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Natural Home Remedies for Gout

Causes and Symptoms: Gout is a disease of the joints and is a form of rheumatism. It is a constitutional disorder connected with excess of uric acid in the blood manifesting itself by inflammation of joints with deposition of urate of soda and also by morbid changes in various important organs.


The disease is more common in mature age and in the males than females. Persons exposed to the influence of lead poisoning such as plumbers, are apt to suffer from gout. Attacks of the disease are readily excited by exposure to cold, disorders of indigestion, fatigue and injuries to particular joints.


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 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.

Gout is a fairly old disease, being around for more than two thousand years. Gout is a disease that affects mostly mean, but women can suffer from gout as well, mostly after menopause. Gout is a very hard rheumatic disease, but out off all this type of diseases, gout probably has the best treatment.

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

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.

The real culprit is the type of food, which we are addicted to. Our blood is chiefly alkaline and anything that tends to produce acidity should be avoided. Treating gout in any other system is chaotic. The real cause of the disease is not attack and recourse is taken to painkillers or antidoting of the poison is under taken. The Ayurvedic practitioners prohibit the intake of fruits and vegetables on the plea that they may produce cold, which is supposed to be bad for the gout and thus deprive the patient of the real cure. Doctors have some times advised patients to have their teeth or tonsils extracted under the misconception that the seat of the disease lays there. But even the excision of these has never led to any relief to the gout patients. More on Natural Home Remedies for Gout

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

We know two types of gout. Acute gout is treated using different medicines such as non-steroidal anti-inflammatory drugs (NSAIDs), colchines and corticosteroids. The NSAIDs are drugs that help easing the pain and have an anti-inflammatory effect. As NSAIDs we have to mention indomethacin, ketoprofen, oxaprozin, diclofenac, ibuprofen, etodolac, naproxen and sulindac. This type of treatment has proved to be the best in preventing gout attacks and easing the symptoms. NSAIDs are recommended for as long as the patient has symptoms and are taken by mouth three or four times a day. NSAIDs assure the easing of symptoms by suppressing the production of fatty acids called prostaglandins that cause the inflammation and pain in gout sufferers.

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

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.

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

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.

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.

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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.

Modern medicine believes gout to be hereditary since it has been found in 50 to 80 percent of the cases that the patient's parents or grand parents suffered from the disease. The disease affects the sedentary persons more than those who lead active lives, but it is not always true. On the other hand, inadequate exercise, a luxurious manner of living, habitual over-indulgence in rich foods and especially in alcohol is the precipitating factors in the onset of the disease. Some teetotalers and vegetarians are also found to be victims of gout.


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

The food should consist of fresh fruits and vegetables-substances, which do not stick to the intestines. Fruits, which can be taken without peeling, should be taken. In the beginning of the treatment, the best course would be to live on fruit juices. That would give some rest to the intestines. Fruits recommended are: oranges, grape fruit, pineapple, raspberry and pear. Vegetables like the various gourds, cabbage, tomatoes and greens are the best. The more chronic the disease, the greater should be the period for which the patient should live on fruits and vegetables.

Naturopathy believes that like all other diseases, gout is the result of inadequate excretion of the morbid and poisonous matter from the orifices of the body. The bowels, the urinary tract, the skin and the nostrils---all must expel the waste matter from the body. If they become slack and do not function properly, those substances accumulate in the body and produce gout. Life depends on healthy blood and nature has devised catarrh, diahrroea and fevers to force the human system to expel the accumulated waste matter. If these diseases are suppressed, as happens in most case when the patient takes to allopathic treatment, the poisonous and morbid matter attacks the part of the body, which is weaker than others. That is how chronic diseases are born.

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.

Urate is the main cause of gout as studies have shown. However, not all people who have high urate levels actually suffer from gout. Even relatives of gout patients can have high urate levels in their blood and still not suffer from gout or have any gout attack in their lives. Diuretics, that are mainly used to treat high pressures of blood or heart problems can increase the levels of urate and thus lead to gout.

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.

The third way of treating gout is the use of corticosteroids such as prednisone, prednisolone and triamcinolone. This treatment is prescribed for patients that can not take NSAIDs or colchine, being the third alternative in treating gout. This treatment has benefic effects after steroids are injected into the joint muscle. Afterwards pain is locally relieved.

Hot fomentation should be undertaken to reduce the pain in the joints. About 75 grammes of salt should be added to one litre of hot water for fomentation. The site of fomentation should be washed with cold water later on. Those who suffer from a constant pain should apply a paste of raw potatoes ground fine on the affected joints. The paste should be allowed to remain for some hours.

Hippo crates in his Aphorisms speaks of gout as occurring most commonly in spring and autumn, and mentions the facts that women are less liable to it than men. Why the uric acid is found in excess is not understood by the allopathic physicians. Uric acid is formed in the system in the process of nutrition and is excreted by the kidneys. In a patient suffering from gout, the quantity of uric acid is found to be much more than normal. In a paroxysm of gout, the body appears to get rid of a lot of uric acid and there appears to be some relied but that is purely temporary.

 
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Colchine is the alternative for NSAIDs. This medicine has been used to treat gout for years. It has benefic effects on reducing and even eliminating the pain caused by gout. Even so this treatment is not recommended for persons who can not tolerate side effects such as diarrhea, nausea, vomiting or abdominal cramps. Colchine is a treatment with benefic effects because it reduces the deposit of uric acid crystals that cause inflammations. An intake of colchine within 24 to 48 hours of the onset of the gout symptoms is believed to have the awaited effect.

Treatment: To real treatment of gout starts with ensuring that all the orifices of the body, which expel waste and morbid matter, are activated to do their work properly. The patient should breathe fresh air, so that oxygen is available to him in larger quantities cleansing his blood of poisonous humours. The gout patient must increase his intake of water to produce more urine. He should take lukewarm water in the morning and evening mixed with the juice of mine. The pores of the skin should be activated by a cold bath every day and drying of the body with vigorous rubbing with the palms of the hand. If the pain in the joints is too severe and the patient is unable to massage his body himself, he should seek somebody else's help. Sun bathing should be undertaken to produce sweat. The head may be covered with a wet towel to save it from excessive heat of the sun. Spending half an hour in the sun will activate the sweat glands. A cold bath is recommended after a sunbath; if the patient does not feel equal to it, he would be better advised to wipe his body with a wet towel. Sun bathing should be done no more than thrice in a week. If there is no sun, sweat should be induced by a steam bath or by merely soaking one's feet in hot water.


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.

After a five-day period during which only fruits and vegetables are taken, milk should be added to the diet. It should preferably be boiled and taken in quantities of 250 to 500 millilitres at one time. Bread should be taken only after a fortnight of living on fruits and vegetables. Potatoes can replace bread with advantages as they contain more alkaline matter.

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.

Gout is a problem that in most of the cases occurs suddenly. That is why it is really hard to prevent it. Doctors can only advice for a low alcohol intake and a healthy diet. Only after its occurrence specialists are able to prescribe a treatment. Treatment for gout is prescribed in order to ease the symptoms that usually consist of extreme pain in the affected joints.

Gout is very painful. In fact, this disease is the most painful of all rheumatism or arthritis forms. Gout attacks mainly start during night time and the first gout attack sign is pain in your big toe. This toes becomes swollen, extremely red and painful. However, it is sometimes difficult for doctors to tell you if you are having a gout attack or it is just a simple bunion case. Besides this joint, other joints can also be attacked by gout. The elbow, wrist or knee are some of the other places at risk of a gout attack.

Even if an injury is the most common cause of a gout attack, illness, fatigue or worry can also trigger a gout attack. If you have an operation, this might also bring an attack of gout just a few days later.

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.

An attack of gout may appear without warning, or there may be premonitory symptoms. Among the most common of these are disorders of the digestive organs, with a feeble and capricious appetite, flatulence, uneasiness in the right side in the region of the liver, and irritation in the urinary organs. There is also irritability, numbness and coldness in the limbs. The attack comes usually at night, usually between two and three in the morning. The affected part is found to be swollen and a deep red hue. The skin is tense and glistening and the surrounding veins are more or less distended. The attack lasts for a week or ten days during which the patient suffers from constipation, dyspepsia and extreme thirst. The urine is scanty and high coloured with a copious deposit, consisting chiefly of urates. The joint affected may become swollen but if the disease is not attended to, the swelling spreads to other joints and it becomes chronic. Joints also become enlarged and refuse to function without giving excruciating pain to the sufferer.

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

The second type of gout is chronic gout. In these cases treatment is prescribed in order to prevent acute gout attack from recurring. In many of the cases this means decreasing the uric acid levels. The recommended treatments are xanthine oxidase inhibitors and uricosuric agents. Xanthine oxidase inhibitors such as allopurinol lead to decrease of uric acid levels in the organism. Uricosuric agents are medicines that help kidneys to eliminate the excess of the uric acid produced by the body. As uricosuric agents we can mention probenecid or sulfinpyrazone.

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:

There was a myth that said that the cause of gout is too much food and drinks. Nowadays, this myth has proven wrong. However, everybody knows that there is a little truth in every myth. This gout myth makes no exception. If you drink a lot, but mainly wine or beer and if you eat more than you should, then gout attacks are more likely to appear. However, this is not the cause of gout. Studies have shown that people who suffer from gout suffer from a chemical process disorder of their bodies. One of the gout causes can be the build up of urate, that can form crystals in your joints. These are very painful. However, this problem is mostly genetic and almost all people who suffer from it inherited gout from their grandparents or parents. Actually, gout is a family problem.

For more information about causes of gout please review http://www.gout-info-center.com/gout-diet.htm or even http://www.gout-info-center.com/foods-that-cause-gout.htm


Myrtle Randolph

 
 
     
 
 





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