Treatment of joints

Causes, Symptoms and Treatment of Gout On Legs

What is gout?

Gout is a metabolic disease in which salts of uric acid( known as urate) are deposited in the joints. Gout is otherwise called "disease of kings", an ancient disease that was known even in the time of Hippocrates. Now gout is considered a rare disease, it affects 3 people out of 1000. And most often it affects men over the age of 40, in women it is most often manifested after menopause. Gout itself is one of the types of joint diseases caused by the deposition of salts.

All gums suffer from gout, ranging from the joints of the fingers to the joints of the toes.

It was known even in the time of Hippocrates and is called "disease of kings" because the main source of its occurrence is the excess in food and alcoholic beverages. Gout is often chronic.


Causes of gout

The cause of gout is an elevated and persistent level of uric acid in the blood. During the course of the disease, urate crystals( a derivative of uric acid) are deposited in the joints, organs and other body systems. Sodium urate crystallizes and small particles are deposited in the joints, which ultimately leads to partial or complete destruction of the joint. For the same reason, such situations are called microcrystalline.

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A large amount of uric acid in the body can be for two reasons: the first reason is when healthy kidneys can not cope with the withdrawal of an unusually large amount of uric acid, the second reason is when uric acid is released in normal amounts, but the kidneys are unable to remove it.

Every year, more gout is getting sick. Doctors explain this phenomenon by the fact that in recent years people are more likely to consume food rich in purines( for example, meat, fatty fish) and a huge amount of alcoholic products. This is confirmed by the fact that during wars the percentage of people suffering from gout fell sharply due to the fact that meat products, and, especially, alcohol, it was very difficult to get.


Symptoms of gout

The symptom of gout is a common attack of gouty arthritis - it is usually an inflammation of one joint, most often it turns out to be the joint of the big toe, knee or ankle. Usually, a gout attack occurs in the early morning or at night, it manifests itself in the form of unexpected severe pressing pain in one or another joint, the affected joint swells up, the temperature in the joint area rises, the skin turns red and starts to shine. Usually during the day the pain becomes a little less, but by the night it again intensifies, the duration of a gout attack lasts from two to three days to a week, sometimes more. With a repeated attack in this inflammation, other joints may be involved, this can lead to partial destruction of the joint.

Signs of gout is the appearance on the hands or feet of unusual growths, while the level of uric acid is significantly increased. When growths, in other words, tofusi burst, a person can see whitish crystals of uric acid. The patient can feel quite intense pain in the affected areas. Such salt deposits in the joints interfere with a full life.

Possible complications of

The main and most severe complication of gout is the appearance of gouty arthritis, it is also possible the occurrence of urolithiasis, in which the resulting stones consist of urate or crystallized uric acid.

Gouty nodes , also called "tophi" - it's nothing more than conglomerates of sodium urate crystals that have the ability to be deposited in all parts of the body. And in cases where such deposits get stuck in the joints or periarticular tissues, the immune response occurs, as these deposits are perceived by the body as a foreign body, which causes the accumulation of leukocytes and begins a strong inflammation called gouty arthritis.

It is worth paying special attention to the fact that gout-stones in the kidneys can become the main cause of kidney failure and can eventually lead to death.

Pain with gout

To understand the beginning of a gout you can by sudden pain in the joint. They are accompanied by severe redness, swelling and heat."Burn" can not only hit the place, but also the area of ​​the body in the immediate vicinity. At the same time, the body temperature can rise to 39-40 degrees. Symptoms in most cases develop within an hour. Most often, this affects the big toe. Ordinary pain medications, such as aspirin, will not help.

Pain, as a rule, begins at night and becomes, in practice, unbearable. In the daytime there is often some improvement, the pain recedes, but do not think that everything has passed. Such acute symptoms can torment the patient for about a week.


Gout in men on legs

Gout is a chronic disease. Cure it completely impossible. This ailment often manifests itself on the feet. After the onset of the disease, the symptoms may recur after six months or a year. The disease can go into a dormant state, but, without any doubt, will make itself felt. With each attack, the time between them will be reduced. Gout will return to the person more and more often.

Damaged places on the legs are often destroyed more and more, the disease can affect the neighboring joints. With a long illness over time in the affected areas, under the skin may appear peculiar hillocks, which are called "gouty nodes" or "tofusi."

This is due to the fact that the body begins to perceive large salt deposits in the joints on the legs as a foreign body, the immunity begins to inevitably react - to accumulate leukocytes, after which a strong inflammation begins. Sometimes tofusov burst and out of them stand out whitish dust - crystals of uric acid.

Often gout develops in old age. In men, it occurs much more often and at an earlier age. The male population is susceptible to this disease by the age of 40.It should be noted that women begin to suffer from gout closer to 55, mainly after menopause, when the amount of estrogen, female hormones, is sharply reduced in the body. Children and young guys are practically not prone to gout. There are rare exceptions, in cases of hereditary impairment of uric acid metabolism.


The role of uric acid in the development of gout

This disease severely impairs metabolism. Purines enter the human body with food, but they are also produced by him. Next, purines are split into uric acid, which is excreted by the kidneys. In people with gout, the content of this uric acid is much higher than normal. Excess uric acid is deposited in those tissues where there is no blood supply. There, crystals are easier to gain a foothold.

The joints, cartilage and tendons are the most affected. As a result of this disease, not only these places, but also the kidneys suffer. Most often with gout develops urolithiasis, with a lower probability of the patient may suffer from renal colic.

This can occur for two reasons: if the uric acid is produced too much and the kidneys do not cope with the output volume, so it must be deposited in the human body. And the second reason is that the amount of uric acid is normal, but the kidneys can not remove it.

However, an elevated uric acid content in the body is not the only cause of gout. Here, several other factors play a decisive role: excessive nutrition, fatty food, overweight, sedentary lifestyle and hereditary predisposition.


What should I do if I have an acute attack of gout?

Even with adherence to recommendations, an acute attack will not be instantaneous. But this will significantly reduce the time during which the disease will torment the person. Mainly you need to observe strict bed rest. Painful limbs are best kept in an elevated position, for example, to lay a pillow under them.

In case of intolerable pain, ice can be applied. Then it is desirable to make a compress on a sore spot with Vishnevsky ointment or dimexide. In the intake of food, it is better to restrict yourself, you can use liquid porridge and vegetable broth. But drink is worth as much as possible alkaline drinks, for example, a decoction of oats, jelly, milk, mineral water or plain water, but with the addition of lemon juice( lemon juice dissolves uric acid deposits with rheumatism and gout).You need to drink at least 3 liters a day.

Any painkillers will not help. You can take modern anti-inflammatory drugs without steroids. If you took any preventive measures prescribed by your doctor, then the procedure should be continued.


Preventing exacerbations of gout

Most often gout appears in places where the joint was injured. Therefore, treat such places with caution. Do not wear narrow and uncomfortable shoes, as it can severely damage the big toe, which so "loves" gout. Mainly to prevent the onset of gout attacks, diet and balanced nutrition are used.

The way of life will have to be completely revised, making it healthy. You should reconsider your taste preferences. Recommended diet number 6, which helps reduce the body's uric acid and urate. Strictly limited, or even excluded, products containing urine bases - the main source of urate. But poor purines, and therefore allowed milk, cheese, eggs, vegetables, fruits and cereals will not leave you hungry. The patient's diet should contain whole grains, eggs, vegetables, fruits, dairy products with low fat content.

In food should restrict the intake of meat, fish, caviar, mushrooms, legumes. In addition, you need to limit consumption: smoked meat, marinade, anchovies, cauliflower, asparagus, sorrel, chocolate. Such a diet will lead to normalization of body weight and significantly reduce the burden on the joints during an exacerbation of gout.

More information on what you can eat and what not, as well as other features you can find here

Alcohol and smoking inhibit the excretion of uric acid from the body. Consequently, its crystals are more deposited in the joints. For prevention, alcohol should be completely excluded, especially beer, and also quit smoking. It is not recommended to drink tea, coffee, cocoa. In addition to dieting, it is worth doing at least once a week a fasting day with the use of a mono-product.

First of all, small joints are affected. Therefore, it is worth paying special attention to the development of their mobility. Attention should be concentrated on those sites where there are attacks of pain. Daily it is necessary to do gymnastics for joints. At first, it will be unusual, because the joints are harder to be mobile because of the deposits. It is recommended to be more often on air and to make walks.

Mineral water for gout

Mineral waters perfectly contribute to removing unnecessary purines from the body. Prefer alkaline and organic substances. They can be attributed primarily to Narzan, Essentuki and Borjomi. Remember that any liquid should be consumed at least 2.5 liters per day.


Treatment of gout

The diagnosis of "gout" means that a person will have to significantly change his lifestyle and constantly take medication, because it is unfortunately impossible to achieve a complete cure for this disease. However, timely treatment starts allows you to take gout under control, reduce painful attacks to a minimum and hedge against serious complications.

The main principle of treating gout is to control the level of uric acid in the body. For medical treatment should contact a doctor-rheumatologist. Its prescriptions will be aimed at reducing the volume of uric acid and its rapid removal from the body. Only a qualified specialist can prescribe medications that, with possible concomitant diseases, do not cause the greatest harm to health.

Most often, doctors prescribe for non-steroidal anti-inflammatory drugs for 1-2 weeks, such as methindole, diclofenac, butadione, indomethacin, naproxen. To quickly reduce the concentration of uric acid in the body, allopurinol, orotic acid, thiopurinol, hepatocatalcil, milurite can be discharged. To stop acute signs of gout, doctors recommend taking colchicine.

Drug therapy for gout is aimed at solving two main problems:

  • Reducing the level of uric acid in the patient's body;

  • Coping with acute inflammation and pain relief.

The earlier the patient undergoes the examination, reconsiders his habits and proceeds to treatment, the more likely it is to achieve a stable remission. Without adequate therapy, gout rapidly progresses, especially in patients of mature and advanced age, therefore, it is by no means impossible to reason on the principle of "caught-let-go".

Drug therapy for reducing uric acid level

Since the cause of gout is precisely the excess of uric acid, the solution of this problem in 90% of cases leads to the cessation of attacks of excruciating pain and allows you to count on a comfortable life in the future.

To reduce the level of uric acid in the body, the following drugs are used:

  • Allopurinol is a synthetic analogue of hypoxanthine. This substance inhibits the activity of the enzyme xanthine oxidase, responsible for the transformation of human hypoxanthine into xanthine, and then xanthine to uric acid. Thus, Allopurinol reduces the concentration of uric acid and its salts in all body environments, including blood, plasma, lymph and urine, and also promotes the gradual dissolution of already accumulated urate deposits in the kidneys, soft tissues and joints. However, this drug has a number of serious side effects and greatly increases the excretion of xanthine and hypoxanthine with urine, therefore Allopurinol is contraindicated in patients with severe renal failure. Nevertheless, for the majority of patients with gout, it remains to this day a preparation of the first order. Cost: 80-100 rubles per packing 30-50 tablets;

  • Phoebusostat( Ulorik, Adenurik) is a selective xanthine oxidase inhibitor that, unlike Allopurinol, does not affect other purine and pyramidal enzymes of the human body, besides it is excreted not by the kidneys, but by the liver. Phoebusostat is a relatively new drug for the treatment of gout, it is not produced in Russia, and in Western Europe and the United States it has undergone numerous clinical trials and has shown excellent results. Febuksostat for three months completely dissolves accumulations of crystals of salts of uric acid in the region of fingers and elbows and effectively prevents their repeated formation. Can be used by patients with concomitant renal pathologies. It costs a drug not cheap - an average of 4500 to 7000 thousand rubles, depending on the country of origin;

  • Peloticase( Pegloticase, Krystexxa) is an infusion solution of enzymes that rapidly dissolve urate crystals( deposits of uric acid salts).It is used intravenously twice a month to stabilize the condition of patients with severe gout, which are not helped by traditional drugs. Anaphylactic shock is possible during the procedure. This is a very expensive drug that is produced exclusively abroad and is sold on order;

  • Probenecid( Santuril, BeneMid) is a drug that prevents re-absorption of uric acid in the renal tubules and enhances its excretion in the urine. Probenecid was originally used in complex antibacterial therapy to reduce the damage to the kidneys with antibiotics. But then it began to be prescribed for chronic gout and hyperuricemia( increased uric acid in the blood).It is important to understand that Probenecid enhances the excretion of uric acid, rather than suppresses its synthesis. Therefore, the treatment of gout with this drug is advisable only at the stage of remission. If you prescribe Probenecid to a patient with an acute inflammatory process, this will lead to active dissolution of already accumulated urates, an increase in the level of uric acid in the plasma, and, as a result, to attacks of excruciating pain. To avoid this risk, the first months of treatment with Probeecid gout are accompanied by additional hormonal and anti-inflammatory therapy. It costs a drug from 3500 to 7500 rubles.

Treatment of gout with decongestants and pain medications

Symptomatic treatment of gout is to stop seizures, relieve edema and pain, and is performed with the following drugs:

  • Colchicine( Colchicum, Colchimine) is an alkaloid, is released from the poisonous plants of the Melantie family. The most common source of colchicine is autumn autumnal. Colchicine inhibits the formation of leukotriene, stops the cell division of granulocytes, prevents the movement of leukocytes to the focus of inflammation and prevents urates( salts of uric acid) from crystallizing in the tissues. This drug acts as an emergency aid, and is recommended for admission in the first twelve hours after the onset of an acute attack of gout. It is necessary to drink immediately two tablets of Colchicine, an hour later - another, and then one tablet three times a day for a week. The drug very often causes unwanted reactions from the gastrointestinal tract - nausea, vomiting, loose stools. The average price of Colchicine in pharmacies is from 1,000 to 2,000 rubles;

  • Glucocorticoids( Cortisone, Hydrocortisone, Prednisone, Prednisolone) are synthetic analogues of human corticosteroids, that is, hormones produced by the adrenal cortex. Preparations of this group break the chain of natural reactions of the body to the interference of allergens, chemicals, bacteria, viruses and other foreign elements. Glucocorticoids quickly stop inflammation, but suppress immunity, so hormonal treatment of gout is advisable only if the expected benefit exceeds the potential risk. The cost of synthetic steroid hormones varies from 30 rubles( the oldest drug is Prednisolone), up to 1500 rubles( Cortisone);

  • NSAIDs( Aspirin, Analgin, Diclofenac, Ibuprofen) - Non-steroidal anti-inflammatory drugs are called so in order to emphasize their difference from hormones. However, the action of drugs in this group is somewhat similar to that of glucocorticoids. NSAIDs are non-selective inhibitors of cyclooxygenase, the enzyme responsible for the synthesis of thromboxane and prostaglandins. Thus, these drugs also suppress inflammation, but, unlike synthetic corticosteroids, do it more slowly, and are not immunosuppressants. For symptomatic treatment of gout, Diclofenac and Ibuprofen are most often used, the average cost is 10-30 rubles, the price of a popular generic( drug with the same active substance) Nurofen can reach 150 rubles.

How to prevent gout attacks?

To minimize the risk of new gout attacks, follow a few simple rules:

  • If possible, do not subject the joint to any load, periodically fix it in a raised position and apply ice for 15-30 minutes 2-3 times a day until the painsubsides;

  • Do not overuse aspirin, which can cause a jump in uric acid levels in the blood and aggravate the symptoms of gout;

  • Regularly measure the level of uric acid - it should not exceed 60 mg / l;

  • Every day, devote more than half an hour to physical education: walk, ride a bike, jog, dance, swim. In the morning, do exercises. Regardless of age and weight, patients with gout should give themselves daily physical exercise - sport works with gout more effectively than any medication;

  • Drink at least two liters of clean water a day. So that the kidneys can excrete uric acid from the body, they need water first of all - not the liquid that the kidneys still need to filter( coffee, tea, juice), namely pure water. Without enough water, even healthy kidneys can not cope with the cleansing of the body;

  • Hand over the blood test to determine the level of the most important minerals and vitamins, and, if necessary, supplement the diet with a good vitamin and mineral complex. It is especially important for patients with gout to provide themselves with vitamin C;

  • Do not drink carbonated drinks with sodium benzoate and powdered juices with fructose, completely discard alcohol;

  • Revise your diet in favor of vegetables, fruits and cereals, eat no more than 120 grams of animal protein a day, avoid offal and fatty sausages.

On the topic: From the pains of gout can also see popular folk remedies

The newest data on the treatment of gout

According to the latest data, obesity is most likely to predispose to gout, caused by excessive consumption of fatty foods of animal origin. At risk, lovers of sausages, wursts, bacon and hamburgers. It is the excess of proteins that leads to the excess of uric acid, and the extra weight creates an increased strain on the joints and, thereby, accelerates the development of the inflammatory process.

American scientists have also established a direct link between deficiency of calcium and ascorbic acid and the development of gout. With age, these important substances for the body begin to be missed even by those people who lead a healthy lifestyle and do not complain about excess weight. Therefore after forty years it is necessary to annually be examined and take multivitamins prescribed by the doctor.

Recently, a new drug, suppressing the synthesis of uric acid - Benzobromarone, has been developed. Now there are active clinical trials of this drug, and in some Western countries it has already been allowed and put on stream. But before the novelty rests on the domestic pharmaceutical market, it is likely that a lot of time will pass.

It is also known about the experimental development of new non-hormonal anti-inflammatory drugs that directly affect the protein interleukin, which triggers gouty inflammation of the joints and tissues. But the exact timing of the appearance of these drugs in a free sale is difficult to call.

Allopurinol: Pros and Cons

The most popular drug for treating gout, Allopurinol, is increasingly being sharply criticized by modern doctors, since the large number of side effects and complications in its regular application raises the question of the advisability of such therapy. According to statistics, an average of one in two hundred and sixty patients with gout Allopurinol provokes sudden death as a result of renal coma or cardiac arrest.

Nevertheless, the largest international study of Allopurinol, the results of which have recently been published in the scientific journal Annals of the eumatic Diseases, proves the high effectiveness of the drug, moreover - the ability to prevent the onset of a lethal outcome. This study certainly does not disprove the presence of side effects and high risk for the kidneys, and does not eliminate the need for new development. But we must admit that Allopurinol is still a first-line drug in the treatment of gout, at least because of good knowledge, reliability and affordable price.

Scientists tracked the fate of 5,927 patients who received Allopurinol on a regular basis and the same number of patients treated with gout with other drugs that reduce uric acid levels. It turned out that the mortality in the first control group was 19% lower than in the second, and such results persist throughout the life of patients. That is, Allopurinol is still the most effective and safe drug, both for the treatment of acute, first-diagnosed gout, and for maintaining normal health in elderly patients with chronic disease.

Author of the article: Candidate of Medical Sciences Volkov Dmitry Sergeevich, surgeon

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How to treat gout at the hands of

Clinical signs of gout at the hands of

Gout is usually divided into acute and chronic form, with each of them having different symptoms.

Symptoms of an acute attack of gout

In most cases, an acute attack of gout begins with the onset of depression or vice versa, too much excitement, stool disorder, and nausea. This can lead to rapid heart rate and difficulty breathing.

These symptoms can occur within a few hours, and even a few days before the onset of a gout attack.

Symptoms of an attack can be:

  • The occurrence of severe pain at night.
  • Appearance of redness in the joint region.
  • Appearance of swelling in the affected joint.
  • The location of the joint lesion becomes hot and very sensitive.
  • A sudden increase in temperature may occur.

How does the chronic form of the

develop? In chronic course of the disease, between acute attacks of gout, symptoms of acute form subsiding, movement in the joints is restored. As the disease progresses, the intervals between acute phases may decrease, and the symptoms "accumulate".

In rare cases, gout can occur without severe pain, however, with joint deformity and tofus formation.

How long can an acute attack of gout occur?

How long does an attack of gout last? This condition can last for several days, in case of timely treatment, and for several weeks, if the patient has not received treatment.

How to treat an exacerbation of gout

How to treat gout with a hand? The principle of treating gout is a complex, which includes both medication and treatment with the help of physiotherapy.

general events

In case of an acute attack of gout, the following measures should be taken in order for to relieve an attack of gout :

  • Observe bed rest.
  • Create an elevated position for the affected joints.
  • If there is unbearable pain, ice can be applied to the affected joint.
  • You can make a compress from Vishnevsky's ointment.
  • Restrict food intake, you can use liquid porridge and vegetable broth.
  • Drink more liquids( at least 3 liters per day), especially a decoction of oats, jelly, milk, mineral water with the addition of lemon juice.

use of pain medication

Acute attack of gout can be removed with non-steroidal anti-inflammatory drugs such as diclofenac or indomethacin. In addition, blockers that do not affect the stomach can be used. Among them:

  • Celecoxib.
  • Nimesulide.
  • Meloksikam.

In addition, the colchicine preparation, which is a unique remedy for gout , works well on the body during a gout attack.

injection therapy for gout( especially colchicine)

Colchicine is used in case of acute and acute gout attack, which is otherwise referred to as acute gouty arthritis. It has a good effect on the exchange of uric acid. It is most effective in the first stages of an attack. The drug has its side effects, but the smallest number of them can occur when it is administered intravenously. The drug is administered under the supervision of a doctor with a minimum speed.

It can be used to prevent disease in combination with uricosuric drugs.

use of glucocorticosteroid preparations

These drugs are good for reducing inflammation, but do not give a lasting effect. It is worth noting that after the cancellation of the SCS, signs of gout may occur again. In most cases, they are prescribed, in the event that there is no effect of stopping a gouty attack. To this group of drugs can be attributed prednizalon.

Principles of treatment of recurrent gouty arthritis

Therapy gout at the hands of with frequent relapses is as follows:

  • Coping with an acute attack of gout.
  • Preventing and reducing the manifestation of chronic gout.

Success lies in complex treatment, and no less important, is compliance with the diet.

Physiotherapy and spa treatment of the disease

In the acute course of the disease, application of a dimexide solution can be applied, which allows to relieve pain and inflammation in the joint region. When performing the application, a moist napkin is placed on the affected joints and held for 10 minutes at first, gradually increasing the duration to two hours.

During the remission period, patients can undergo sanitary treatment.

It should be noted that the patient's condition is very well influenced by dietary intake, intake of alkaline mineral waters, mud therapy and balneotherapy.

Conclusion

In conclusion, I want to say that gout is most common in older people, but it can also affect young people. Treatment of gout is an integrated approach.

Published by by Andrey Gayvoronsky , 06/22/2015 at 09:54 AM 0

ortopeddom.mirtesen.ru

Diet for gout

Maintaining a diet, can significantly improve the effectiveness of all treatment activities. Gout on the fingers, with time, recedes, if you build a diet, according to immutable principles aimed at reducing the content of uric acid in the body.

  1. Exclusion from the menu of all offal( kidney, liver, tongue).
  2. Refusal to eat meat and fish of fatty varieties. It is allowed only lean, boiled meat or river, low-fat fish, cooked or baked in its own juice.
  3. The first dishes are cooked only on the water. All broths contain purines in large quantities.
  4. It is forbidden to eat pickles, smoked products, canned foods, sausages. They all contribute to increasing the level of uric acid.
  5. Minimal use of salt and spices in cooking.
  6. Enter into the diet of various vegetable oils, instead of refractory animal fats.
  7. Maximum restriction of strong coffee, tea, cocoa-containing products.
  8. Do not eat mushrooms and pods of legumes in fresh form.
  9. Exception of alcohol and cigarettes.
  10. Introduction to the menu in large quantities, dairy and lactic acid products, cereals, potatoes, eggs.
  11. Increase in the share of fresh vegetables, fruits and berries, green tea. The amount of liquid drunk, it is desirable to bring up to 1.5 - 2 liters.
  12. Preferred steamed, or boiled dishes.

Such a menu completely saturates the body with all necessary nutrients and trace elements, and helps normalize the level of salts that provoke gout and contribute to complicating the course of the disease.

Medications

Drug therapy, with gout, has several directions, depending on which the appropriate drugs are prescribed. These appointments are individual, specific medications are prescribed depending on the patient's condition, the characteristics of the course of the disease and the tolerance of the body. All of them are subdivided according to the principle of action:

  1. Urikozuric - intensifying the process of removing uric acid from the body.
  2. Urticodressors - reducing the production of uric acid salts in the body.
  3. Anti-inflammatory - suppress inflammatory processes, in the affected fingers.
  4. Painkillers - reducing acute pain during gout.

External means

For removal of tumoral and painful phenomena, hands and fingers, with gout, are lubricated with special medical ointments and creams that have anti-inflammatory and analgesic effects. The attending physician prescribes a remedy, depending on the phase of the disease and individual indications. Wraps, compresses and lotions are also used, which can strengthen the effect on the joints of other drugs used inside.

  1. Castor oil, iodine, ammonia, in the ratio 1 /1/ 1. Components are thoroughly mixed, applied as compresses. Daily procedures will help to significantly reduce pain.
  2. Coniferous broth: approximately 500 gr.fresh pine needles to grind, pour boiling water to cover the needles about a finger, wrap, insist 1 - 1.5 hours. Boil in a "water bath" for about 40 minutes. In a warm broth moisten the cotton cloth, lightly wring out, wrap your hands, warm( cellophane, top - mittens).For maximum results, it is advisable to do at night. Regular wrapping promotes resorption of tofus, better mobility of joints.

Physiotherapeutic procedures

Medical gymnastics, massage, mud therapy - all these methods can greatly alleviate the suffering and inconvenience that gout brings. Treatment, using such procedures, allows you to achieve a stable, long-term remission, without exacerbations. On the fingers is a large number of active points, the acupuncture effect on which, will increase blood circulation in the fingers and help restore freedom of movement in sick hands. Photo, with the exact location of such zones, is fairly easy to find in the relevant literature. Regular visits to sanatoriums and resorts, especially with mineral, alkaline water, and various therapeutic procedures, can improve the condition of the patient.

Let's list some useful exercises:

  1. a) alternate compression and relaxation of the fists, with alternating internal or external arrangement of the thumbs.
  2. b) without excessive effort, stretching the phalanx of each finger, with a short-term retention of the stretch - the left hand, the fingers of the right and vice versa.
  3. c) tangential movements of the thumb, pads on the other fingers, starting with the index finger. It is carried out with both hands.

Traditional medicine

If to traditional, to add national treatment, a gout on fingers, can essentially surrender the positions. All sorts of tinctures, rubbers, ointments and compresses, based on medicinal herbs, really bring relief in case of acute attacks and contribute to the reduction of tophi.

  1. Lilac tincture. In a glass jar, with a capacity of 0.5 liters, come across as denser as possible, flowers of ordinary lilac. Filled with a glass of alcohol( 200 ml.), Infused in a cool, dark place( 2 weeks).The jar should be shaken periodically, to evenly mix the vegetable base with alcohol filler. The resulting liquid strain into a container of dark glass, stored in a protected from light, cool place. Take 20 drops, 3 times a day, before meals. Has anti-inflammatory, analgesic effect.
  2. Resverting ointment for gout: laundry soap -¼ standard piece, sunflower oil( unrefined) -0 cup, kerosene - 50 ml. The soap is rubbed, poured with oil, heated in a "water bath" over a slow fire;kerosene is added, everything is thoroughly mixed. The ointment is rubbed into the aching joints.

Preventive measures

Gout, affecting the fingers, refers to diseases that are difficult to treat, almost impossible to cure, but really prevented, following simple recommendations aimed at preventing the disease. These measures are particularly relevant if close relatives are ill, or there are other risk factors. It is worth to look at the photos of the affected limbs in order to realize that all restrictions in nutrition and lifestyle, aimed at preventing the development of the disease, are absolutely justified.

  1. Balanced, healthy diet. It is necessary to reduce the consumption of meat products, especially smoked foods and canned foods. Introduction in the diet of fresh vegetables and fruits, cereals, bread, from coarse grains.
  2. Increase the amount of liquid to drink, to enhance the ability to cleanse the body.
  3. Timely treatment of diseases that can provoke a gout attack( hypertension, kidney and liver disease).
  4. Minimizing alcohol consumption, or completely eliminating it.
  5. Refusal of smoking.
  6. Regular, preferably in the open air, exercise, physical exercise.
  7. Contrast shower, hardening, therapeutic gymnastics.
  8. Increased mobility of joints: daily, restoring and improving blood circulation and motor abilities in the fingers, exercises.

A healthy lifestyle, compliance with medical prescriptions, a persistent desire to recover and confidence in success - a pledge if not complete cure, then a significant reduction in all negative manifestations of this insidious disease.

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During the attack, pain in the joint can be very strong, but as a rule, by the morning it ceases. The attack can last several days. It is remarkable that an acute pain attack can disappear even if there is no treatment. In this regard, far few patients try to seek help, with the goal of curing the disease.

Gout attacks are not of any particular systematic nature. A new attack of pain can disturb both in a month and in a few years. But if you do not start treating the disease in time, it can provoke the formation of subcutaneous nodules leading to the gradual complete destruction of the joint bag. Such patients are subsequently threatened with surgical intervention to correct the patient's inactivity during illness.

What to do during an attack

Given that the disease is known since antiquity, many healers and healers have been looking for ways to get rid of this "sore" and it should be noted that folk medication was quite able to cope with it.

But before using proven folk advice, you should know what to do during an acute attack of pain that occurs unexpectedly and is accompanied by a complete deterioration of the body.

  • The most important thing is to ensure a complete peace of mind. Do not bother the injured joint again.
  • To the inflamed area, ice should be applied to relieve pain. When it becomes not so strong, it is necessary to impose a warming compress.
  • In the course of a gout attack, it is desirable for the patient to drink plenty of liquid, with a high acid content. For example, lemon juice, jelly, compotes.

The treatment of gout is directed primarily at eliminating the source of the disease itself. First of all, the patient needs to completely revise his diet and change it.

Traditional medicine recipes

Folk recipes from gout are recommended, first of all, include in the diet foods rich in carbohydrates. They are easily digested, contribute to the normalization of weight, but fatty foods should be limited as much as possible. It is desirable to use a lot of juices on a natural basis( birch, orange, lemon, etc.).

The following are the effective remedies that help to stop subsequent attacks of gout.

  • 100 gr.sage, pour 6 liters of water. Boil for 100 minutes. When the broth cools down to a hot temperature, which allows painlessly lowering the leg into the pelvis. You can soar inflamed joints of hands or feet. The procedure is performed for a minimum of 30 minutes. Make daily before bedtime for at least 1 month. After steaming, you need to wear warm socks( ideally of pure wool).If you soared your hands, then put on warm gloves and go to bed. Avoid hypothermia of the hands or feet after steaming them.
  • Insoluble cow oil. The oil should be melted on fire, when it starts to boil, remove the formed film. Then add pure medical alcohol, equal to the amount of oil, mix thoroughly. The resulting mass of ignite and wait until the alcohol is completely burned out. The mixture, which remains at the bottom of the dishes, rubs into the affected joints. Before this, it is advisable to warm up the legs or hands, or even better to rub at the source of heat: a stove, a fireplace.
  • If the attack of gout disturbed in the spring, you can use flowers of ordinary lilac( Michurinskaya will not work).In a jar with a capacity of half a liter, the flowers are poured down to the very top. Then pour vodka, clean in a dark place and allow to stand for exactly 21 days, then filter. The resulting infusion is recommended to drink 30 drops before eating.3 times a day. Tincture is drunk for 3 months. When the disease worsens, tincture can also be used to rub the affected areas. Very good help made at night compresses.
  • Another very effective folk remedy for gout is a turn. The dry component is poured with boiling water and insisted for 15 minutes in a sealed container. Infusion should be drunk only hot. It is very important that the infusion was only of a golden hue. This tea can be drunk for a long time. It is very good to replace with such infusion the usual morning tea.

Useful summer gifts against the disease

Do not forget and such natural ingredients that are available to everyone and even on your own garden plot.

  • Strawberry berries, if you are not allergic to them, it is advisable to eat fresh, without any treatment in large quantities daily. They help to normalize the metabolism and prevent the deposition of harmful salts in the joints.
  • Hops cones. Dried hop cones, ground to a powdery state. To the powder add 1 tbsp.l.of lard and mix thoroughly. The resulting ointment is used to relieve pain during periods of seizures. Pork fat can be replaced with ordinary butter.
  • Home apples. Juice and fruits are used for making tinctures and compotes. It is very useful to drink apple tea. For this, about 5 unpeeled apples are boiled in a closed container for 10 minutes. After allow to stand for 4 hours and drink instead of regular tea.
  • Barberry is another of the most effective folk remedies used during the treatment of gout. The bark of the plant( 25 g.) Is insisted in 100 ml of pure medical alcohol. Accepted on an empty stomach for 30 drops.3 times a day.

Now you know how to cure gout with folk remedies that are more effective in dealing with it.

Can I completely get rid of the disease?

It is believed that gout can not be cured, you can only rid yourself of new seizures and stop the spread of the disease. But in the same folk medicine there are methods by which gout can leave you forever.

All that is needed is hot water and grains of any cereals. Prepare two containers before starting the procedure. In one pour cold water, and in another brew the grains. Just spread the cereal to the bottom of the vessel and fill it with steep boiling water. You let it brew. Grains should be completely steamed, but they need to be hot enough so that you can painlessly lower your leg with the affected joint.

When the grains are swollen and the temperature is high enough to be able to lower your leg into the container, proceed to the procedure.

First, put the affected limb in a container of cold water and hold it there for no more than 5 seconds. Then immediately dip into steamed grains. If the joints are affected on the arm, then putting it into the hot cereals, knead the grains with your fingers. After the end of the procedure, always wrap your hand or leg with a warm woolen shawl or wear gloves, or socks.

The procedure should be performed for three months, daily, preferably before bedtime. Certainly, such treatment is very long in time, but the result is worth it.

We return the fingers flexibility

When gout arose on the hands, during periods of exacerbation of the patient not only severe pains are excruciated. Hand movements are limited, as each causes an attack of new unpleasant pain. In this case, the usual fat will help. Cut it into small strips so that you can wrap your finger. During exacerbations, compresses from fat should preferably be done at night. You can also cut the fat into small pieces and rub it into each finger until the pieces are completely thinned.

How to get rid of the growths on the bones of

In this case, folk ways of treating gout prescribe the use of ordinary iodine. As you know, it was used many years ago by famous healers to get rid of bone growths. But at that time it was impossible to enhance the effect of such a useful substance. At the present time, using the available preparations, the result of iodine application can be increased several times.

10 ml of iodine is mixed with 5 tablets of aspirin. After they dissolve in it.iodine will become discolored. The resulting solution should be applied overnight to the affected and inflamed joints. Use the solution only before bedtime. Be sure to wear warm woolen things on your feet or on your hands.

Recall about coal

Coal is an indispensable tool that draws toxins from the body. In the treatment of gout, it is simply an indispensable thing, especially when the patient is suffering so much pain that he can neither eat nor sleep.

Conventional activated charcoal grind in a coffee grinder to a powdery state. To half a glass of coal, add 1 tbsp.l.oil from flax seeds and a little water. Water is added so that you get a paste-like mixture that is viscous. It should not be too thick or liquid.

Inflamed joint for the night plentifully plaster with the received ointment, from above impose polyethylene and properly tie with a bandage. In the morning, you will not experience such pain for so long. It does not hurt to take activated charcoal inside, but in small quantities.

In conclusion

In conclusion, I would like to add that folk methods of treating gout is not only the use of medicinal plants. First of all, it is proper nutrition, diet and healthy lifestyle. In trying to get rid of the disease, you will not find any result, if you do not stick to the diet. Therefore, the use of folk remedies should be comprehensive. Diet, therapeutic baths and procedures to maintain a mobile lifestyle and gout will disappear.

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