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Stop the Gout Attack

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1 Stop the Gout Attack on Tue Sep 13, 2016 9:54 pm

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Gout


Do you know what part of the body indicates the start of a gout attack? If you said the big toe, you would be right. Unfortunately, modern medical research still hasn't discovered the reason why over 75% of gout attacks occur in the big toe is first. In addition, to the big toe other joints of the body may also signal a gout attack including the knee, ankle and elbow.


How to Fight Gout?

Fighting gout is not as hard as it appears to be when you really look at the pain and swelling caused by gout. The best way to fight gout is to make changes to your behaviour and eating habits like taking a walk after dinner to loss some of the calories you had at dinner. In addition, you also want to add specific foods that have been proven to help dissolve the uric acid crystals joints the joints. We have included the history of Uric acid here so that you will learn more about its history. It is only through it's history can you learn more about Uric Acid. Wink



  • What is the Cause of these Painful Crystals?
  • Here is a brief list of some of the top causes of the causes of these painful crystals, aka gout:



The benefit of the tart cherry is this little fruit is available is a variety of options including tart cherry juice, tart cherry capsules, dried cherries and the fresh fruit. Here is an brief overview of the different ways to fight gout with tart cherries:

Gout is Actually a Form of Arthritis

Gout pain is the result of the build up of uric acid in the body. Uric acid is a result of crystal-like formations that travel in the blood stream. These jagged crystals are the cause of the redness, swelling and pain that gout is infamously known for.

If You Have a Family History of Gout, You May Also Suffer from Gout

2. Being overweight also contributes to gout. 3. Drinking excess alcohol or people drinking large amounts of alcohol on a continued basis can contribute to gout. 4. People how had an organ transplant are more likely to have gout than those who have not an organ transplant. 5. Men are more likely to get gout than women, however more women are getting gout. 6. The consumption of high purines food including seafood, alcohol and meats like kidney's and liver.

The little red fruit that has been enjoyed by countless millions offers more than great taste. Are cherries truly fruit for a healthy you? Recent studies have revealed that cherries offer an assortment of health benefits including the ability to offer natural relief from joint pain caused from gout, arthritis and joint inflammation.

Not Only are Cherries a Great Way to Maintain a Healthy Body They are a Natural Product

According to Andrew LaPointe, Director of Marketing for Traverse Bay Farms, www.traversebayfarms.com 'many of our customers are looking to eat healthier and fruit products fit this trend. It's certainly better than fast food.' Traverse Bay Farms sells Fruit Advantage Tart Cherry capsules and cherry juice concentrate.

Addition to the health benefits offered by cherries, many people are just eating the fruit for the taste. John Simms, a life-long resident of Indianapolis, Indiana, eats cherries for the convenience and taste. 'As a short-haul truck driver, my diet isn't the best, I would eat fast food every day. A year ago, my wife bought some dried cherries and I began eating them to keep my weight down. Now I eat a handful of cherries instead of eating fast food.'

Linda L. Patterson is a living testimony of the soothing affects of cherries on her joint pain. 'I enjoy crocheting and lately my hands have been so painful, I couldn't crochet for more than about 30 minutes.', says Patterson. In an attempt to find relief from her pain, she located Fruit Advantage Tart Cherry capsules, a supplement made from red tart cherries. 'Within the first week of taking the tart cherry capsules my hands felt so much better.', says Ms. Patterson. 'I am now alverno college without the pain in my hands.'

So what makes the tasty red fruit so beneficial? The wonder of the cherry is the anthocyanins. According to research from Michigan State University tart cherries contain anthocyanins and bioflavonoids, which inhibit the enzymes Cyclooxygenase-1 and -2, and prevent inflammation in the body. These compounds have similar activity as aspirin, naproxen and ibuprofen. Further investigations revealed that daily consumption of tart cherries has the potential to reduce the pain associated with joint inflammation. Many consumers are choosing to drink cherry juice, eat cherries or consume tart cherry pills to starve off the pain of gout, arthritis and joint inflammation.

Turf Toe Gets No Respect

Let's take a closer look at the causes of turf toe and see how to treat it more effectively. Turf toe is actually a form of hallux limitus. Hallux limitus is classically described as pain and progressive decrease in the range of motion of the first metatarsal phalangeal joint (MPJ). The onset of hallux limitus is due to the following:


Gout Ear Finger Gout Foot Pain Remedy





But before we go any further, we need to understand that the terms turf toe and hallux limitus aren't really synonymous. The fundamental difference between the two terms is the patient population that they affect. Turf toe is a term used in athletic circles referring to any injury of the great toe joint. Consequently, discussions about turf toe will focus on the first two causes of hallux limitus mentioned above; functional hallux limitus and direct physical injury. On the other hand, when we discuss hallux limitus, we're actually referring to a broader, 'non-athletic' patient population and need to include all three causes of hallux limitus.

What's the actual physical change that takes place in the joint with turf toe? As an easy analogy, consider the changes that takes place when an apple falls from a height and is damaged. The skin of the apple appears intact but the underlying pulp is damaged. In the case of turf toe (hallux limitus), think of the skin of the apple as the cartilage of the joint and the damaged pulp of the apple is the subchondral bone. Mild cases of turf toe (hallux limitus), result in little damage to the subchondral bone and will merely exhibit signs of inflammatory change within the joint. Most authors would refer to these cases as stage one turf toe (hallux limitus). More severe cases result in damage to the joint surface, the subchondral bone or both. These are the stage two and three cases of turf toe (hallux limitus) that show visible change on x-ray. As the subchondral bone becomes increasingly damaged, it will create an uneven supporting surface for the cartilage. An increase in activity results in uneven loading of the joint due to the compression injury of the subchondral bone.

References: Lombardi, C.M., Silhanek, A.D., Connolly, F.G., Dennis, L.N., Keslonsky, A.J. First Metatarsophalangeal Arthrodesis for Treatment of Hallux Rigidus: A Retrospective Study. J. Foot Surg. 40:3, 137-143, 2001

Other Conditions

Synovitis, crystal deposition diseases sushi gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc. Very Happy.

Think of turf toe (hallux limitus) as an isolated case of osteoarthritis limited to the first MPJ. Whether the injury is acute or due to repetitive loading, the result is a load that is applied to the subchondral bone that is greater than what the bone can tolerate. As the injury progresses, a series of micro fractures will develop in the subchondral bone. The typical soft spongy character of the metaphyseal bone changes to become brittle and hard. The result is that the articular cartilage looses its' underlying support and becomes susceptible to damage. Juxtachondral eburnation, osteophytes, lipping, spurring; call them what you like, but what you see on your x-ray is the slow progressive destruction of the joint. Time and tide waits for no man. So once we got an idea for writing on Gout, we decided not to waste time, but to get down to writing about it immediately!

When treating turf toe be sure to recognize the fact that there is no nerve innervation in articular cartilage. Pain associated with stage one turf toe (hallux limitus) is either synovial pain or bone pain. If we recognize that painful stage one turf toe (hallux limitus) may be due to bone pain, we then realize that turf toe should be treated aggressively to insure the long term viability of the joint. Shocked

Functional Hallux Limitus

Biomechanical function that results in metatarsus primus elevatus and subsequent repetitive jamming of the first MPJ. Direct physical injury - injury to the articular cartilage or subchondral bone. These injuries may be due impaction injuries or hyperextension/flexion of the first MPJ.

Ronconi, P., Monachino, P., Baleanu, P.M.,Favilli, G. Distal Oblique Osteotomy of the First Metatarsal for the Correction of Hallux Limitus and Rigidus Deformity. J. Foot Surg. 39:3, 154-160, 2000

Unger, K., Rahimi, F., Bareither, D., Muehleman, C. The Relationship Between Articular Cartilage Degeneration and Bone Changes of the First Metatarsophalangeal Joint. J. Foot Surg. 39:1 24-33, 2000




Anatomy: The great toe joint, or first metatarsal joint consists of two bones. The proximal bone is the first metatarsal and the distal is called the proximal phalanx or hallux. These two bone move against each other in an up and down motion through what we refer to as the sagital plane. Biomechanics: Assumption college great toe joint is dependant upon the plantarflexion of the first metatasal. If the first metatarsal is limitied in its' ability to plantarflex, the joint will jam resulting in funtional hallux limitus, which as we know is one of the causes of turf toe.




Symptoms: Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise. Evil or Very Mad

The onset of turf toe always the same? Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step.




Differential Diagnosis: The differential diagnosis of turf toe includes; Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis As the information we produce in our writing on Gout Joint may be utilized by the reader for informative purposes, it is very important that the information we provide be true. We have indeed maintained this.

Treatment of turf toe varies with the type of healthcare provider and includes the use of rest, shoe modifications, orthotics, steroid injections and surgery. The success of non-surgical care will vary with the degree of injury, the rate at which the injury is healing and how much osteoarthritis has occurred. We see varying degrees of success with orthotics that promote plantarflexion of the first ray, effectively treating metatarsus primus elevatus and peroneus longus dysfunction. Simple arch supports can make a significant difference in the symptoms of turf toe. Should our patient not respond to conservative care in a reasonable time period, we are not reluctant to suggest surgical revision to address the problem whether it be revisions of the joint defect, shortening of a long first metatarsal or structural revision of metatarsus primus elevatus. As mentioned before, the clinical appearance of dorsal lipping or visible radiographic changes are suggestive of moderately advanced osteoarthritis, a condition that is only repaired by joint revision or replacement.

Nomenclature: First MPJ - the big toe joint Metatarsus primus elevatus - a functional or structural position of the first metatarsal First metatarsal - the foot bone making up the proximal portion of the big toe joint Hallux - the great toe

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