avoided me.
An attempt to give up the pills led to a terrible aggravation and an increase in the dose. Somehow, with the help of doctors, over the course of a year we managed to reduce and then completely “get off” prednisolone. After that I lost weight and returned to my old life. I advise you not to joke with this medicine, drink only as directed and do not exceed the dosage.”
“Doctors prescribed prednisone for elbow arthritis. I boxed for many years and once injured my right elbow in a fight. Then I forgot about the problem for seven years. But a year ago, severe pain suddenly appeared.
I had to undergo an examination, as a result of which I was prescribed prednisolone. I drank it for three months. The pain disappeared as if by hand. I didn't expect such a result. And there are no side effects or addiction.”
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Is it possible to quickly relieve gout pain? Gout (ancient Greek literally means a trap for the feet) is a chronic pathology associated with metabolic disorders, in which the content of uric acid in all liquid media and tissues of the body is increased, as a result of which the acid accumulates in the form of crystals. The disease belongs to the category of metabolic disorders and has a paroxysmal nature. Its increase in the blood is called hyperuricemia.
Gout has been known since ancient times and was first described by Hippocrates. Its frequency today is 0.3%; men suffer from it 2–7 times more often. The peak of the disease occurs at the age of 40–50 years. After menopause in women, in the absence of estrogen, gout is also typical for them. The dependence of gout on the nature of nutrition was noted during the war, when the incidence of gout sharply decreased due to the lack of meat.
The clinical manifestations of gout are mainly in 2 types - gouty arthritis and urate nephrolithiasis in the kidneys. Accumulations of uric acid in the joints are expressed in the appearance of tophi - lumps under the skin containing uric acid. These gouty nodes disrupt the functioning of the joints.
Elevated urate levels are the main cause of gout. This picture can only arise as a result of 2 reasons:
Reason 2 - the acid is supplied in moderation, but the kidneys themselves are sick and cannot cope with the task of excretion. Urates choose places where there is less blood supply and are deposited there because it is easier for crystals to strengthen here: cartilage, joints and tendons. They also like to be deposited in the kidneys, then the patient develops KSD, but with gout, such patients have few attacks of renal colic. A provoking role is also played by:
It should immediately be noted that it is not possible to completely cure gout today, but the disease can be curbed. For a long time, the pathology occurs without symptoms, then suddenly an attack of acute pain in the joint occurs, often at night. Patients characterize these pains as gnawing, twisting. The joint turns red, swelling appears, and the joint and surrounding tissue begin to burn. General hyperthermia can reach 40? C. Symptoms develop within an hour.
The favorite localization is the big toe, its metatarsophalangeal joint, swelling and redness appear around it. Classic analgesics are ineffective at this time. During the day the pain subsides a little, but in the evening it all starts again. This acute period can last up to a week. Then gout subsides and goes dormant for up to six months to a year, sometimes up to 3 months, often the lull can be long - 10–20 years.
Silence is not synonymous with recovery. With each attack, the time of remission will decrease. The joint is gradually destroyed, neighboring joints are affected. Gouty nodes that appear over time are an indicator that the body is actively fighting salt deposits, trying to destroy them with the help of leukocytes, and perceives salts as a foreign body. The arrival of leukocytes to the affected area is expressed in inflammation, the tissues become swollen. Inflamed tophi burst, and white dust appears - these are nothing more than uric acid crystals. Usually 1 joint is affected.
The chronic course is characterized by:
Often an ugly bump or growth appears on the first toe, a tumor that makes it difficult to put on shoes. The area of the diseased joint is purple-bluish, swollen, sensitive even to a light touch. In the kidneys, urate crystals can damage the kidney tubules. This leads to the appearance of inflammation in them - glomerulonephritis, pyelonephritis and nephritis. The course of such inflammations is inconspicuous, but they can quickly lead to acute renal failure.
How to relieve pain with gout on the legs? Even if you follow all the recommendations during an attack, it is impossible to relieve pain instantly. But it is possible to alleviate the condition by reducing the time of pain. How long does a gout attack last? It usually lasts from several hours to a week.
To begin with, the patient is prescribed bed rest and complete rest for the leg. The legs should be raised with a pillow above the level of the head.
What to do if you have a gout attack? If the pain is unbearable, the affected joint can be covered with ice for half an hour. At night, a compress with Vishnevsky ointment or Dimexide is required. Drinking alkaline drinks - oatmeal and other jelly, mineral or plain water with lemon, milk. Other foods are excluded for a while. For healthy kidneys, the volume of water consumed is 3 liters.
It is impossible to relieve an acute attack of gout instantly, but inflammation and swelling can be reduced by using NSAIDs for 2 weeks - Butadione, Methindol, Ibuprofen, Diclofenac, Indomethacin, Naproxen, etc. Drinking alkaline water during exacerbations plays an important role: it normalizes metabolism and removes blood from purine urine. Purines are precisely those substances that come from food or are formed in the body; they are precursors of uric acid. The waters must be alkaline and contain organic substances - Narzan, Essentuki and Borjomi.
Treatment of an acute attack of gout should pursue 2 goals: to relieve an attack of pain and to ensure the prevention of exacerbations. To do this, it is necessary to reduce the level of uric acid in the blood and relieve inflammation. For this purpose, the treatment complex includes diet, medications, physiotherapy, exercise therapy, massage, and folk remedies.
A decrease in uric acid is achieved by prescribing medications such as:
They serve to prevent attacks and dissolve acid, reducing its synthesis. The course of treatment is long; the choice of drug is determined by the doctor.
Quick pain relief for gout is carried out by taking Colchicine, corticosteroids - Hydrocortisone, Metipred, Prednisolone (can be administered inside the joint). They can quickly relieve leg swelling; they remove pain in the leg, swelling and swelling with redness quickly. The effect is noticeable already on the first day of use. Therefore, their total course does not exceed 2 weeks.
Local treatment is also mandatory - compresses with Dimexide, Diklak or Diclobene ointment, applications can be made. Chondroprotectors are prescribed to improve the general condition of joints for at least 3 months or more: Teraflex, Dona. Vitamins and calcium preparations - Kalcemin, Calcium-complivit, etc.
Treatment without drugs is impossible; they are an essential component.
If the process is chronic, it is possible to treat with physiotherapy only during the period of remission. They normalize inflammation, blood circulation and biochemical processes at the site of the lesion. Most often prescribed:
To improve the condition of cartilage tissue and restore its motor function, exercise therapy and massage are used. Moderate physical activity improves joint mobility and prevents pain in the legs; the small joints of the limb, which are most quickly affected, are developed. Physical activity is not indicated only during an acute attack.
Traditional methods are only an additional aid in treatment. The herbal medicine used gives a mild effect. The remedies can be general and local, for example:
Garlic oil and chestnut tincture are also used internally.
Removing excess and normalizing uric acid levels stops attacks by 90%. Medicines used:
How to relieve gout pain? If a patient has an attack at home, you need to provide rest to the sore leg:
Fullflex - can be used as first aid. Pain from gout at home can also be relieved with applications of Dimexide and Novocaine, taken in equal proportions. Instead of Dimexide, you can use vodka as a compress at night.
GCS are very good at relieving inflammation and swelling, but they suppress the immune system, so doctors try to use them when the benefits outweigh the risks.
NSAIDs have an anti-inflammatory, but slower, non-immunosuppressive effect; they are used more often and without much fear. Diclofenac and Ibuprofen are usually prescribed.
Recent American studies have shown that fat people who love sausages are predisposed to gout. A direct connection between gout and calcium and vitamin C deficiency has been revealed: after 40 years there is always a shortage of them.
Prevention requirements are quite simple: proper diet and moderate physical activity. Physical education should be given at least 30 minutes a day, this can be any active movement from dancing to swimming.
The norm of water drunk per day is at least 2 liters. Monitor the level of uric acid in the body: not higher than 60 mg/l. It is necessary to exclude offal and fatty sausages, meat, smoked meats, legumes, sorrel, xanthines - coffee, tea, chocolate. But you can eat low-fat milk, eggs, cereals, cheese, fruits and vegetables: they do not contain purines. Table No. 6 is suitable for the diet.
Avoid any injury to joints and tight shoes; gout loves to attack damaged areas.
Gaining weight or losing weight is not the worst thing. It’s scary how your body will react to the treatment, especially the psyche, I stopped crying when I reached 1/4 tablet from 2, I stopped sweating only after completely stopping taking it, my joints and spine hurt, I’ve been off the drug for three months, anyone who has such problems, please tell me it’s reversible Is this a process?
Similar problems, surgery on the spine, then a diagnosis of necrotizing ulcerative vasculitis, I have been using prednisolone for 4 months according to a tapering regimen, laboratory indicators have improved, but the problems with the spine have returned, all the joints ached, right down to the jaws. Please help, can we reverse this effect?
Same problem. I am 15 years old and have been taking prednisolone for a long time. It became like a barrel. I gained 15 kg. 2 years have passed (since I stopped taking it), and nothing has changed. The weight is stable, the stomach is the same as it was 2 years ago. People, it looks like you can’t get rid of what prednisolone did. It seems like I'm eating right. Nothing fatty, floury, and the weight remains the same. Sincerely, Tarina.[
nothing like this! I was injected with prednisolone INTO a VEIN, then pills for six months. canceled according to the plan. My face and stomach were swollen beyond belief. everything went away 2 months after stopping the drug. you need to eat less and that's it.
Hello everyone! Autoimmune thrombocytopenia. Second day without prednisolone. I took 12 tons for 9 days, then reduced it by 1/2 every day. Only 24 days. The second day the spine hurts and as an exacerbation of acute chandrosis. For other side effects: weight + 4 kg, face, severe swelling, ultrasound shows enlarged liver and spleen. Everything is clear with external signs. But will the pain go away and will the liver and spleen recover?
[I went from 10 tablets to 2 tablets for almost a year. I gained 14 kg, wore size 40, and started wearing size 48. It was very difficult psychologically and physically. I thought this for the rest of my life. Now I’m in my third month on 2 tablets - I’ve lost 13kg, they went away on their own (I didn’t use any diets). Skin doesn't weigh. everything is in place. The cheeks remain a little - but they tell me that this is even better - than sunken ones. Wait a little, but it’s very difficult when no one recognizes you, they look at you askance, but you can’t explain it to everyone. But health is more expensive - you have to endure. But then everything will be fine. Good luck to you.
I've been drinking this ***** for 6 years now. I hate prednisolone. I had a liver transplant. There’s no point - the disease has returned. life has turned into horror - not me at all. the mental state suffers, and the appearance is terrible. I'm only 21 years old. I don’t want anything.. I’ll never leave him.
Girls, the rheumatologist replaced prednisolone with metypred, said there were fewer side effects and the dosage was also moderate: 1.5 tablets instead of 2. Who took it, please respond, is there a difference or is it the same?
Hello forum members! I’ve been on prednisolone for only a month, 15 mg, in the morning and Plaquenil at night, my cheeks are already like a hamster, and my stomach is like that of a pregnant woman. Can anyone please respond, who has aortoarteritis (Takayasu’s disease), how long does it take to treat it? And can it be treated at all?
I was promised that the joint pain would go away after discontinuation. I stopped the drug - 3 weeks have passed, and my joints hurt unbearably! I went to a rheumatologist, was again in the hospital, now with a diagnosis of Rheumatoid arthritis (previously with the thyroid gland). Prednisolone was prescribed again. I lower it again according to the scheme and it still hurts. It’s not clear whether this is a different disease and you still need to take prednisolone, or whether the pain is BECAUSE of prednisolone. does not work either on it or without it.
Hello! Has anyone experienced cataracts as a side effect of prednisone? If yes, how quickly? I am 31 years old, the initial dose is 60 mg, reduced by 5 mg per week, from 40 mg minus 2.5 mg per week. Two months after starting treatment, the ophthalmologist diagnosed initial changes on the back wall of the lens. Before this everything was ok, because before the start of treatment I had an examination.
I took prednisolone for the same problem, there were a lot of side effects, including psychosis, I swim at night, my joints hurt like hell, the rheumatologist changed it to metipred and added plaquinil, same problems, only with other drugs, so think about it as a side effect or symptoms of the main disease.
And you, Natalya, how exactly do your joints hurt? nature of the pain (shooting, aching)? duration and which joints hurt more often??
I was prescribed Plaquenil in exactly the same way, although they later replaced it with another one that acts faster (Elafra), the first effect appears after 2-4 weeks. So here comes the 6th week, but there is no effect! and what to think. When do you stop taking Metypred?
The joints are broken, the ankles hurt the most and the knees have even increased in size, the sacrum and tailbone, the attending rheumatologist does not talk about stopping metypred according to indications, although myoma has formed while taking prednisolone. It seems that the muscles of the lower leg have atrophied (like jellied meat), and it is very painful to move. The neurologist strongly advises visiting an immunologist and taking PCR tests, otherwise, if the etiology of the disease is unclear, we will be treated forever, using the selection of medications.
I have the same thing, sometimes it’s as if an exposed nerve is being touched. There are also no muscles - very few and dangling (lower legs and thighs), it was terribly painful to walk and I was lying down. It only got worse, and I decided that I needed to force myself to pace. 2 months ago I could walk only 5 minutes a day. Now an hour or 1.5 is gained per day. but I still can’t do it anymore. The joints again begin to hurt more.
The neurologist diagnosed: secondary myopathic syndrome (from the main pathology.)
and the knees also seemed to be swollen (the tissues below were swollen).
Did you experience pain immediately after the first dose or when did it begin to subside?
I have the same thing, sometimes it’s as if an exposed nerve is being touched. There are also no muscles - very few and dangling (lower legs and thighs), it was terribly painful to walk and I was lying down. It only got worse, and I decided that I needed to force myself to pace. 2 months ago I could walk only 5 minutes a day. Now an hour or 1.5 is gained per day. but I still can’t do it anymore. The joints again begin to hurt more severely. The neurologist diagnosed: secondary myopathic syndrome (from the main pathology.) and the knees also seemed to be swollen (the tissues below were swollen). Did you experience pain immediately after the first dose or when did it begin to subside?
Before taking prednisolone, I could walk for 3 km without pain (after removal of the herniated disc), the neurologist recommended walking more. I went to a rheumatologist when my body began to become covered with ulcers, the dermatologist and vascular surgeon did not identify any pathology, and saw me off as if I were on my last journey. The joints didn't hurt at all. The pain appeared almost 2 weeks later and the dose was moderate, 2 tablets. , now I move with great difficulty, it hurts to step on my feet, pain in my legs. The mind is in jeopardy, either an exacerbation of a hernia, or vasculitis, or arthritis, or a side effect from hormones. But the gynecologist undoubtedly claims that fibroids and endometrial hyperplasia arose as a result of taking prednisone, which suppresses the immune system and provokes the growth of tumors; now medical curettage for oncology is ahead. talk to your doctor, it may be advisable to switch to metypred; it is at least a little easier to tolerate, at least there is no such sweating at night, and sleep has returned to normal.
Moreover, consult your doctor about calcium supplements and liver protection (some kind of milk thistle meal), Yulia, you can write to her direct email ( [email protected] )
Tell me, should I take prednisolone on an empty stomach? If you are prescribed 8 tablets, can you take them throughout the day?
What is your diagnosis?
8 tablets is not a bad dose, drink only after meals from 6 to 8 o’clock, and protect your stomach with some kind of omez, omeprazole, otherwise you will also fix your stomach. As for dividing the dose, only with the attending physician (as you will reduce it later), this process is complex and not always successful, it is better with the attending physician. What is the diagnosis?
I have sarcoidosis, the doctor prescribed 3 tablets a day for a month and then reduce the dose, what will this mean for me?