colchicine dosage doses treatment - Gout! the Cause, the Symptoms, and the Natural Treatment
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Gout! the Cause, the Symptoms, and the Natural Treatment

"Ouch" It's midnight and you are awakened by a horrific pain shooting through your big toe. The throbbing toe is red and swollen and feels as if it's on fire. If you or a loved one can relate to this experience, chances are likely that you suffer from gout. Numerous questions plagued your mind like "Can I survive another night with this pain?"....so we narrowed down your most important questions on gout and answered them! What is gout? What are the symptoms of gout? What causes gout? Am I at risk for gout? Is there a natural treatment for gout? Keep reading to begin the road to recovery! And guess what, it's only 2 hours away!


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5. Medications: Are you currently on any of the following medications which may cause gout: diuretics (for hypertension, edema and heart disease), anti-inflammatory medicines with salicylic acid (such as aspirin), niacin (also called nicotinic acid) and a few others. It is noted, please do not stop taking these medications before talking with your doctor.

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

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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.

Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc.

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.

3. Overweight: People who weigh 30 pounds or more than their model weight risk getting gout simply because there is more tissue available for breaking down the uric acid. Diets rich in purine food can also increase your chances for gout. For more information, please check out our report at our link below.

Is 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.

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- the most used gout drugs are anti- inflammatory drugs which have no steroids; ipubrofen is usually prescribed to a gout patient; this is a very used drug, because after taking it, the pain and inflammation that is caused by the gout flare will pass in a couple of hours;


Differential Diagnosis: The differential diagnosis of turf toe includes; Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis

Who's at risk for Gout? Why could you be suffering from the horrific pain of gout? There could be various factors but here is what typically increases uric acid in the blood causing the gout:

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

- another drug used to calm down the gout flare symptoms is colchicine; its effect can been seen in a few hours time; Besides these drugs that are used to reduce the symptoms of a gout flare, there are also other drugs for preventing the gout attacks from happening. Allopurinol or probenecid lower the levels of uric acid that you have in your blood, thus reducing the risk of another gout attack. They are only given to the gout patients that suffer from many gout flares or have kidney stones because of the uric acid. However, if the levels of uric acid are lowered too sudden, this may trigger a gout attack as well. To prevent this from happening, doctors also prescribe colchicine to gout patients who take drugs to lower the levels of acid. Furthermore, the therapy with acid- lowering drugs is not started when the patient is suffering from a gout attack.


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: The motion of the 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.

To control and treat a gout takes more than medication. A diet and probably a change in your lifestyle must also be made if suffering from a gout. The medication that you will be prescribed to treat your gout case depend on some factors. Your doctor will give you the proper gout treatment after taking into consideration your age, state of health, other medication that you take and last but not least the severity of your gout attacks. The main drugs that you will be given are anti- inflammatory medicine:

The most commonly afflicted areas of gout include the big toes and the joints in feet, ankles, knees, hands, wrists, arms, elbows, and bursas, the ligaments and tendons around these joints; and, in extreme cases, shoulders, necks, hips and spine.

1. Lifestyle: From eating to drinking to weight, your lifestyle - particularly your diet - can greatly affect your chances of getting gout. 2. Alcohol: More than two drinks a day for men and one drink a day for women - can quickly lead to gout. Especially, stay away from beer.

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.

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Understanding what places you at risk of the disease is an important step in taking control of your health and life. Gout can be naturally treated or be deadly in some cases. So that brings up the question, how do you treat gout naturally?

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

 
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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.

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.

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.

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.

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.

A gout is a type of arthritis, which is the inflammation of your joints. In got cases, the attacks cause severe pain, sewlling and redness. These gout attack symptoms happen very sudden, without any further warning. To heal a gout case is impossible, because their exists no cure. However, there are things that can be done to control and treat your gout case.

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:

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

Medications should be taken within a short while of the onset; otherwise the attack may get beyond control. If no treatment is administered within the first 12 hours, combating gout becomes near to impossible. If you are a frequent sufferer, do remember to carry necessary medicines wit you wherever you go, even on business or pleasure trips. Do take sufficient rest until the attack completely subsides, overuse of the strained joints may cause irreparable damage. For more tips and info about Gout?, feel free to visit us at: http://www.about-goat.info

4. Medical Conditions: Various medical conditions can also increase your chances of gout. Do you have any of the following: high blood pressure (hypertension), diabetes, hyperlipidemia (high levels of fat or cholesterol in blood), arteriosclerosis (narrowing of the arteries), recent surgery or bed rest, and recent chemotherapy?

http://www.cureyourgout.com/g1/

Gout is an extremely painful disease and can cause immense discomfort apart from complications like kidney stones and the like. Unfortunately, there is no established cure for gout. The best means of thwarting gout attacks is prevention. These insidious attacks occur when you will be least expecting it, sometimes while you are asleep.

Gout attacks typically set in between midnight and 2 a.m. and are more frequent during the spring. The initial attacks may wane automatically within a few days even without treatment, as the crystals become encrusted by certain proteins that prevent their recognition by the immune system as non-self particles. However, gout may resurface even after years, and in due course of time the frequency of the attacks gradually increases. Ultimately, the problem becomes a persistent one and in chronic cases, can cause permanent distortion of the affected joints.

What is gout? Simply put, gout is a form of arthritis that often occurs in the middle of the night. Often labeled the 'disease of kings' gout haunts over 2 million Americans annually. Gout is also known as the most painful types of arthritis. Gout results when needle-like crystals of uric acid form in the body's connective tissue or lodge themselves in the space between two bones or joints. These uric acid crystals inflame the surrounding area and lead to gout's symptoms: Heat, Pain, Redness, Stiffness, Swelling, Arthritis attacks that develop in short time period (e.g., 12-24 hours), and Arthritis Attacks to one joint. Typical joints affected by gout include: elbows, fingers, heels, instep, and wrists. To view some photos of gout sufferers please click on our link below. Unfortunately, this is not all of the symptoms. Gout can also cause high blood pressure and kidney stones if left untreated. These symptoms can also be life-threatening if left untreated.

But why do I suffer? The Cause of Gout To answer what causes gout? We need to understand how uric acid appears in the body. You see, uric acid is actually a byproduct of a very necessary part of your body's normal function. However, gout sufferers often have higher levels of uric acid (called hyperuricemia) caused from the body's inability to break down the uric acid. The uric acid is typically eliminated from the body through the urine. If, however, you suffer from gout, the build up of uric acid crystals can find their way to joint spaces where they will cause painful inflammation that appear as lumps under the skin and can even disrupt the functioning of the kidney and cause the formation of kidney stones. Gout can cause serious damage quickly, it is extremely important that you treat your gout immediately.

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6. Family History: One out of every four people afflicted with gout have a family history with gout. 7. Age and Sex: Men are most often affected with gout as well as women who have reached menopause. Men typically develop gout between the ages of 30 and 50.

- corticosteroids are the alternative for a gout patient who can not use the nonsteroidal drugs; these as well reduce the inflammation caused by the gout in no more than a few hours; you can find this type of gout drug in form of pills or injections;

Purine is a normal constituent of the human diet. It is metabolized within the body to produce uric acid, which then reacts with the sodium ions present in the system to give mono-sodium urate (MSU). The production of MSU rises with the internal pH of the body. At the biological pH, the MSU exists in the form of insoluble crystals that deposit on the joints of the body. The bodys defense mechanism recognizes these accumulated crystals as foreign invasions and combats them with white blood cells called neutrophils. As a result of this immunologic reaction, sudden inflammation and rubor of the skin develops, along with heat production and tenderness of the affected regions. This is accompanied by excruciating pain as the bodys defense mechanism fights the invading MSU crystals. The symptoms include malaise, fever, chills, increased heart rate, and high blood pressure.

About the author:
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle
surgeon. Dr. Oster is also board certified in pedorthics. Dr.
Oster is medical director of href=http://www.myfootshop.comMyfootshop.com and is
in active practice in Granville, Ohio.


 
 
     
 
 





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