The accumulation of uric acid due to certain diseases (impaired renal function, enzyme deficiency, the formation of tumors) or the consumption of excessive amounts of purines with food leads to the deposition of urate crystals in the body. Mostly avascular tissues are affected by gout: cartilage, ligaments, large and small joints of limbs.
The first stage of gout is asymptomatic and is characterized by hyperuricemia – an excess of the norm for the content of uric acid compounds in the blood. As the concentration of urates in the body increases, they crystallize and deposit, mainly in the synovial fluid of the joints of the lower extremities. Most often, gout on the big toe first develops, but knee, ankle, wrist and other joints may also be affected. Pathology is usually one-sided.
The asymptomatic periods of gout alternate with gouty attacks – acute inflammation of the joint, which suddenly develops against the background of relative well-being. The provoking factors of exacerbations are usually stress, overeating and alcohol abuse. The main symptoms of gout in the acute phase include:
- Severe pain syndrome, aggravating at night and accompanied by a decrease in the amplitude of movements in the affected areas of the limbs;
- Joint enlargement in volume;
- Redness and swelling of the skin over the inflamed joint.
With a prolonged course of gout, tofuses can form on the body – nodular formations in the subcutaneous tissue containing a large amount of uric acid salts surrounded by connective tissue. Often metabolic disorders are accompanied by the development of urolithiasis and chronic inflammation of the renal pelvis.
When confirming the diagnosis, treatment should be started as early as possible. Severe complications, including acute renal failure, are equally likely to develop at all stages of gout, leading to disability and even death.
- Treatments for Gout
- Compliance with diet
- Acute Attack Treatment
- Intercritical treatment
- Treatment with folk remedies
- Gymnastics and massage
- Methods and regimens for effective treatment of gout
- Features of Gout Treatment
- Principles and treatment regimens for gout
- Modern physiotherapeutic methods for treating gout
- Folk methods
- Diet as an effective treatment for gout
- Gout in men: signs, causes and treatment
- What is gout in men
- What causes gout in men
- How does gout manifest in men
- What is dangerous gout for men
- How is gout treated in men?
- Ways to treat gout on the legs
- Relieve inflammation and pain
- Analgesics for ailment
- Ointments and creams against the disease
- The use of uricosynthesis inhibitors
- Uricosuric use
Treatments for Gout
Having figured out what gout is, consider the main ways to eliminate its manifestations. In the absence of complications and concomitant diseases, all stages of the pathology can be treated on an outpatient basis. Depending on the symptoms, treatment of gout on the legs at home includes a set of measures aimed at relieving pain, preventing the development of complications and repeated relapses.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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Compliance with diet
Nutrition correction is an essential condition for effective treatment of gout. To eliminate the painful manifestations of pathology, products containing a large amount of purine, the final metabolic product of which is uric acid, should be excluded from the diet:
- All varieties of red meat;
- Fatty fish and seafood;
- Offal (liver, k >
The basis of the diet during the treatment of gout joints should be fruits and vegetables, cereals, dairy products, low-fat fish and lean white meat (chicken breast, turkey). The amount of animal protein should be reduced to 4-5 g per day. During a gouty exacerbation of gout, experts recommend a low-calorie vegetarian diet.
Every day you need to drink at least 2 liters of fluid (or 3 liters in case of relapse, if there are no problems with the kidneys). Preference should be given to alkaline mineral or pure water, decoctions of herbs, homemade fruit compotes and fruit drinks.
Acute Attack Treatment
To relieve an acute attack of gout of the joints, it is necessary to observe peace, immobilizing the diseased limb. It is advisable to fix the leg in a raised position. Take a course of drug therapy as directed by a doctor, which includes taking the following drugs:
- Colchicine – the main pain reliever for gout (most effective in the first 12 hours after the onset of the attack);
- Nonsteroidal anti-inflammatory drugs for oral administration (Ibuprofen, Naproxen, Diclofenac, Nimesulide);
- Local painkillers, decongestants, and anti-inflammatory drugs in the form of ointments and gels (Butadion, Diclofenac, Ketoprofen, Vishnevsky Ointment).
Drug therapy for gout joints is carried out under the supervision of a physician. The uncontrolled use of most drugs (especially colchicine and its analogues) leads to the development of severe side effects associated with the work of the gastrointestinal tract and kidneys.
With timely first aid for gout, it is possible to quickly stop painful symptoms. On average, the acute phase of the disease lasts from several days to several weeks. With the onset of persistent remission, it is necessary to continue to follow a diet and all the recommendations of a doctor, to lead a healthy lifestyle.
Medication for gout during the intercritical period is usually not required. However, with a severe course of pathology, accompanied by frequent exacerbations and a steady excess of the content of urates in the blood, Allopurinol is often prescribed. The drug inhibits xanthine oxidase production, helping to reduce uric acid production. Sometimes, as a prevention of relapse of gout of the joints, NSAIDs are prescribed in short courses.
Treatment with folk remedies
To relieve pain and inflammation with gout of the joints, the recipes of traditional medicine have proven themselves well.
Therapeutic compresses. To achieve a lasting result, it is necessary to carry out procedures for at least 10 days. It is best to apply a compress before bedtime, insulating the affected joint with cling film and a woolen scarf. As a basis for the preparation of a compress, you can use:
- Chopped garlic mixed with 9% vinegar and aged in a dark place for 2-3 weeks;
- Liqu >
Foot baths. To prepare the infusion, pour 50 g of fresh or dried herbs (cinquefoil, celandine, calendula, sage) with 3 liters of boiling water. Warm foot baths for gout of the metatarsophalangeal and ankle joints should be taken for 10-15 minutes daily for 3 weeks. After 2-3 weeks, it is advisable to repeat the course of treatment.
Infusions and decoctions of herbs for oral administration. The most effective remedy is celery. Pour one spoonful of crushed rhizome with two glasses of boiling water and insist for half an hour. Use during the day, divided into 3 doses. It is also useful to drink infusions and teas with a pharmacy chamomile, birch buds, peony petals, mint or a string.
Grinding with iodine. Crush into powder 5 tablets of aspirin, add about 10 ml of an alcoholic solution of iodine, mix thoroughly. The resulting slurry is applied to the affected joint 2-3 times a week for 20-30 minutes (we recommend that you familiarize yourself with the recipes for using Aspirin for gout).
Activated carbon treatment. Mix a few crushed tablets with linseed oil until a thick slurry forms. Distribute the resulting mass evenly over the affected areas of the body, cover with cling film and a warm cloth. Wash off the product after 5-8 hours (can be left overnight).
Onion soup. Boil two large onions together with the husk in a small amount of water until soft, then cool and filter. The resulting broth is consumed in a glass a day for 2 weeks. If necessary, repeat the treatment monthly.
To cure gout at home, it is recommended to combine alternative and medical methods of therapy, diet and gymnastics. Despite the safety and beneficial properties of natural products used in traditional medicine recipes, you should consult your doctor before starting treatment.
Gymnastics and massage
Effective treatment of gout at home includes compliance with gentle physical exertion. To maintain joint mobility with gout, it is recommended to perform the following exercises:
- Flexion and extension of the legs in a sitting position;
- Foot rotation with maximum amplitude;
- Rolling with your toes balls of different diameters;
- Walking alternately on the heels, toes, outer and inner arch of the foot.
With gout lesions of small joints on the toes, self-massage is effective. For manual treatment, it is necessary to thoroughly warm the feet with stroking and rubbing movements, capturing the heel, the back and side of the foot. Increasing pressure gradually, move towards the focus of inflammation. It should be remembered that massage for gout does not allow sudden movements and pain. After completing the procedure, you should wear woolen socks and avoid hypothermia.
To get rid of gout on the legs, it is recommended to lose weight. For this, yoga classes, long distance walking, swimming in warm water are suitable.
Only a specialist can answer the question of how to treat gout on the legs at home, taking into account the stage of pathology and the overall clinical picture. It is impossible to completely defeat chronic gout of the joints, but maintaining a healthy lifestyle and strict adherence to all doctor’s prescriptions helps prevent relapse and the development of complications.
Methods and regimens for effective treatment of gout
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.
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.
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 the treatment is mainly aimed at preventing relapse, exacerbation of 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 is the comprehensive treatment of gout.
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 appear. 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 complex treatment, physiotherapy for gout is very effective: it improves the condition of cartilage 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 particular case is determined by the doctor. Most physiotherapeutic procedures are usually available during a course of spa treatment. The most famous domestic sanatoriums of this specialization are located in the Crimea (Saki), southern Russia (Pyatigorsk, Mineralnye Vody), Altai (Belokurikha), etc.
Traditional medicine has long been inventing tools to help get rid of gout pain. Here is 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 purine-containing products 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 to increase fluid intake to 2,5–3 liters, as this helps to remove salts from the body. The emphasis should be on clean drinking water. Reception of salt 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.”
The likelihood of contracting 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. Properly selected therapy can bring high results. But only a specialist can appoint her.
The tradition of traveling to sanatoriums has developed in our country in the Soviet years. At one time she was forgotten, but today it is gratifying to see the revival of this form of treatment and rest, because being in such an institution significantly improves the condition of patients. Continuous comprehensive treatment in an ecologically clean place always brings tangible benefits.
Gout in men: signs, causes and treatment
Gout, known to mankind since ancient times, in its history has repeatedly undergone a change in the attitude of society. In ancient times, it was considered a “disease of vice”, in the era of enlightenment – “a disease of kings,” at the beginning of the th century – a “disease of geniuses.”
Having not lost its relevance over the centuries, this ailment continues to excite the stronger sex: “gout – what kind of disease do men have, what treatment?”, “What is gout on the legs of men?”, “What are the causes of gout on the legs of men?” , “What are the signs of gout on the legs of men?”, “What is the most effective treatment for gout on the legs of men?” Here are just a few of the questions with which patients come to the doctor.
In our article, we will talk about the causes of gout, its symptoms and treatment in men, since Hippocrates noted that this ailment does not affect young women and eunuchs. A similar “gender injustice” is associated with the fact that estrogens produced in the female body help to remove uric acid from the body, preventing it from accumulating in excess. Accordingly, the manifestations of gout in men who are not protected by these hormones are noted on average 9 times more often than in women.
Of course, the features of hormonal status are not the only cause of gout, but many factors can provoke this disease with the same frequency in both men and women. We will talk about them below.
What is gout in men
Gout is a metabolic disease in which, against the background of increased formation of uric acid or a decrease in its excretion, hyperuricemia (increased level of uric acid in the blood) occurs, followed by “sedimentation” of sodium monourate crystals (the so-called “salts”) in various body tissues (more often in periarticular structures and intraarticular fluid). Urate stones (stones) are also formed in the urinary organs (bladder, ureters, kidneys).
What causes gout in men
Hyperuricemia can lead to excessive intake of purine bases in the body, the decay product of which it is. And they come mainly with food: red varieties of meat and fish, coffee, cocoa and chocolate, cheeses, sausages, smoked meats, alcoholic beverages. Intemperance in the use of these products inevitably leads to the deposition of urate in the tissues. In ancient times, not everyone could afford the abuse of such products, therefore gout was called the “aristocratic disease”, because its presence testified to a certain level of well-being. The relationship between the development of gout, the severity of its symptoms and the volume of treatment in men with nutrition, or rather, its imbalance and irrationality, is obvious. With an increase in the standard of living of the population, the incidence of this disease has also increased – gout is truly a disaster for overeating humanity, while in third world countries it is quite rare.
On the other hand, the concentration of uric acid in the blood also increases with violations of its excretion in the urine. This happens with various pathologies of the kidneys and other conditions associated with the development of their function.
In the early stages, this metabolic imbalance does not manifest itself – a laboratory examination may reveal an increase in urinary concentration
blood acids or urate crystals in urine sediment, but there are no other symptoms of the disease.
Less commonly, hyperuricemia develops with tumor diseases, pathologically high physical exertion, sepsis (inflammation of the blood) – this is the so-called reactive gout.
How does gout manifest in men
The first signs of gout in men usually appear suddenly: against the background of relative well-being, often after errors in the diet and drinking alcohol an acute attack of gouty arthritis (inflammation of the joint) occurs. This arthritis is able to affect the shoulder, elbow, wrist and other joints, but the most characteristic first signs of gout appear on the legs – in men, as well as in women, the first metatarsophalangeal joint (big toe) and the joints of the foot are “attacked”. It is no coincidence that “gout” literally means “a foot in a trap” when translated. The symptoms of gout with inflammation of the joints on the legs of men are as follows: sharp, unbearable, burning pains in the joint suddenly occur (patients often call them “gnawing”), the joint increases sharply in size, blushes, swells, and movements in it become impossible. This is the so-called gouty attack. The process, as a rule, is one-sided.
When the acute symptoms of arthritis (while taking medication, physiotherapy or other folk remedies for treating gout) in men subside, the disease goes into the next phase – the interictal period. This is a period of relative prosperity in which a person may not be bothered by anything.
But if provocative factors are not excluded, the lifestyle is not changed, and the prevention of exacerbations is not carried out – a gouty attack will occur again. With a wavelike alternation of interictal periods and exacerbations, the disease becomes chronic tofus form. In this phase, in addition to the articular symptoms of gout, men develop tofus – deposits of urate salts. Tofus can be external, forming within the soft tissues, more often in the projection of the affected joints (look like whitish-yellow rounded dense plaques), and internal when salts are deposited directly in the joint cavity.
Other common signs of gout in men include secondary damage to the urinary organs: an increased content of urates in the urine leads to their deposition in the bladder, ureters, but most often in the renal pelvis in the form of urate stones. Urolithiasis develops, often accompanied by secondary inflammation of the affected kidney – pyelonephritis.
What is dangerous gout for men
The result of gout in men can often be disability, because with constantly recurring inflammation in the affected joint, irreversible changes form, secondary degenerative arthrosis develops, which ultimately leads to persistent movement disorders in it. Tofus also entail not only a cosmetic defect, but also serious complications: they can spontaneously open, suppurate, increasing the risk of purulent inflammation in a nearby joint.
Damage to the kidneys is dangerous by the development of such an acute condition as renal colic. Often, urates form a large “coral” stone, which can completely block the lumen of the pelvis, obstructing the outflow of urine and provoking the development of hydronephrotic transformation (the kidney loses its function, turning into a “bag of urine”) with an outcome in chronic renal failure.
How is gout treated in men?
If a nutritional disorder leads to the development of gout symptoms, then treatment in men is a diet, namely table No. 6. It is based on a diet with restriction of purine-containing foods and the use of “alkalizing” products that neutralize uric acid.
The list of products whose use should be excluded include:
- coffee, cocoa, chocolate;
- legumes and spinach;
- canned food and caviar;
- salted and savory cheeses, sausages and smoked meats;
- confectionery with butter creams;
- red varieties of fish and meat;
- Champagne wines and beer.
If, against the background of a diet, the symptoms of gout in men persist, treatment with medications is required.
In the phase of acute inflammation, when a gouty attack occurs, non-steroidal anti-inflammatory drugs (NSAIDs), glucocorticosteroids (GCS), and drugs that affect uric acid metabolism are used.
NSAIDs are the “gold standard” in the treatment of active gouty arthritis and are widely used in the treatment of gout on all continents of the planet. They quickly block inflammation in the joint and articular syndrome, allowing you to restore joint mobility and returning a person to normal life. However, the minus of their use is that, with regular long-term use, they are able to provoke the development of ulcerative-erosive changes in the mucosa of the gastrointestinal tract, as well as increase the risk of liver and kidney failure. Therefore, patients who take NSAIDs for a long time need the appointment of gastroprotectors (literally – “protecting the stomach”) and dynamic medical monitoring.
GCS are anti-inflammatory hormones with high therapeutic efficacy in the treatment of gout. They are used both inside, and around – and intraarticular. In some cases, they can cause a number of adverse events, for example, systemic and local osteoporosis.
If NSAIDs and GCS do not help with a gout attack, drugs are additionally prescribed that block the metabolism of uric acid by reducing the activity of a number of enzymes or slowing down the reverse absorption of uric acid in the renal tubules and enhancing its excretion from the body.
Treatment of gout in men in the interictal period involves the appointment of specific therapy to prevent the formation and cleavage of existing crystals of sodium monourate. Such treatment is prescribed for frequent relapses of acute arthritis, the formation of tofus, the development of urolithiasis.
Preparations with a similar effect include Allopurinol, which reduces the formation of uric acid in the body due to the blockade of certain enzymes, and Probenecid, which disrupts the reverse absorption of uric acid in the renal tubules and enhances its excretion from the body with urine. The latter is not recommended for use with existing kidney stones.
But how to treat gout in men, if the diet did not bring the expected effect, and the symptoms of the disease persist?
An excellent method for the comprehensive treatment of gout, which enhances the effect of drugs, while reducing the duration of their intake and dosage, for many years remains physiotherapy, which is included in the standard of care for the treatment of this disease.
The most effective method of physiotherapy for gout include magnetotherapy, cryotherapy and phonophoresis. The advantages of magnetotherapy include its strong anti-inflammatory effect, a fairly “mild” effect, which is practically not accompanied by the development of side effects, and the possibility of carrying it out at home. Modern medicine allows the patient to carry out the procedure at home without any difficulties, using compact magnetotherapy devices for home use.
Cryotherapy, i.e. exposure to cold, has an excellent anti-inflammatory and pain relieving effect in acute attacks of gouty arthritis. Like magnetotherapy, cryotherapy can be carried out independently at home, without the help of medical specialists. The presence of such a device at home will help the patient cope with a gouty attack if it occurs at a time when it is impossible to immediately receive medical help.
Phonophoresis – local administration of drugs using ultrasound. It allows to achieve a high concentration of the drug at the injection point with minimal systemic effects. In addition, the very effect of ultrasound also has a good anti-inflammatory effect due to improved blood circulation.
Having examined the main symptoms of gout, the methods of its treatment and dietary features in men, I want to emphasize once again that the main guarantee of successful prevention and victory over any ailment is, first and foremost, a healthy lifestyle.
Ways to treat gout on the legs
If the first symptoms appear, hurry to the doctor, do not delay the treatment
The patient is diagnosed with gout of the big toe if he feels painful symptoms, fever and swelling are observed. The inflammatory process developing in the joints gives the patient a lot of inconvenience and discomfort, so drug treatment is necessary. Therapy for exacerbation of the disease is preferably carried out stationary. If there is a disease, treatment should be carried out comprehensively by several methods. Therapy of a gouty attack has several goals: eliminating inflammation, restoring normal mobility. It is possible to cure gout on the legs if the prescription of drugs is done correctly and the treatment regimen corresponds to the patient’s condition.
Relieve inflammation and pain
Such a disease causes a strong inflammatory process in the joints, because of which the onset of pain begins. After laboratory research methods have confirmed the diagnosis, nonsteroidal anti-inflammatory drugs are prescribed to the patient. Painful symptoms also disappear if the disease is treated with NSAIDs. Nonsteroidal anti-inflammatory drugs in the first few days after the onset of an acute attack of gout are taken in high dosages in order to stop the expressed symptoms. Then, the dose of medications is gradually reduced so that the pain does not return.
The following non-steroidal anti-inflammatory drugs are prescribed to patients:
Nonsteroidal anti-inflammatory drugs can quickly stop an attack of gout. They are also used if there are inflammatory diseases of the gastrointestinal tract, but these drugs can not be abused. This method of treating the joints of the big toe can lead to serious side effects. Nonsteroidal anti-inflammatory drugs cause nausea, vomiting, ulcers. It is not recommended to treat gout on the legs with Aspirin, since this remedy can change the level of uric acid and aggravate an attack of gout. NSAIDs are intended for internal use, but treatment with drugs is not limited to such, it is possible to use non-steroid drugs externally as ointments and creams.
Analgesics for ailment
Therapy is aimed at stopping painful signs, other symptoms of analgesics are not removed. Gout on the legs begins to pass if the patient follows the recommendations of doctors, follows the pattern of use of drugs. Attacks of pain can last from several days to a week, therefore, analgesics are prescribed to relieve the symptoms of the disease:
- “Ibuprofen” – 2 pills per day;
- “Voltaren” – 24 mg tablets 4 times a day, the duration of use – 14 days.
Treatment with pain medication can last up to 1 month. Medications are prescribed depending on the nature of the pain. It is impossible to treat the disease with analgesics during pregnancy, in childhood, and with individual hypersensitivity to the components of the drug. The painful symptoms of gouty arthritis will begin to pass faster if you observe bed rest, do not lift weights.
Ointments and creams against the disease
To treat the disease in the area of the big toe, elbow or elsewhere should be medications for external use. Ointments and creams can be used in addition to tablets and injections. If there is a disease in the joints, this treatment method helps to prolong remission. However, this method cannot be the only treatment. Ointments and creams prevent a new attack of the disease. Also, these drugs relieve swelling, inflammation, pain. How to cure gout?
For external use, the following drugs are used:
You can treat gout on your feet with Tiger Balm White. Chinese ointment is an excellent medicine for myalgia, which is typical for people who have been diagnosed with this disease. Ointments can be prepared at home. It is also possible to treat disease of the joint of the big toe with folk remedies after visiting a doctor. There are medicinal herbs that are incompatible with some drugs, so consulting a doctor is an integral part of treating a disease.
The use of uricosynthesis inhibitors
Drug treatment for gout is aimed at suppressing the synthesis of uric acid. Uricodepressants help cope with the disease and prevent complications. How to treat gout on the big toe? Acute attacks of the disease are treated with the following medications:
- “Allopurinol” is often used as a medicine for exacerbation of a gouty attack of the joint of the big toe, elbow and knee joints. The duration of joint treatment with this drug is determined by the attending physician. To treat gouty arthritis with Allopurinol, they start with 50 mg tablets per day, then the dosage is gradually increased to 400 mg per day.
- “Orotic acid.” This method of treating gout on the big toe is in the form of granules and tablets. A medicinal drug enhances the excretion of uric acid, therapy with “Orotic acid” lasts 20 days. Compared with this medicine, medicines such as Febuxostat, Allopurinol, Peglotikaza are more effective. Therefore, it is not worth using tablets of “Orotovy acid” for exacerbation of gout. This method of treatment should be used in the initial stages of the development of the disease. Also, therapy with this medication is prescribed if the patient is contraindicated in taking “Allopurinol” or with poor tolerance.
For gout on the legs, Tiopurinol is also used as a medicine. Currently, Ziloric and Hepatocatalase (a medicine from beef liver) are also prescribed for the elimination of uric acid for the treatment of chronic and acute attacks of gout.
Gout of the big toe is also treated with the use of uricosuric medications. Therapy of the disease is necessary with the help of these medicines. These gout medications are used to lower salt levels. Medications remove metabolic products that cause poisoning. Uricosuric drugs excrete uric acid through the kidneys along with urine, intended for internal use.
Treatment of gout with medications – choose effective drugs:
Home treatment is aimed at blocking uric acid crystals from settling in the joint tissues. From gout, “Colchicine” is prescribed most often. The use of such a medication is welcome in the presence of exacerbation of gout. During remission, treatment of the disease with this agent is not carried out. Medical treatment of gout with Colchicine can cause a large number of side effects.