Recently, not only the elderly, but also middle-aged people, and sometimes even young people, have suffered from joint diseases. Such ailments significantly affect the lifestyle and overall well-being, because they are the cause of pain, stiffness of movements, discomfort. One of the most common joint diseases is gout. Can I cope with this disease? Let’s figure it out. 



Features of Gout Treatment

Gout, or gouty arthritis, is a joint disease caused by the deposition of uric acid salts in them. A painful condition can occur in the joints of the elbows, knees, feet, hands, fingers. The most common form of gout is a disease of the toes.

The presence of uric acid and its salts in the body is considered the norm: substances are metabolic products. In healthy people, these compounds are excreted by the kidneys. With an excess, they begin to be deposited in the joints. As a result, inflammation and pain occur. The pain begins suddenly, the joint becomes inflamed, it becomes hot to the touch, the affected area turns red. Exacerbations of the disease, as a rule, occur after heavy drinking and overeating. For some time, the disease does not make itself felt, then attacks begin again.

Uric acid is a product of the breakdown of purines – special substances that are independently produced in the body, and also come from food. A large number of purines is found in fatty meat and fish, meat offal, in alcohol (especially in beer and grape wine), non-natural juices, sweet carbonated drinks, coffee. In the event of an abundant feast or excessive enthusiasm for these products in the body, a huge amount of uric acid is produced and the kidneys can not cope with its excretion.

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This is interesting.
Since the Middle Ages, gout has been considered the “disease of the kings,” since it was the holiest persons who had the opportunity to regularly indulge in plentiful meals. And subsequently, they paid for their own gluttony with diseased joints.
Most often, gout is diagnosed in men aged 40-50 years. As for women, they face the disease during menopause and later. It is believed that this is due to the effect of estrogen on the excretion (excretion) of uric acid. In the younger generation, the appearance of gout is explained by a violation of the synthesis of uric acid in the body. Young people are also addicted to alcoholic beverages, in particular beer.




Gout must be treated. Otherwise, attacks become more frequent, pain becomes more intense, other joints are affected, pathological processes in the kidneys and urinary tract begin. Unfortunately, it is impossible to completely get rid of gout. But there are a number of comprehensive measures that can significantly improve the patient’s condition and avoid acute attacks.

Statistics

The prevalence of gouty arthritis in different regions ranges from 5 to 50 cases per 1000 men and from 1 to 9 per 1000 women.

Principles and treatment regimens for gout

First of all, it should be noted that the treatment methods for an acute attack of gout and disease at the stage of remission are different. During an exacerbation, anti-inflammatory therapy is performed. Drugs can be administered orally, intramuscularly or intraarticularly – this is decided by the doctor. The selection of medicines and their dosage are set individually in each case. Most often, during an exacerbation, the patient needs hospitalization.

If gouty arthritis has just been diagnosed or the patient is in remission, then treatment is mainly aimed at preventing relapse exacerbation, eliminating the accompanying symptoms: obesity, high blood lipids, low sugar, hypertension, atherosclerosis. Also, treatment involves the prevention of the formation of uric acid stones in the kidneys. Therapy can be carried out under the supervision of a rheumatologist or nephrologist at home, in a hospital or in a specialized sanatorium. The effectiveness of measures depends on their correct combination: the best result can be achieved by reasonably combining pharmacological agents, physiotherapy, proper nutrition and a healthy lifestyle, that is, the most successful will be the comprehensive treatment of gout.

Drug treatment

The use of drugs during the period of exacerbation is most effective. During anti-inflammatory therapy for gouty arthritis, colchicine is often prescribed. The drug is taken orally or administered intravenously, the dosage is prescribed by the doctor. Colchicine is especially effective if it is started to be used as soon as the first symptoms of the disease are manifested. Significant improvement in the condition of patients in the first 12 hours of taking this medicine is observed in 75% of cases. However, adverse reactions may occur in the form of a violation of the gastrointestinal tract.

Also, with exacerbation of gout, other anti-inflammatory drugs are prescribed, among them: indomethacin, phenylbutazone, naproxen, etoricoxib, and others.

In addition, if there are contraindications for taking the above drugs, then with exacerbation of gouty arthritis, oral or intra-articular administration of glucocorticoids, for example, triamcinolone hexacetonide, can be effective.

Another method: external treatment. To do this, use creams and gels, which include non-steroidal anti-inflammatory drugs. The most popular on this list are diclofenac, ketoprofen, nimesulide.



In the “calm” period of the course of the disease, drugs are prescribed that normalize the level of uric acid in the body. These are medicines based on benzbromarone, allopurinol, Avisan, and others. Before use, you need to consult a doctor.

Modern physiotherapeutic methods for treating gout

As an element of a comprehensive treatment, physiotherapy for gout is very effective: it improves the condition of cartilage tissue and prevents their decay. Consider the most common physiotherapy methods that are usually prescribed between periods of seizure.

  • Electrophoresis is a procedure during which constant electrical impulses act on the body. This has a local therapeutic effect. Electrophoresis also enhances the penetration of external drugs through the skin. With gout, analgin and novocaine are used for pain relief, and zinc, sulfur and lithium are used to stimulate cartilage.
  • Mud therapy is a popular method for improving the condition of patients with gout. This procedure is often prescribed during spa treatment.
  • Thermal treatments help dissolve uric acid deposits. For this, patients are given paraffin and ozocerite applications.
  • Balneotherapy is one of the most enjoyable methods of physiotherapy. Effects on joints occur during bathing. With gout, a cycle of radon, hydrogen sulfide or sodium chloride baths is prescribed.
  • Bischofite is a natural solution, which includes sodium, calcium, potassium, iodine, copper, iron, titanium. Compresses with bischofite can relieve inflammation and anesthetize the affected gout area.

Among other things, with gout, UVT, ultrasound and magnetotherapy, exercise therapy and massage are successfully used. Which method will be most effective in each case is determined by the doctor. Most physiotherapeutic procedures are usually available during a course of spa treatment. T

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Folk methods

Traditional medicine has long been inventing tools to help get rid of gout pain. Here are some of them.

  • Trays of chamomile broth. Pour the flowers of the plant with water, add salt, bring to a boil, keep on low heat for 10 minutes. Allow the solution to infuse and make a bath for the diseased joint.
  • Spruce cone extract helps cleanse joints. To cook it, you need to take an unopened fir cone and pour it with a glass of boiling water. Leave to stand for 7–9 hours. Take one tablespoon 30 minutes before meals.
  • Infusion of madder red roots. Pour a teaspoon of the roots of this plant with a glass of boiling water. Let it brew. It should be taken in the morning and evening for half a glass.
  • Salt compress. Pour 0.5 kilograms of iodized salt into the pan, add water, boil until water evaporates. Then add 200 grams of petroleum jelly or chicken fat, mix. The resulting composition is used for compress.

There are also many other popular methods used to combat gout. However, before resorting to traditional medicine, you should consult a doctor – each “prescription” has contraindications.

Diet as an effective treatment for gout

To improve the condition of a patient suffering from gout, it is important to immediately transfer him to the appropriate diet.

For this, first of all, it is necessary to limit the use of products containing purines to patients. This list includes offal, fatty meat and fish, saturated broths, legumes, mushrooms, spinach. For a patient with gout, meat should be cooked for a long time – then hazardous substances, purines, will remain in the broth. In general, protein intake should be limited, as they contribute to the formation of uric acid. In addition, you need to minimize the amount of fatty and spicy foods, as well as eliminate strong tea, coffee and alcohol from the diet. It is recommended that fluid intake be increased to 2.5–3 liters, as this helps to remove salts from the body. The emphasis should be on clean drinking water. Salt intake should be limited to 6-8 grams per day.

Be sure to eat fruits, berries, vegetables daily. Also, gout patients are shown cereals, cottage cheese, sour cream, yogurt, vegetable, and sometimes milk soups, flour, but not butter products. Boiled meat and fish should be eaten 2-3 times a week.



The type of food recommended for patients with gout, nutritionists call “Table number 6 according to Pevzner.”

Prevention

The likelihood of getting gout is quite high among those who abuse alcohol, fatty foods, lead a sedentary lifestyle, and neglect a healthy diet. Also at risk are people who are overweight and high blood pressure, as well as those who have relatives in the family who suffer from gout.

Preventive measures are simple: proper nutrition, exercise, fresh air, refusal of alcohol, weight control. By following them, you can avoid many problems.

Thus, to date, many methods have been developed to combat gout. 

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Categories: Gout

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