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.
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, 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 a 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 the reduction of uric acid level
Since the root 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 to expect 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 area 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 medicine;
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 provokes 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, as a large number of side effects and complications in its regular application raises questions about the usefulness 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 death. This study certainly does not disprove the presence of side effects and high risk for the kidneys, and does not negate 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 regularly took Allopurinol 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
Application of folk remedies for the treatment of gout on the legs
Leg gout is a painful inflammation of the joints, a specific form of arthritis that affects the feet.
Occurs as a result of a metabolic disorder due to a genetic predisposition or against another disease( diabetes, obesity, etc.).It is expressed in the fact that the blood raises the content of uric acid, the surplus of which precipitates in the form of crystals in the joints, being a source of severe pain.
Manifestation is an attack that begins suddenly. The joint becomes inflamed, swells and turns red. The temperature may rise. After drug treatment for 5-7 days, the condition is normalized until the next attack.
The longer the disease lasts, the more often the disease manifests, leading to the destruction of the entire body.
Is it possible to cope with this disease? What methods to cure and forget about it? For this purpose, it is worth considering the treatment with folk remedies.
Treatment of gout with folk remedies
Unequivocally, there is no such pill or herb after which the metabolism will be restored. After all, metabolism, its violation, is the cause of the disease, so the treatment of gout is a matter requiring a systematic approach.
Only medical methods of treatment will not lead to complete recovery. Here you need to add both the means and methods of traditional medicine, take into account other diseases, the interrelation of the drugs used. And for this it is necessary to make a plan for your cure, including a set of different ways of healing from a rich arsenal of traditional medicine. Use, observe and analyze, modify or add.
Ways, methods and folk remedies in the fight against gout:
- cleansing of joints;
- bath procedures;
- phytotherapy( natural remedies);
- medical gymnastics;
- treatment with water.
Nutrition for gout
Let's start with the fact that intemperance is caused by intemperance in food and drink, namely excessive consumption of alcohol and foods rich in purines. This meat and meat products, fish and seafood, legumes. And uric acid, the excess of which is the cause of gout, is the product of the breakdown of purines( nucleic acids).
Therefore, for a patient, the treatment of gout with folk methods begins with a change in diet.
During an attack, meat, game, meat by-products( liver, kidneys), sausages, mushrooms, legumes, seafood and fish, some vegetables( radish, sorrel, cauliflower, tomatoes) are excluded from the ration. In between the seizures, their consumption should be limited. This applies to alcohol.
It is necessary to include cherries, grapes and other berries of dark red and blue color, fish oil or flaxseed oil( sources of Omega-3 fatty acids), various vegetable oils( sources of vitamin E) in your diet.
With gout, it is important to observe a certain drinking regimen. Water contributes to the excretion of uric acid. You need to drink plain water, alkaline mineral water, berry, fruit, vegetable juice. Juices are best prepared by yourself, without sugar.
The amount of liquid is not limited to increase, but not less than 1.5 liters.
Cleansing of the joints
Gout is the deposition of slags( salts) in the joints on the legs. One of the methods of treatment from traditional medicine is the cleansing of the joints. Infusion of laurel leaf infusion is used.
The infusion is prepared in the evening.5 grams of a sheet pour two glasses of water, boil for 5 minutes, pour into a thermos and leave until the morning. In the morning, squeeze and take only small sips during the day, stretching the procedure for 12 hours. And so repeat on days 2 and 3.Take a break for 7 days and again take the infusion according to the scheme.
Clean up during the year with a period of 1 quarter.
Before starting the procedure for cleaning the joints of the legs, it is necessary to clean the intestines, since the use of infusion can cause allergy. The food during the infusion should be vegetarian.
A popular means of cleansing is a weekly steam bath or sauna. Bath treatments help to remove toxins from the body. Moreover, this procedure is useful and enjoyable in all respects.
People use the gifts of nature for their own needs. So, for the treatment of gout, various herbal remedies are used: herbs, berries, fruits, vegetables. They help reduce the concentration of uric acid and reduce inflammation and pain. Use plants and for disease prevention. From herbal raw materials are prepared medicines, use the active ingredients of medicinal herbs. The methods of treatment by means of natural remedies can work miracles.
Herbal remedies can be divided into those that help remove uric acid, and those that relieve inflammation and reduce pain.
Seeds of celery, leaves of strawberries and cowberries, cherries and grapes, birch leaves, oats
Celery seeds are a traditional and affordable remedy for all types of arthritis, but they are especially effective in treating gout. Helps to get rid of excess uric acid.
Dosage: 2 grams of dry celery seeds pour one glass of water and boil for 10 minutes. Decoction drink up to three times a day. Celery celery should be included in your diet. They can also be bought in supermarkets, and grown in their own country.
Neumyvakin in the book "Endoecology of Health" gives such a recipe with the use of celery for the treatment of arthritis and, in particular, gout. Celery root - 4 kg, garlic - 100 g, horseradish - 400 g, 4 lemon through a meat grinder, put in a 3-liter jar and leave for 10 days in the dark. Press the liquid through the gauze, add 500 g of honey. Take 1 tbsp.spoon 10-15 minutes before meals 2-3 times a day.
Drink infusion of strawberry leaves or cowberry, brewed like tea, 1 glass 2 times a day for 2-3 months. If possible, in the growing season there are berries per 1 glass a day( not less).
1 glass of oat grains boil in 1 liter of water until the volume is reduced by half. Squeeze, add 2 cups of milk, boil, take 1 glass 3 times a day. Extremely useful decoction for the whole organism!
During the day, eat 1.5 kg of grapes, washed down with alkaline water. Treatment lasts at least five days.
Relieve the inflammation and pain of willow white, ginger, turmeric.
The willow bark of white is rich in salicitata. Used as a vegetable anesthetic and anti-inflammatory drug since the time of Hippocrates. Dosage: 2 teaspoon crushed bark pour 1 cup boiling water. Insist 20 minutes. Take 3 times a day.
Ginger is a spice with anti-inflammatory properties. Dosage: 1-2 teaspoons of grated fresh ginger root with a glass of boiling water. Drink 3 times a day.
Curcumin is a constituent substance of another spice, turmeric. Very actively relieves inflammation and pain associated with it. Include it in your diet.
Apitherapy, or treatment with bites of bees
Remarkable folk remedies for gout are products of beekeeping and stings of bees, or rather, poison that gets under your skin during a bite. This poison relieves pain.
This method can be used if there is no allergy to bees.
Gout on the legs and medical gymnastics are compatible. Here are the most effective exercises:
lying, arms and legs straight.
- Rotation. Rotate the foot in a circle clockwise and counterclockwise. The direction is the thumb that circles.
- Repulsion. Pull the largest toe of the foot away from you and bend to yourself.
- Breeding. The legs are divorced to the width of the shoulders. Breed and thumb your fingers to the sides, trying to lay them on the surface.
- Compression. Squeeze and unclench your toes, stretching and squeezing the sole of the foot.
As you know, there is no life without movement. Therefore, to limit oneself only to therapeutic gymnastics is not worth it.
Method of water treatment
A simple and effective method developed by Dr. Sebastian Kneipp in the late 19th century, brilliant in its availability in use.
Kneipp believed that the cause of any illness lies in stagnation of blood, namely in the rate of circulation, which decreases due to clogging by foreign elements, slags.
If you restore the proper blood circulation and remove from the blood the spoiled juices and harmful elements that interfere with the formation of pure blood and spoil the healthy, you can be healed completely. And since water has softening, isolating and strengthening properties, it means that it can cure all incurable diseases.
To cure leg gout, you can use wraps or baths, using haygrass or oatmeal broth. A small amount( 3-5 handfuls) of hay drizzle is scalded with boiling water, cover the container and the whole mixture is allowed to cool down to a pleasant warmth, after which a foot bath is taken.
To date, hydrotherapy can be attributed to folk remedies, as more and more people use Kneipp's methods for their recovery.
Currently both representatives of official medicine and folk healers understand and tell the patient that without a mood for recovery, without the desire to be healthy, no one means, no method will help cure the disease.
Therefore, before you start treatment, believe that you are worthy to be healthy.
Do not give low mobility, exhausting pain and inflammation with gout to change your lifestyle. Start treatment now.
In case of multiple joints, non-steroid antibiotics are prescribed.
If the disease has gone far, the doctor may prescribe stronger remedies that reduce edema and suppress the synthesis of urea:
Acute attacks of gout are removed by injection directly into the joint. The injection is done once, but in some cases it is necessary to repeat it.
If the diseases associated with metabolic disorders( for example, diabetes) are identified, the doctor determines the treatment regimen for these diseases.
Control of excess uric acid
To limit the concentration in the body of uric acid are prescribed:
- Aspirin in small doses to suppress the secretion of uric acid.
- Butadione has a moderate effect, side effects are possible.
- Anturan is the most effective drug today. It significantly reduces the presence of uric acid in the blood. A full normalization is possible within 2-3 weeks.
- Ketazone in parallel has an anti-inflammatory and analgesic effect.
- BENEMID is widely recognized as a very effective remedy. Can be used for a long time constantly. Breaks are prescribed up to 5 months in the case of long-term therapeutic effect.
- Atofan is able to relieve an acute attack. But it is used very carefully because of side effects.
- Urodane increases the solubility of urine formations.
A modern way of treating leg gout involves electromagnetic exposure or electrophoresis .With the help of electrical microcurrents, the salts formed undergo destruction, and uric acid is eliminated from the body. The most modern method of purifying blood is the use of a special apparatus called "Plasmophoresogemosorption".
Another progressive method of treating gout and arresting seizures is the cryoapheresis of .It is based on the use of low temperatures, affecting the blood and its constituent elements. This method:
- retains and returns to the bloodstream cellular elements and nutrients in the maximum amount,
- simultaneously removes uric acid and other components of the final exchange chain from the blood plasma to be removed from the body.
As an auxiliary method is treatment in a sanatorium and a resort. In these places, there are all possibilities for a full range of physiotherapy procedures, including massage and physiotherapy.
If the course of the disease becomes particularly severe, resort to surgical removal of the outgrowths of the diseased joint.
Treatment with folk remedies
Decoctions and infusions
To remove excess urea from the body, folk medicine advises drinking decoctions and infusions, for example:
- Infusion of cranberry leaves. A glass of boiling water pours 20 g of leaves. Insists half an hour. Drink during the day several times a tablespoon.
- Juice of dioecious nettle take three times a day for 1 tsp.
- Decoction of birch leaves. For two glasses of boiling water, two tablespoons of leaves.10 minutes to boil and insist for half an hour. After filtering, drink a quarter cup while eating.
- Decoction of garlic and lemon. Very effective. Through the meat grinder, skip four lemons, chop three cloves of garlic. Pour the mixture with boiling water( 7 glasses) and insist 24 hours in a dark place. Take in the morning before meals for 3 tablespoons.l.
Baths and compresses
A good result is obtained when treating gout with herbal baths. They can be prepared from:
- sage leaf,
- oat straw.
It is useful to soar your feet in a hot solution with laundry soap( rub half a piece) and salt( half-packs).
A simple and effective compress prepared from 250 g of salt, which should be boiled in 100 g of water until the water evaporates. Then the medical vaseline( 200 g) is squeezed into the salt, and everything is mixed. Warm the compress on your aching legs and hold for the night.
A good remedy for treating painful cones on the toes is a compress made from pharmacy medical bile. After 15 procedures, the pain passes. And as a result of 40-45 procedures, the lump resolves.
A more complex composition of a compress of medical bile( 1 bottle) involves the addition of camphor alcohol( 160 g), red hot pepper( 1 tbsp.).The composition in the bank should stand for a week in a dark cool place.
Sometimes the pain is removed by applying ice to the affected joint. In other cases, dry heat is more effective( for example, a blanket, a heating pad).But this means for a short while removes manifestations of the disease.
The role of the correction of nutrition
A good result in the treatment of gout is compliance with the diet. With it, you can greatly reduce the level of urea in the body. We should not forget about unloading days.
Drinking up to three liters of fluid per day:
Treating gout on the legs - ways to treat gout and getting rid of gout at home - Health Era
Criteria for diagnosing gout
Symptoms of the disease
In 2000, WHO wasDiagnostic criteria have been adopted that allow verifying the diagnosis of "Gout" with a high degree of probability. Each clinician of the therapeutic profile must follow the scheme adopted in this document in his diagnosis.
The first diagnostic sign is the detection of urates in the puncture of the intra-articular fluid. This sign is revealed by performing a puncture of the joint cavity, which in itself is a very painful procedure.
The second sign, pathognomonic and mandatory for the diagnosis of "gout" is the presence of tofus - accumulations of urates in soft tissues. This symptom, as a rule, is detected with a simple clinical examination by an experienced doctor and does not require additional instrumental diagnostic methods.
The third prerequisite for a verified diagnosis of "gout" is the presence of at least half of the following symptoms:
more than 1 case of an exacerbation of gout in anamnesis;
- the most pronounced inflammation of the joint in the first day of the disease;
- defeat only one joint, without involvement in the process of neighboring;
- redness of the skin above the affected joint;
- swelling or acute pain most often localized in the I metatarsal joint on the foot;
- increase in urate concentration in urine;
- unilateral lesion of the joints of the foot;
- unilateral lesion of the first metatarsophalangeal joint;
- asymmetric swelling over the affected joint;
- detection of subcortical cysts on radiographs;
- does not reveal flora in the joint fluid.
Despite a large number of the above symptoms, the greatest diagnostic value is still available: the detection of urates in the synovial fluid, gouty attacks in the history and the detection of tofusov. As a rule, these three manifestations are sufficient to conclude that this patient is ill with gout.
As can be seen from the above clinical picture, the most characteristic for gout is the damage to the joints on the legs, namely, the I-flat-phalanx joint.
Treatment of gout
Given the poly-physiology and variety of manifestations of gout, the approach to its treatment should also be comprehensive, taking into account all the pathological processes that develop with this disease.
In this regard, in the treatment of gout singled out the following mandatory directions:
Treatment of gout
Curbing a painful attack( with exacerbation of gout, or, so-called "gouty attack");
- Achieving a stable remission and preventing new exacerbations of the disease;
- Recurrence of complications of the disease associated with the deposition of urate in various organs and tissues;
- Treatment of comorbidities aggravating the course of gout( treatment of obesity, hypertriglyceridemia, arterial hypertension)
- Prevention of nephrolithiasis development due to disruption of urate metabolism.
Treatment of manifestations of acute gout with lesions of the Iplusne-phalangeal joint of the foot
Treatment of acute gouty attack, or "gouty attack" has a number of features and it is aimed mainly at arresting the pain syndrome, lifting the inflammatory process in the joint( most often Iom metatarsus phalanxon the foot) and improvement of the general condition of the patient.
In gouty arthritis, colchicine is most often used as an anti-inflammatory drug. This is a proven tool for years that has proven effective in stopping a gout attack.
Colchicine is given at a dose of 0.5 mg every hour or 1 mg every 2 hours until the symptoms of gout exacerbation subsided. The maximum daily dose of the drug is 6 mg.
In the absence of the effect of the introduction of an hourly total dose of 6 mg, colchicine is canceled and proceeds to the introduction of a drug more powerful in its effect drugs. However, most often this scheme of treatment is effective and brings relief, according to different data, from 75 to 80% of patients.
An unpleasant side effect from the use of this drug are unpleasant manifestations of the gastrointestinal tract( nausea, vomiting, diarrhea).Often the severity of these adverse reactions reaches such a strength that it goes one level with the actual manifestations of gout itself and require separate treatment.
Colchicine can be administered intravenously and orally. With intravenous administration of colchicine, nurses should be extremely cautious, because of non-compliance with the technique of performing colchicine injection, it can enter neighboring vessels and cause severe pain at the site of injection, and subsequently - necrosis. Another unpleasant side effect of colchicine is the development of allopecia, in other words, hair loss, baldness. In high doses colchicine can cause depression of the respiratory center and even death, so doctors should be extremely cautious in prescribing this drug.
Other anti-inflammatory drugs that have shown a good result in stopping gouty attacks are: fenoprofen, indomethacin.
Indomethacin is prescribed at the starting dose of 75 mg, after which the patient is administered an additional 50 mg of the drug every 6 hours until the symptoms subsided. After the attack managed to stop, the intervals in the administration of the drug are increased to 8 hours. Thus, the patient is administered indomethacin in a maintenance dose of 50 mg every 8 hours. Indomethacin can also quite often, as an adverse event, cause disturbances in the work of the gastrointestinal tract to reduce mood( up to the development of depression).
However, the toxicity of this drug is still significantly lower than colchicine, thereforeindomethacin is the drug of choice for arresting an attack of gouty arthritis.
When colchicine and NSAIDs are ineffective, patients are shown intra-articular injections of glucocorticoids. In this case, drugs containing cranocorticosteroids may be prescribed for oral administration. In this case, you should also be extremely careful with dosages and do not overdo it.
How to treat gout at home
Many patients are supporters of having to treat manifestations of gout on their legs at home. There are a number of folk methods of treating gout. To one of the most effective ways to combat the manifestations of gout at home, one can attribute adherence to diet and the fight against obesity.
gout Diet for
Disease The principle of nutrition for gout is that it is necessary to sharply limit the intake of foods that increase the formation of urates in the body during their metabolism. These are products containing purines.
For the most part it is meat and fish. For this reason, a vegetarian diet is recommended for gout. With a sharp restriction of the amount of proteins consumed.
In addition, patients suffering from gout should severely limit the amount of alcohol consumed, as this dramatically increases the likelihood of exacerbation of the disease.
In addition, it should be noted that in recent years, a number of clinical studies have shown that weight loss has a beneficial effect on the development of remission and contributes to reducing episodes of exacerbations in gout.
Based on the foregoing, it can be concluded that it is extremely important for patients with gout to reconsider their lifestyle. It is not for nothing that gout has long been considered a disease of people prone to lush festivities, overeating and consuming a large amount of alcohol. And despite the fact that at the moment the role of hereditary factors in the formation of this pathology is proved, the values and such factors as healthy nutrition, moderate consumption of alcoholic beverages and spices, physical activity and a mobile way of life should not be diminished.
Folk remedies for the treatment of gout
Widely used to treat gout is also traditional medicine. This is a different kind of ointments, tinctures, decoctions, etc.
Ointments and their use
A. Ointment for the treatment of gout according to the old prescription
This ointment has long been widely used by the Slavs in order to treat gout at home. To prepare the ointment, take the butter and alcohol. Mix the ingredients in a 1: 1 ratio. Then evaporate the alcohol from the mixture - and the ointment is ready!
B. Treatment of gout with iodine
Another well-known folk method that allows treating gout at home is iodine-based compresses. In order to prepare a composition for compresses, mix 10 ml of iodine and 5 tablets of aspirin.
Remember! Before you start to treat gout at home, be sure to consult a doctor! Otherwise, such treatment is not only inefficient, but also dangerous! At the first manifestations of gout symptoms - go for treatment to an experienced doctor.
Treatment of gout of the toes
Chronic inflammatory process in the joints of the toes caused by the deposition of salts of uric acid is called gout or gouty arthritis. The disease is most often localized in the thumb. With gout, timely treatment is necessary, in the absence of which, complete destruction of the joint and the spread of the disease to internal organs can occur.
Causes of the disease
Development of gout of the fingers is provoked by a metabolic imbalance, which increases the production of uric acid and ultimately reduces its excretion through the kidneys. The very violation of the exchange can be caused by several reasons.
- Genetic failure. Its mechanism has not been studied, but it is proved that gout is transmitted through the hereditary line, through DNA.If there were cases of a disease in the family, the possibility of defeat increases dramatically.
- Incorrect food, bad habits. Food rich in saturated fats and purines enhances the deposition of uric acid salts( urates), like alcoholic beverages and smoking. With an unbalanced diet with a predominance of fatty meat, smoked foods and preservatives, carbonated beverages, sweets and confectionery, coffee and some other products, gout begins to actively progress.
- Diseases. Diabetes mellitus, renal failure, psoriasis, hypertension, ischemic heart disease, all these conditions and concomitant medication treatment, can become a catalyst for gout.
- External impact. Postponed trauma, overstrain caused by professional activity or excessive sport, wearing too tight shoes, hypothermia. These factors can trigger the onset of the disease, because the joint is already weakened or damaged, and the salts actively begin to accumulate in it.
It is not necessary that gout develops in all lovers of fatty foods, smokers or cores, but if several factors coincide, together with bad genetics, the probability of a joint of the big toe joint increases many times.
Symptoms of gout
Gout developing on the toes, which can only be the beginning of a vast lesion, is characterized by a sharp first attack, starting at night or at dawn, and accompanied by intense, throbbing pain in the area of the big toe joint. Other symptoms of the disease include the following manifestations.
- Puffiness - appears directly on the affected finger and spreads to the entire foot. If the gout affected the joint of only one leg, the second remains perfectly normal.
- Changing the color of the covers - the skin above the joint first slightly reddens, but as the attack intensifies, it becomes almost crimson.
- Increase in temperature - the total body temperature rises to about 38 °, but in the area of inflammation localization it can reach 39 °.
- Hypersensitivity - even a slight touch to the affected area causes an increase in the pain syndrome.
- Abrupt relief - after several days of pain( 3-5, rarely 10), all manifestations disappear even if treatment has not been performed.
Diagnosis of the disease
The attack was postponed, you can step on your leg, and you can safely touch the thumb before you do what? If health is expensive, do not wait for the next exacerbation. Although remission may occur up to several months( 2-8), gout does not go anywhere, and gradually destroys the joint. Therefore, as soon as it eased, and the ability to move normally returned, it is necessary to go to a polyclinic, to a specialized specialist: a rheumatologist( arthrologist).The formulation of an accurate diagnosis and determination of the degree of joint damage will be based on several studies.
- X-ray. Take a picture of the foot in several projections to reveal changes in the tissues of the joint of the thumb. In the early stages, manifestations are still not sufficient for visual detection, but so rarely are they addressed to a doctor so early. In the pictures, as gout progresses, bone tissue defects, narrowing of the interstitial luminal lumen, and destruction of the cartilage are visible.
- A blood test reveals the presence of an inflammatory process and an increase in the level of uric acid.
- Arthrocentesis - investigation of synovial articular fluid taken in the toes during the remission period, determines the presence of crystalline formations - urate, the basis of the disease.
In addition to diagnostic procedures aimed at confirming gout of the toes( or legs), the physician prescribes a more detailed examination, including:
- ultrasound( ultrasound) of the kidneys, and the outflow tracts;
- urine analysis to determine the amount of acid excreted per day.
This is necessary to determine the root cause of gout, if the case in diseased kidneys that do not cope with the cleansing of the body from the products of decay, then their treatment simultaneously with gout will give a much greater effect than the relief of pain attacks and anti-inflammatory therapy.
Treatment of gout of the toes
Assign an adequate condition, effective treatment is only possible by a qualified specialist. The greatest benefit and real improvement will come from an integrated approach that will include several ways of influencing the disease, depending on the stage and individual patient data. The basic component, used in all cases when the gout of the toes is diagnosed, consists of the following stages.