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, 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 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, since the large number of side effects and complications associated with its regular use raises questions about 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 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 have 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
What medicines will help to cure the gout
The joint is destroyed due to the deposition of uric acid salts
Gout is a joint disease, which is described by scientists of antiquity. To combat it, use both long-known medicines and new drugs. Treatment of gout is usually done in two stages.
- First, remove the pain, then remove the swelling. In this case, redness occurs from the sites damaged by the disease. Thus, the inflammatory process during an attack is removed. Treatment is carried out until the symptoms disappear.
- The next step is to use a cure for gout, which helps reduce the level of uric acid in the blood and reduces the frequency of seizures. For the disease to recede, the drug should be taken within a few days or weeks after another exacerbation of the disease.
The length of the course depends on the level of uric acid in the blood. In some cases, the medicine for gout will have to be taken for several years.
Features of therapy for gout
For the treatment of gout, a combined method of using medications is used. With a short-term therapeutic course, the administration of drugs that relieve pain and inflammation with a severe attack of the disease is prescribed. For these purposes, the patient is prescribed non-steroid drugs, and not aspirin, which can lead to an aggravation of the disease. During this period, colchicine is used, which can be recommended for long-term therapy.
The use of corticosteroids, which are sometimes injected directly into the affected joint, is indicated. This is necessary when other drugs do not work on the patient or are contraindicated to him. Many medications for gout can not be used if the patient suffers from chronic kidney failure, various gastrointestinal diseases with bleeding.
Long-term treatment uses drugs that lower the level of uric acid in the blood and remove it from the body through the kidneys. To reduce the production of this substance use allopurinol. To reduce the number of seizures will help such a drug as colchicine. It is also taken for preventive purposes to prevent an unwanted exacerbation of the disease.
If treatment is started in a timely manner, relief in case of an attack may occur within 24 hours. To do this, the doctor appoints a one-time intake of the maximum dose of one or more drugs. Subsequently, the amount of the drug taken is reduced.
All drugs that reduce the level of uric acid have many contraindications. Therefore, the doctor and the patient should be sure of the correctness of the diagnosis. The patient should not use aspirin to reduce pain, this can only intensify seizures.
Drugs for the treatment of the disease
There are many drugs around the world that are supposed to be used to combat gout. To eliminate the increase in the amount of uric acid in the blood, the following medicines are recommended.
- Losartan. It also uses to combat hypertension.
- Fenofibrate. It affects some fats in the blood and helps to remove uric acid from the body.
- Urtoxidase. Has the same effect as the above drug.
- Febuksostat( Y-700).Affects the amount produced by the patient's body uric acid.
These drugs are used if the doctor for some reason can not prescribe the patient allopurinol. It is also worth studying the effect of three drugs, which are most often prescribed to patients suffering from gout.
The drug is good for removing uric acid from the blood
Fullflex is a remedy for gout and is used to eliminate the symptoms of myalgia, rheumatism, osteochondrosis, various types of arthritis. Has anti-inflammatory effect. Helps to eliminate pain in the attack of gout and removes uric acid from the body. It is prescribed to patients in the form of capsules or cream. Take it for a month for 1 tablet a day. The cream should be rubbed 2 times a day. Contraindicated in pregnancy and lactation.
Allopurinol as a cure for gout is used to control the increased amount of uric acid in the blood and in the presence of the complications caused by it. It is prescribed to patients in the form of tablets. Daily rate for gout 0.1-0.2 g. If the disease has an average severity, increase the dose to 3-4 tablets( 0.3-0.4 g).The decrease in the level of uric acid occurs after 1-2 days. The drug has no analgesic effect, but can reduce the number of gout attacks.
This remedy is contraindicated in cases of impaired liver function and during pregnancy. The main side effects: headache and dizziness, depression, general weakness, hematuria, nausea, diarrhea, vomiting. Perhaps the emergence of symptoms of hypertension or bradycardia, stomatitis. For individual intolerance, stop taking the medication immediately and consult a doctor who will choose another medication.
The medicine well anesthetizes and relieves the acute attack of the disease
Use a medicine called "colchicine" from gout. It has a very strong analgesic effect and is used to eliminate the symptoms of an acute attack. The drug is absolutely harmless to the body, since it has a vegetable origin. Produced in the form of tablets. Used during the next attack of the disease. The dose is 1 mg. After taking the first pill after 2 hours you need to drink the second - it eliminates joint pain, for example, with gout on the legs. The patient feels considerable relief 3 hours after the first dose, and it can last for 12 hours.
Colchicine is also used for disease prevention. Contraindications to its use: renal or pulmonary insufficiency, high sensitivity to the components of the drug. At pregnancy its use should be strictly supervised by the doctor. Side effects of colchicine: nausea, vomiting, the development of diarrhea, burning on the skin or urticaria, the appearance of muscle dystrophy. In men, a reduction in the number of spermatozoa is possible. If such events occur, you must stop using the drug.
The use of any medication prior to consultation with a physician is strictly prohibited. Only a specialist can make an accurate diagnosis and pick up medications taking into account the course of the disease and the individual characteristics of the patient's body.
Gout is often a chronic disease caused by a large content of uric acid in the human blood, called urines. The disease can be accompanied by acute attacks, relapses, tofus formation and severe pain. To alleviate the suffering of a person with such a disease, there are various ways how to relieve pain with gout. They can be medicated or unconventional using traditional medicine recipes.Gout is accompanied by pain
How is the disease
The core of each cell of the human body contains purines. These substances come with food or are synthesized by the body itself. With the natural destruction of cells, purines are converted to uric acid, which must be excreted by internal organs. But with a large accumulation of purines and a disturbed process of their withdrawal, uric acid turns into urines - crystalline salts. They are deposited in the superarticular parts of the legs and create a lot of problems. This is gout.
At the initial stage, the disease may not appear externally. More often men suffer from gout after the age of forty. Long-term progression of the disease can eventually lead to an acute attack, which can be eliminated only by painkillers with gout. In the most neglected and severe form, the urethal nodes( tofusi) form on the legs of the patient. They are characterized by a dense structure, visibility, inflammation and the formation of tumors. In some cases, only a surgical intervention can help a person.
Signs of attack with gout
The clinical diagnosis of an acute attack of gout is characterized by the following phenomena:
- The joint of the lower extremity inflames very intensely. The process usually takes place at night and an articular attack occurs within a few hours.
- The intensity of pain reaches its apogee. Usually the focus is concentrated in the area of the metacarpophalangeal joint of the thumb. Very often the patient does not know how to relieve pain with gout on his legs. The answer to this question is given below.
- Time of attack may be different for patients. Sometimes the pain subsides without therapeutic intervention for several days.
- Visual visible signs of an attack: inflammation of the focus on the leg, purple skin, local swelling, high fever, fever.
- Acute attack in twenty percent of cases leads to the fact that the gout of the foot goes to other large and small joints of the legs, which causes additional pain.
- There may be several years between the first attack and the next articular attack. Diagnosis of the disease allows increased hyperuricemia.
The degree of severity of the disease determines the choice of methods for treating gout and ways to eliminate pain.Medications will ease pain
Removing medication pain: short-term medications
Ankle gout makes the leg site very sensitive. Any touch is accompanied by severe pain. To help a sick person, prescribe the following drugs:
- Colchicine. The drug proved itself as the best among analog drugs. Effectively relieves pain and simultaneously reduces the deposition of salts of uric acid compounds. At the heart of the medicine contains a natural plant component - autumn colchicum. The dosage of the drug should not exceed a dozen tablets. Do not administer to patients with kidney or liver failure.
- Fullflex. A short-term medicine that can be used as an effective analgesic for gout on the legs. At the heart of the medicine are plant ingredients - fragrant martinia, willow and birch bark, chestnut and essential oil substances. The drug fights well with inflammation and swelling. Fullflex is taken orally on a pill a day and in the form of a cream twice a day for a month.
- Voltaren. The main components are ibuprofen, diclofinac, naproxen, known for their temporary analgesic effect. It is taken with acute attacks and pain with gout. The first day is taken 200 mg, which is the maximum dose, and later - 150 mg. The course continues even after the pain recedes to avoid recurrence of the attack.
- Prednisolone. The medicine is injected into the joints up to one hundred milligrams into a large one, and up to 25 mg into a small affected area. Assign in the case of extremely sharp and very severe pain, when the effect of other drugs has not yet manifested itself. Prednisolone allows you to quickly relieve pain with gout and suppresses the inflammatory process, removing swelling and swelling in the area affected by the foot.
Prolonged drug therapy
Assumes the use of directional drugs - uricosuric and urikodepressivnye drugs. The first contribute to better removal of salt deposits of uric acid from the body, while the latter suppress their synthesis.
Allopurinol, milurite, losartan is classified as uricodepressive medication and is not used to suppress pain, but to prevent attacks. Effectively work to lower the level of urines in the body. They take medicines three times a day with uniform parts of 100-300 mg at the onset of the disease. Increase the dose by half during the first month. The level of urate salts is markedly reduced, but the drug is not used during the course of an attack, but is prescribed to prevent it.
Anthuran, ketazone, benamide and the most common aspirin improve the ability of the kidneys to excrete uric acid and belong to uricosuric medicines. It is interesting that aspirin salicylates are able to effectively destroy uric acid salts in an amount of three grams per day, but due to the high toxicity the drug can not be consumed for a long time.
Drug treatment with long-acting drugs is not aimed at relieving pain, but on treating the disease. Therefore, these drugs are used after a gouty attack.
Physiotherapy for gout
Gout is not a disease that can be dangerous for the life of a sick person. But the disease affects the lower limbs, if it is not treated in a comprehensive manner, and can lead to disability. To maintain joints in an approximate normal state, it is recommended to influence gout not only medically, but also to do physical exercises when gout hurts.
The main goal of therapeutic exercise is the early removal of pain and the elimination of the inflammatory process. For this, you can perform a number of the following exercises:
- The patient sits on a chair, puts a rolling pin on the floor and gradually begins to roll it with the feet, starting the exercise from the fingers to the heel. This entails the dissolution of crystalline uric acid formations.
- Exercise is repeated standing, alternately rolling a rolling pin one, then the other foot. This somewhat increases the load and pressure on the joints and as if "breaks" the salt deposits.
- The patient lies on his back and flexes his right limb, and stretches the left leg. Legs are pressed to the chest in turn, then lifted up and straightened, slowly lowering to the floor - 6 times.
- In the same position, the straight legs are slightly bent in the sides. Then turn them in and out six times. Exercise is good for relieving pain with gout.
- Lying on the back, the patient straightens the upper and lower limbs along the trunk and starts alternately bending / unbending his fingers. The procedure is repeated ten times.
- When carrying out the morning complex of exercises, the legs are raised, the knees are bent, the hips rotated and the ankles rotated.
- Effective massaging of the thumb on the foot with maximum slowing of breathing. The finger is kneaded in different directions. This may initially be painful, but joints are actively being developed.
- The most effective method of exercise therapy is exercise in the water. They quickly reduce pain and strain on the joints and can even lead to prolonged remission.
Physical exercises alone can only temporarily remove pain, and in combination with other methods of treatment they give a steady effect, the main condition is that physical education should be permanent.
Alternative medicine - phytotherapy on folk recipes
Different natural compounds can have the most positive result on gout. Of course, you can not completely cure the disease, but it is quite possible to reduce the urine content in the body. There are a number of effective recipes for decoctions and infusions of herbs:
- Pharmacy chamomile. From the flowers of the plant, a bath is prepared for the affected leg area. You can use chamomile in equal proportion with the colors of black elderberry. The lotions of such a decoction well relieve inflammation and pain.
- Lilac flowers. Fill with alcohol or vodka in the amount of two hundred grams and insist a week in a glass bottle. Tincture is taken for thirty to fifty drops three times during the day before eating.
- The sequence. A decoction of this herb is taken inward, like ordinary tea. The same method is brewed for fifteen minutes, but you need to pour not boiling water from the fire, but wait a few minutes. Take the decoction in a hot form.
- Horse chestnut. The plant is known for its medicinal properties. Bark and flowers should be filled with vodka( one and a half cups) for six hours. Take 40 drops before meals or you can apply to the affected area as an ointment.
- Millet. When using the test from its grains, anesthesia begins: make flour from millet( 100 g), add a spoonful of brewer's yeast and a little water. Wrap the mixture with a napkin and apply to a sore spot, change the mixture after two hours.
- Fir oil. A little oil is applied to the cotton cloth and sprinkled with salt. Apply to the joint at night. In the morning, fir oil is washed off. The procedure should be repeated five days, and then make the same pause.
Recipes of traditional medicine, based on the useful and active action of plants, very much. When legs hurt, a person seeks to eliminate all this pain by all available means. Phytotherapy can greatly alleviate the suffering of the patient.
Other options for pain relief for gout
For pain in the ankle, the action of radioactive substances can be used. This is an alternative option to eliminate pain. Actively affect the affected area radon baths. Hydrogen sulfide baths have a uricosuric and uricodepressive effect. In some cases, complete disappearance of tofus was observed. This phenomenon is explained by the thermal effect on uric acid, the compounds of which begin to disintegrate.
The controversial question arose on the subject of starvation. Of course, the diet for gout is shown to all without exception the patient. But it is the fasting that some experts advise to use for two or three days to purify the body and that purines are not supplied with food. Other doctors categorically advise against this.
To reduce the pain quickly fasting can not. If it is applied, then not with acute gouty attacks. The body should receive useful substances with fruits( especially citrus group), with dairy products. And from meat, fatty foods, high-calorie sweets, coffee and alcohol is better to refuse.
Diet and spa treatment can be considered as effective additional measures to fight the disease, but they should be used together with physiotherapy and medications.
In case of an acute attack, an immediate result gives such an alternative method of anesthesia as local cryotherapy. It has long been justified theoretically and proven in practice that exposure to cold can quickly remove pain. Cold gas at a temperature below one hundred and eighty degrees affects the affected area, relieving inflammation. You can stay no more than three minutes in the cryosauna. The method is very effective and safe.
When asked whether other parts of the body can hurt other than the legs, it can be said that any joint is susceptible to the spread of the disease. But most often gout affects the lower extremities. And in order for a sick person to receive some relief, there is a mass of effective ways to influence.
Gout is a chronic, severe systemic joint disease. It is dangerous, therefore leads to a significant decrease in the standard of living. Most often, this disease affects men who have crossed the 40-year mark and women older than 55-60 years. But even 30-year-old people may have symptoms of this terrible disease. Every year the number of sick people suffering from gouty pain and having an attack of gout grows rapidly.
The causes of the development of the disease
There are several factors for its development: heredity, unbalanced nutrition, overeating, mainly a meat ration rich in purines, abuse of wine and poor quality beer, a sedentary lifestyle.
In the patient's body, an excessive amount of uric acid is formed. This can lead to hyperuricemia, glut of urate. In this condition, they are not properly excreted from the circulatory system. This occurs as a result of the excess volume of these salts, or because of the pathology of the kidneys responsible for removing this substance from the body.
These salts crystallize, as they are unable to dissolve, and then deposited in the joints and tendons.
The body is trying to get rid of these pathological deposits, which leads to inflammation of the affected tissues. The process of crystallization with gout occurs in the joints of the limbs, if there is a zone of poor blood circulation.
Symptoms of the disease
The most typical manifestation of gout development is gouty arthritis, which begins first in one joint. In 50% of cases, the first joints of the big toes are affected. Gout can also develop in the ankle, knee joint, in the bone tissues of the wrists, elbows, fingers.
The patient first learns of his illness, suddenly feeling an acute unbearable sharp pain in the swollen joint, revealing reddening of the skin on this site. The peculiarity of this pain is that pain medications can not remove it. The temperature rises sharply to 39-40 C, and the joint becomes hot and immobilized. Such manifestations usually in the dark time of the day suddenly begins an acute attack of gout, which can cause suffering for 2-7 or more days. In the daytime, a sick person can feel temporary relief of pain. But at night the deterioration of his condition will follow again.
Later, a painful painful attack is repeated many times. But if the proper treatment is carried out, it can be prevented. First of all, it is necessary to eliminate the factors that cause exacerbation of gout. Sometimes, in order to reduce the incidence of frequent outbreaks, it is enough to change the way of life. But many people also need special medicines, which can reduce the level of uric acid and prevent an attack of the disease.
In the remission phase, the patient is normally disturbed by aching pains. But at the beginning of the disease, the symptoms of the disease may not always bother the patient or not manifest at all.
As the gout flows, a normal joint structure may occur. This usually becomes noticeable after a four-year period of development of the disease. There are painless dense growths of yellowish color in the region of joints. This tofusi, gouty nodes, covered with dark rough skin. They consist of salt crystals. Such dense subcutaneous formations can grow to large sizes and cause inflammation of surrounding tissues.
The development of the disease can be effectively managed
How to ease the onset of the disease and relieve the pain
The patient is able to take a number of effective measures on his own to help himself.
The best remedy for gout is the right lifestyle and physical activity.
A clear plan should be drawn up: what to do during an exacerbation of gout.
- With the acute onset of the disease, the first priority is to reduce pain.
- Affected joint should be protected, allow it to rest for a day.
- To reduce the tumor, ice can be applied.
- Taking anti-inflammatory non-steroid drugs( NSAIDs) will help stop the development of the inflammatory process and prevent a new attack of the disease.
- But patients with this disease are contraindicated taking aspirin. It can worsen the patient's condition, since it dramatically changes the level of uric acid.
Lifestyle of the patient with gout affects the course of the pathological process
Rational power system
To ensure that the patient is not disturbed by an acute attack of gout, a proper nutrition system has been developed to treat the disease by specialists.
- It is necessary to exclude a diet low in carbohydrates and high in fat, protein. Because with such food the patient can get a large number of purines. This contributes to the deterioration of the course of the disease.
- It is necessary to moisturize the body well, taking a lot of liquid.
- Patient needs to eat a lot of sweet fruits, which supply the body with the necessary nutrients. Vitamin C, contained in mandarins, oranges, lemons, is able to prevent a gout attack.
- Skim milk, sour-milk products, cottage cheese are allowed.
- Salads with olive oil, potatoes, beans, oats are useful.
- The liver, fatty meats and seafoods increase the amount of uric acid. In the diet, you need to have some lean beef, pork and chicken.
- Fresh greens contain a lot of oxalic acid, so it should be avoided.
- Simple carbohydrates in products from white flour are harmful, as their use leads to weight gain.
- Sweetened drinks, especially with fructose, are harmful for gout.
- Alcohol contains many purines. Therefore, excessive consumption of alcoholic beverages, especially beer, leads to an increase in the body level of uric acid.
Maintaining the optimal body weight is necessary
- Extra kilograms create additional loads on the aching joints and quickly increase the risks of this ailment.
- You need to constantly strive to maintain a normal weight, lose weight, if necessary. But it should be remembered that an excessively low-calorie diet will enhance the process of crystallization of urinary salts. This will negatively affect the development of the disease.
Traditional medicine can also help
- Decoction of parsley roots has a diuretic effect.
- Apitherapy has long been used in the treatment of gout to restore the normal functioning of the affected joints. Bee venom contains active substances that can quickly remove severe pain and reduce the inflammatory process.
Drugs for gout are prescribed by the doctor depending on the degree of severity of the pathology of
- . These can be medications for the removal of pain and inflammation: NSAIDs( nonsteroidal anti-inflammatory drugs), indomethacin, naproxen. But they can not be used for a long time.
- Effective preparation Fullflex facilitates excruciating painful articular attacks.
The therapeutic physical training
If the joints are constantly on the move, they will be healthy. Active physical training and breaks during activities associated with a static posture will have a beneficial effect.
The best remedy for gout is swimming, biking, walking, exercises with light dumbbells. But you need to exclude the risk of injury. Contraindicated repetitive tedious sharp movements of affected joints. You need to get a doctor's consultation, choosing the forms of physical activity.
Gout is an extremely complex disease. It can change the whole life of the patient. But to control its development and maintain its health with the support of a doctor is real. Only the right way of life and fulfilling the doctor's prescriptions can provide effective treatment for gout.
To cure this ailment is completely impossible, but for a person's life the prognosis for gout is always favorable. However, the question is the quality of this life, since this ailment can lead a person to disability. Only strict self-discipline and self-restraint, adherence to all the rules of treatment of this disease will help a person with gout feel good.
Manifestations of gout should be known to all people so as not to miss the appearance of the first symptoms at an early stage. If there is an attack of gout, in case of a feeling of characteristic pain, you need to contact a rheumatologist, do a diagnosis and begin treatment.
Author of the article:
Tell me anesthetic pills for severe pain with gout?
Usually ibuprofen helps, but at a higher dosage of 400mg for taking 3 times a day after meals, if it does not help, we add every hour. . first ketorol, an hour later analgin, but if it does not help here.dosage only observe and read about contraindications and side effects. . there is still diclofenac to poke..If there is a problem with the stomach, then it is better to drink ibuprofen, and everything else is to be blown immediately. And even let him drink enough water and preferably an alkaline mineral with the addition of soda drinking, and does not go unnecessarily.
From any pains I am saved by the use of 1 tablespoon of vinegar in half a liter of water! Several times a day! Do NOT repeat it!
ketones can be in ampoules and pricked intramuscularly!it is possible ketorol.
Ex - minister
Amigrenin, or a drug of the tryptophan group. ..!
You do not get treatment in the internet, there are no specialists on migraines!
Сочувтсвую.I had an attack a couple of times. Once provoked by two successive injuries. ..
Try the ketans. Perhaps this is the only thing that can effectively help. Another steamy sore spot and drink a lot of clean water( I mean kipasenoy or distilled).Vobschem such, in which there are few salts. It is possible that which on offices deliver. There are such filters that a healthy person is not recommended to drink often, it is almost distilled.
And with ketanovoy careful. These are not vitamins.
Here is a link to the instruction
[link is blocked by the decision of the project administration]
can the pain calmed down without the pills? This is a good way.
Unfortunately, gout can not be completely cured, but it can be controlled. To do this, you need to change the nature of food. Treatment of gout medicinal: anti-inflammatory drugs and drugs that inhibit the formation of uric acid. In addition, the doctor can prescribe corticosteroid hormones that change the acidity of urine and reduce the likelihood of kidney stones. New methods of treating gout are: blood purification procedures with the help of special devices plasmaphoresogemosorption. Physiotherapy greatly facilitates the well-being. Surgical methods of removing uric acid deposits in soft tissues are also used. All treatments include weight correction and treatment of all metabolic diseases( atherosclerosis, diabetes) that are gout companions. In an acute attack of gout, NSAIDs are used: Butadione. It is possible ibuprofen-it is a non-steroid drug, relieves both pleasure and pain. The dosage in the instructions is inexpensive.
Not always non-steroidal drugs help. A friend of the same problem, as much on the wall climbed. I looked in the old textbooks on therapy, there is described treatment with colchicine. Even found it. It helped. If necessary, write, I will answer.