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Gout on legs

 
, medical expert
Last reviewed: 23.04.2024
 
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The disease associated with a metabolic disorder is called gout. It is characterized by the postponement of salts of uric acid in the joints. To date, gout on the legs is a rare disease, it occurs in three people out of a thousand. Suffer them mostly men, over the age of 40 years. Women develop gout during menopause.

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Causes of the gout on the legs

The main cause of the disease is an excessive level of uric acid in the blood. The course of the disease is characterized by a significant deposition in the joints of urate crystals. They can accumulate in organs and other body systems. The causes of gout on the legs are caused by a metabolic disorder. As a result, small particles of sodium urate are freely deposited in the joints, leading to its partial or complete destruction.

Excessive amounts of uric acid occur for two reasons. The first option: healthy kidneys can not cope with the withdrawal of a large amount of this "material". The second reason: acid production occurs in normal mode, but the kidneys can not withdraw it.

Annually, gout affects more people, and this despite its not prevalence. Physicians associate this phenomenon with the consumption of food rich in purines. This includes alcohol products. Earlier, the gout was not easy, the products provoking its development was almost not there.

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Pathogenesis

At the heart of the disease is an elevated level of uric acid, contained in the blood. This is the pathogenesis of gout. To date, this symptom is comparable to a disease called hyperuricemia. The change in the level of uric acid is due to damage to the kidneys, blood. To cause this process are capable of excessive physical activity and consumption of a large amount of fatty and harmful food.

There are three main elements that provoke the development of gout. These include: the accumulation of a significant volume of uric acid compounds in the body, their deposition in organs and tissues, the development of acute inflammatory attacks in the lesions. Finally, this includes the formation of so-called gouty granulomas and tophus (usually they occur at the location of the joints).

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Symptoms of the gout on the legs

The first manifestations always bear a short-term character. It all starts suddenly, most often at night. Inflammation covers the big toes. Less often, defeat is observed on the hands, heels, knees and wrist joints. The main symptom of gout development on the legs is a sharp pain. A person simply does not know what to do about it and literally "climbs on the wall". The affected joint is characterized by redness and swelling. To the touch, the finger is very hot. A light touch to it delivers to the person a lot of unpleasant sensations, including a strong pain syndrome.

Any movement brings unbearable pain, continues all for 4 days. Then everything goes by itself and the person continues to live the same life. After a certain time, the attack repeats again. It is characterized by sudden development and severe course. The situation will be repeated until the person takes action. After all, over time, attacks will be longer and more painful. As a result, there comes a time when pain and inflammation are present constantly, and not periods. Causing the development of chronic arthritic arthritis.

Crystals of urate sodium can be deposited under the skin, leading to the formation of solid nodules. They are filled with a gruel-like mass. Call nodules - tofusami. Their main place of localization of the auricles near the crystals. After the breakthrough of tofus, the wound heals independently.

In addition to all the above symptoms, gout is characterized by deposits of urate in the kidneys. This leads to the development of urolithiasis, and sometimes pyelonephritis. Gout in women is much easier, it is characterized by the absence of acute attacks. Its main place of localization is the ankle joint.

First signs

The main sign of the manifestation of the disease is acute pain in the joint of the thumb. The attack begins as late at night, and in the morning hours. The first sign is a pressing pain that causes a lot of inconvenience to a person. The joint begins to swell, the temperature at the site of the lesion increases significantly. Skin covers are characterized by pronounced redness and can shine.

During the day, the victim feels lighter, but by the night the situation worsens. The duration of the attack does not exceed 3 days. In some cases, it can last for a week. With a repeated attack, the situation worsens, the time of torment increases. Unless measures are taken, partial destruction of the joint is not ruled out.

Another of the earliest signs of gout is the appearance of a build-up on the site of the affected joint. This indicates a sharp increase in the level of uric acid. The growth grows and eventually bursts, the wound heals independently.

Gout of the big toe

This disease is most often localized on the big toes, characterized by a chronic course. The cause of the disease is excessive deposition of uric acid and salts. Gout on the foot with a lesion of the thumb never passes without a trace. Over time, it leads to discomfort and severe pain.

The disease has another name - gouty arthritis. Exposed to its influence are representatives of the male sex, more precisely they suffer more often. In women, gout is very rare in menopause. The risk group includes people with excess weight and metabolic disorders.

Often, the disease occurs due to a genetic predisposition. In this case, its development is provoked by several main factors. These include: the use of high-calorie food, excessive consumption of alcohol, poor nutrition and excessive physical activity. The provoking factors are: excess weight, passion for coffee drinks and chronic kidney disease.

Forms

All existing diseases are included in a single database. Each disease is marked by its code, which is international. According to the code for microbial 10 gout is fixed under the number (M10).

  • M10.0 Idiopathic gout. This category includes gouty bursitis, primary gout and gouty nodes.
  • M10.1 Lead gout
  • M10.2 Drug Gout. For the need to classify a medicinal preparation that allows eliminating this type of disease, codes of external causes (class XX) were developed.
  • M10.3 Gout due to impaired renal function.
  • M10.4 Other secondary gout.
  • M10.9 Gout, unspecified.

The ability to classify diseases according to a single code allows a person to be treated anywhere in the world. After all, the disease noted in the medical chart, even without its name, will be easily identified.

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Complications and consequences

If you do not take any measures, the disease can take a heavy course. Attacks of gout will gradually pass into chronic pain, which will pester the person throughout his life. In order to avoid consequences it is necessary to control one's own state. The sooner a person seeks help, the higher the chance of a full recovery.

The chronic course of the disease requires surgical intervention. If you do not take the necessary measures, the joint can partially collapse. Over time, the situation worsens significantly, leading to its complete defeat.

The development of further consequences depends on the person himself. To warn them simply, it is necessary to identify negative symptoms on time and to address to the hospital. It is important to calculate the time between attacks and fix their severity.

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Complications

The lack of timely treatment can lead to serious consequences. The most serious complication is gouty arthritis. It is not excluded the development of urolithiasis and impaired renal function.

Gout is characterized by the formation of growths, the so-called tofus. They consist of sodium urate crystals, and can be deposited in any part of the body. Over time, they get stuck in the joints. The human immune system responds to this, leading to a high concentration of leukocytes. After all, tofus is nothing but an inflammatory process. As a result, gouty arthritis develops.

Excessive accumulation of kidney stones can cause kidney failure. If you do not take action, it will be fatal. From this point of view, gout is a really serious disease.

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Diagnostics of the gout on the legs

The diagnosis can be made on the basis of epidemiological diagnostic criteria. A chemical study can determine the deposits of urate and uric acid in the joints. Diagnosis of gout on the legs involves examining the patient and collecting an anamnesis about his condition. It is necessary to study the localization of swelling, assess the degree of pain syndrome and the duration of seizures. Then they learn tophi, their appearance and objective features.

X-ray examination allows confirming the presence of inflammatory processes in the joints. It is often used when examining the chronic form of the disease. There are certain criteria, the coincidence of which indicates the presence of the disease. The first of these is the detection of urates in the joint fluid. The second criterion is the formation of tofus. The third is an acute attack of arthritis, the fourth is a severe inflammation, the fifth is a monoarticular nature of arthritis. The sixth criterion is severe pain and swelling. Detection of several symptoms in humans, allows you to put a preliminary diagnosis.

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Analyzes

If suspected of gout, it is necessary to resort to laboratory tests. The first thing is a general blood test. Thanks to it, you can determine the quantitative content of uric acid and neutrophils. The level of these components varies significantly during the progression of the disease.

The analysis of urine allows to determine the amount of protein. Together, these two studies help the doctor get an overall picture of what is happening. The specialist assesses the patient's condition, the degree of danger and, on the basis of this, prescribes effective therapeutic measures.

Some tests may not be enough, in this case resort to additional diagnostic methods. They will add to the picture of what is happening, put the right diagnosis and start a quality treatment.

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Instrumental diagnostics

These diagnostic methods are applicable to almost all patients. They make it possible to supplement the general picture of what is happening. With gout, instrumental diagnostics are of little informative, but only in the early stages. Despite this, these methods of research make it possible to distinguish gout from other rheumatological pathologies. Widely used: ultrasound, scintigraphy with pyrophosphate technetium, CT and X-ray.

  • Ultrasound. Changes can be seen only during the period of exacerbation of the disease. It is advisable to conduct an ultrasound on the 4th day after the onset of an attack. Deviations from this figure are unacceptable. So, for 7-12 days, research can not show anything. With a chronic form of the disease, ultrasound will determine the deformation of articular surfaces and the presence of tofus.
  • Scintigraphy with pyrophosphate technetium. This study allows you to make an accurate diagnosis. It is based on the introduction into the blood of a special substance capable of accumulating in places of urate deposition. Additional scanning will determine the location and indicate the degree of gout.
  • CT scan (computed tomography). This method will provide a series of images of increased accuracy. With their help you can determine the degree of deformation of the joints, as well as the exact location of tofus. The method is effective even in the early stages of the disease.
  • Radiography of the affected joints. It is prescribed in the early stages, to determine the type of disease and to exclude the presence of other joint diseases. When gout X-rays do not allow you to capture the changes. This method is effective only in the chronic form of the disease.

Differential diagnosis

Laboratory studies together with instrumental diagnostics make it possible to obtain a complete picture of the disease. They are aimed at identifying the process of formation and excretion of uric acid at various levels. Differential diagnosis includes several areas: a general analysis of blood and urine, a biochemical analysis of blood and urine, the study of synovial fluid and tofusov.

  • General blood analysis. The study allows you to track the level of leukocytes. An analysis is made during the period of exacerbation, when an inflammatory process is observed. It is possible to change the ESR, deviation from the norm of other indicators indicates the presence of severe damage to the kidneys.
  • Blood chemistry. This method is the most important and significant. It allows you to determine the level of uric acid in the blood. Through it, monitor the indices of the C-reactive protein. Biochemical analysis indicates the presence of an elevated level of creatinine, lipids and urea. It allows to determine the quantitative content of prothrombin, fibrinogen and hepatic enzymes. These substances indicate the work of other organs and systems.
  • General urine analysis. This method allows you to identify changes that indicate kidney damage. This condition is characterized by the presence of a large number of urates in the urinary sediment. Perhaps the presence of albumin fraction of blood proteins. This is due to damage to the epithelium of the renal pelvis by calculi.
  • Biochemical analysis of urine. This method is necessary to determine the level of uric acid in the urine. It allows you to determine the amount of secretions of this substance during the day. Normally, it should not exceed 750 mg. If the kidneys were not affected, the filtration occurs in normal mode.
  • Investigation of joint synovial fluid. Presented by joint puncture, as a result of which it is possible to determine the level of leukocytes. The technique allows you to focus on neutrophils. This analysis is the most informative for the diagnosis.
  • Study of the contents of tofus. When the build-ups are opened, a large amount of crystalline powder is found in them. This symptom indicates the presence of gout.

Who to contact?

Treatment of the gout on the legs

The main principle of treating the disease is to control the level of uric acid. For the appointment of high-quality drug therapy it is necessary to seek help from a rheumatologist. Often, the treatment of gout on the legs involves the use of non-steroidal anti-inflammatory drugs. Usually appoint: Metindol, Diclofenac and Indomethacin. To normalize the level of uric acid resort to help Allupol, Milurit and Allopurinol.

An important part of the treatment is compliance with the diet. It is necessary to maintain a certain balance between the feeling of hunger and overeating. Sharp weight loss can lead to the development of a large amount of uric acid, leading to the development of gout. A similar action occurs during overeating.

Sports load plays an important role. It is necessary to move more, to do gymnastics, to walk, run and ride a bicycle. Food should be varied, and most importantly, steamed. Salt is excluded completely, if this recommendation is not possible, its daily dose does not exceed a teaspoonful. Spices and spices are removed without fail.

Observance of special rules will allow to remove seizures and ease the condition of a person. For this, it is sufficient to fulfill three recommendations: correct food, medication and sports.

How to relieve a gout attack on the leg?

During the manifestation of seizures, it is necessary to provide the body with a sufficient amount of liquid. Cope with the chronic course of the disease, will allow a special diet. First you need to practice increasing the fluid intake. It was proved that 5-8 glasses of water a day can improve the condition and reduce the unpleasant consequences of an attack. It is important to avoid strongly carbonated beverages. Effectively remove the attack of gout, both on the leg and upper limbs will allow products with low purine content.

You need to eat more fresh fruit. They contain almost no purines, but there are complex carbohydrates and nutrients that provide good health. Fruits, with the content of vitamin C will prevent attacks of gout. Pay attention to oranges and tangerines.

It has been proved that correct nutrition helps to relieve the attack of gout, and not the use of any compresses and other methods. The main task of a person is to reduce the amount of uric acid produced, and this can only be achieved by proper nutrition. Special recommendations in this regard should be given by an observant physician.

It is mandatory to exclude alcohol from the diet. This drink is characterized by an increased content of purines and is capable of worsening the situation. Moderate consumption of wine reduces the likelihood of developing gout.

Medications

To eliminate the disease widely used drugs aimed at normalizing the level of uric acid and have an anti-inflammatory effect. Often, they prescribe medications such as: Metindol, Diclofenac and Indomethacin. They have a pronounced anti-inflammatory effect. Stabilize the level of uric acid allow: Allupol, Milurit and Allopurinol.

  • Metindol. The active substance of the drug is indomethacin. It is not recommended for people with hypersensitivity. The drug is used in the amount of 1-2 tablets per day. Correct the dose may be the attending physician. The medication can not be used during the period of bearing a child, people with Crohn's disease and congenital heart defects. It is able to cause: diarrhea, erosion of the mucous membrane of the gastrointestinal tract, Quincke's edema.
  • Diclofenac. The drug is used on 1-2 tablets per day, and depending on the patient's condition. The course of treatment does not exceed 6 days. You can not use a medicine for people with peptic ulcer, urticaria and bronchial asthma. May lead to the development of dyspeptic phenomena, drowsiness, irritability and headaches.
  • Indomethacin. The drug is used 1-2 times a day for one tablet. The drug has a pronounced anti-inflammatory effect, it should be taken on the advice of a doctor. Use it is prohibited in cases of abnormalities of the gastrointestinal tract and sensitivity to indomethacin. May lead to the development of nausea, diarrhea and allergic reactions.
  • Allpol. The remedy is used after eating food. The daily dose is 200-300 mg of the drug. If necessary, increase it to 600 mg. Use the product is not possible with liver failure, diabetes, with an acute attack of gout and children under the age of 14 years. May lead to the development of myalgia, dyspepsia, urticaria and skin itching.
  • Milurit. The drug is a complete analog of Allupol. It is taken in a similar dosage, 200-300 mg per day, with the possibility of increasing to 600 mg. Side effects and contraindications are identical to Allulpo.
  • Allopurinol. The dosage of the drug is administered on an individual basis. The dose can vary between 100-900 mg per day. Applying the drug is not recommended for people with disrupting the kidneys and liver. Can lead to the development of a disorder of the cardiovascular system, the gastrointestinal tract and allergic reactions.

Ointment from gout on legs

Medicamentous treatment implies complex therapy. The intake of funds inside may not be enough, for this purpose the treatment on legs is supplemented with special ointments from gout. They are very effective and effective. Most often they resort to the help of Diclofenac, Butadion, Ketoprofen and Fullfleks. Previously, Wisniewski's ointment was widely used.

  • Diclofenac. Apply to the affected area 2-3 times a day. The duration of application is negotiated individually. Use the drug is not possible with open wounds and hypersensitivity to diclofenac. May lead to the development of hives, itching and redness.
  • Butadione. The agent is applied a thin layer on the affected area 2-3 times a day. The duration of application does not exceed 10 days. Do not use if there is a violation of the integrity of the skin and allergic reactions. May cause redness, itching and flaking at the site of application.
  • Ketoprofen. The gel is applied a thin layer on the affected area of the body 2-3 times a day. The duration of application is discussed with the attending physician. Use can not be done with open wounds, in the period of bearing a child and children under 6 years. It is able to lead to allergic dermatitis, eczema and skin rash.
  • Fullflex. The drug is applied to the inflamed part of the body with a thin layer. Enough 2-3 applications per day to achieve a positive therapeutic effect. Can not be used for hypersensitivity. There were no side effects.
  • Vishnevsky ointment. The agent is applied to the affected area several times a day. Contraindications and side effects ointment does not.

Alternative treatment

To help the body cope with many diseases, alternative methods of treatment are possible. With a long time, a huge number of various recipes have accumulated. Alternative treatment is aimed at rapid recovery of the body without harming him.

  • Recipe number 1. Applications from turnip. It is necessary to take a turnip and boil it, if necessary add 2 tablespoons of vegetable oil. The resulting mixture is cooled and applied to the affected area of the skin. If the joint formed tofus, apply the application is prohibited.
  • Recipe number 2. Fir cones are a great way to cope with a bout of gout. It is necessary to take the ingredient in an undisclosed form and pour it with 1.5 liters of liquid. Tincture should stand all night, after which it is used 3 times a day for 30 minutes before meals. Repeat the procedure is advisable until complete recovery.
  • Recipe number 3. Clear the joint will allow the bay leaf. It is necessary to take 5 grams of the ingredient and pour it with 1.5 cups of liquid. The remedy is insisted for 3 hours, then drunk in one day.
  • Recipe number 4. Clearing action has an ordinary boiled rice. It should be thoroughly rinsed, covered in a jar and filled with water. Throughout the night, the rice is soaked and boiled for the morning. Then it is washed again and cooked again. The procedure must be repeated 4 times. Eat the resulting "dish" you need without salt and oil. After drinking it, you can not drink it for 4 hours. The duration of treatment with this method is 45 days.

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Mineral water for gout on legs

Remove toxins and rid the body of harmful components will allow liquid. A large number of them can reduce the attack of gout and alleviate the condition of a person. Preference is given to mineral water. It helps to remove unnecessary purines from the body. This avoids the development of gout and prevent seizures.

Pay attention to the water, which contains alkaline and organic substances. They allow to achieve the maximum positive effect. The recommended brands include: Yessentuki and Borjomi. The effectiveness was proved by the water of Narzan. To achieve a positive result, you need to use 2.5 liters per day.

One water will be small, so you need to keep proper nutrition. The maximum therapeutic effect is achieved through the use of medicines.

Herbal Treatment

Medicinal herbs can have a positive effect in the treatment of many diseases. This category includes gout. Treatment with herbs allows you to achieve a good result. To resort to it alone is not worth it, due to the fact that some plants are poisonous.

  • Recipe number 1. Decoction of chamomile perfectly calms the inflamed part of the limb. For its preparation, take 100 grams of plant flowers and pour them 10 liters of liquid. When the solution is fed from it, you need to make a bath. Repeat the procedure until there is a positive effect.
  • Recipe number 2. Mullein common. Dry flowers of the plant should be filled with vodka or alcohol. The mixture must be insisted for 7 hours. At the end of the set time, start rubbing the product into the affected areas of the skin.
  • Recipe number 3. Infusion of St. John's wort. It is necessary to take 2 tablespoons of the main ingredient and pour a liter of boiling water. For 3 hours the product is infused. Then it can be consumed 50-70 ml 3 times a day. In the chronic course of the disease, the duration of treatment is several months.
  • Recipe number 4. Chicory. A couple tablespoons of the main ingredient should be filled with 200 ml of boiling water. It persists for 5 hours. Take it you need half the glass no more than 3 times a day during meals.

Homeopathy

Gout is an acute disease characterized by severe seizures. It can be fought with both traditional medicine and homeopathy.

In severe attacks, it is recommended to use ACONITE 30. Chronic disease can be alleviated by AMMON. PHOS. 30. The reddened and inflamed joint of the thumb requires the use of ARNICA 30. For typical gout symptoms, BELLADONNA 30 is used. If there is a strong swelling, BRYONIA 30.

Sharp soreness and excruciating pains are eliminated with COLCHICUM 30. GUUIACUM 30 will help to get rid of tofus. If the condition worsens, it is necessary to take LEDUM 30. An acute and chronic form requires the use of SABINA 30. To relax the sudden attack will allow URTICA 30.

Taking homeopathic medicines is possible only with the permission of the doctor and under his supervision. Independently prescribe treatment is not recommended.

Operative treatment

The most radical method of treatment is surgical removal. It is aimed at eliminating the tofus build-up. To prompt treatment are resorted to in cases of severe gout. Surgical intervention involves the removal of uric acid from soft tissues.

Operations of this kind are mainly conducted in Israel or Germany. Drug treatment only allows to stop an attack, but does not allow to completely get rid of the disease. Practice the removal of gout many clinics in Russia. Treatment is carried out in a complex way, its cost does not go beyond the acceptable limits.

Before the surgical intervention, the human body is fully investigated. You need to know all the blood counts and the level of uric acid in it. Then preparation for an operative intervention is carried out. It should be understood that after the removal of tofus he may appear again. Not immediately, but after a certain time. Gout is a disease for life. Treatment is aimed at maintaining a person's condition.

Diet for gout on the legs

If you have a disease you need to observe a special diet, this will reduce the level of uric acid in the body. Diet with gout on the legs requires the restriction of the consumption of certain foods. So, almost completely eliminate the need for meat, poultry and fish. These products are rich in purine content. It is necessary to refuse from fatty varieties of fish, meat by-products and canned fish. It is necessary to reduce the consumption of fats. They are able to influence the body, preventing the removal of uric acid from it. Refuse preferably from asparagus, beans and cabbage. The diet implies a restriction of alcohol consumption. Alcoholic drinks provoke the development of gout. Their main action is aimed at blocking the work of the kidneys, which prevents the excretion of uric acid. It is acceptable to consume 250 ml of dry wine per day, but not more than 4 times a week.

Fructose is banned, so products based on it can not be consumed. This list includes confectionery, ketchup, corn syrups and juice drinks. Preference is given to complex carbohydrates. You can eat foods based on whole grains, fruits and vegetables. Confectionery products are banned, this includes white bread.

It is advisable to eat dairy products with a low fat content. It can be low-fat yogurt or milk. Finally, a large amount of fluid is the main of any diet aimed at eliminating gout. In a day you need to use at least 2 liters of water. Detailed recommendations regarding the diet can be obtained from your doctor.

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Diet 6 with gout on the legs

In addition to excluding from the daily diet of prohibited products, it is necessary to adhere to a healthy diet. To eat should be 5-6 times a day, for a small portion, its volume should not exceed one glass. The main essence of diet 6, used for gout on the legs, is limiting daily calorie intake. Liquid is of great importance, its quantity should not be less than 2 liters per day. Drink allowed alkaline drinks, fruit drinks, broth of dogrose, tea and coffee.

Experts recommend to spend unloading days. It is advisable to allocate for this 1-2 days a week. The essence of unloading is the use of one product throughout the day. You need to give preference to apples, kefir, cucumbers or compote.

Diet for gout is a compliance with a full and healthy diet. It must be adhered to not only during the attacks of the disease, but also to healthy people. It is necessary to eat a certain amount of protein, fat and carbohydrates. Dilute the diet should be with vegetables, fruits and vitamins.

The list of prohibited products includes any meat dishes, including broths. Mushrooms and fish are banned, these foods are too heavy for the stomach. Refuse to have from sausages and smoked products. This includes canned goods, salted fish and cheese. Daily use of salt should be minimal, from seasonings should be completely discarded. Sweetheads will not just have to, because eating chocolate is also not recommended. If the patient suffers from excess weight, you need to abandon the bakery and confectionery products.

The resolved list is not as scant as it may seem. So, 3-4 days a week you can eat lean meat and fish. You can eat chicken eggs, but not more than one per day. The meat must be in the boiled form. Look closely at sour-milk products. Preference is given to cottage cheese, kefir and sour cream. The main diet should be fruits and vegetables. You can eat any cereals, salads and soups.

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Bath with gout on the legs

Coping with the disease will help the sauna and sauna. Before resorting to this method, you need to consult a doctor. Bath can not be called a panacea for all diseases, but all the same there is a sense of it. Long since this method was used to alleviate the general condition. Alternative medicine and bath for gout on the legs are two fundamental components. They completely combine together, preparing decoctions of medicinal herbs and steaming legs.

Contrasting procedures are what you need to do in the bath. It is necessary to prepare broths from herbs and alternately lower your legs into cold and hot water. It is recommended that you massage the affected joints. In a bath in a place of tea it is necessary to drink broths from a dogrose or tincture of leaves of elderberry. This will enhance the positive effect. As for brooms, it is desirable that they are birch or eucalyptus. This combination will remove the pain syndrome and soothe the joint. After a bath it is useful to use various tinctures (including those based on lilac), which should be rubbed into the affected areas.

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Gymnastics for gout on the legs

Gymnastic exercises certainly do good. It is even necessary to perform them, but after consulting with the attending physician. Depending on the course of the disease, a specific set of exercises is prescribed. With gout on the legs, the action of the gym is aimed at alleviating the condition and preserving the mobility of the joint.

The most simple movements are flexion and extension of the joints. You can add this rotation of the foot in different directions. Often the salt is deposited in the big toes, an effective exercise will "break" them. It is necessary to grasp the affected area with your hands, hold your breath and with increasing effort bend and rotate the diseased finger. When the air starts to miss, the exercise ends.

Gymnastics provides the performance of all exercises in a sitting or lying position. The pace should always be slow. The soles can roll a rolling pin across the floor, while exerting strong pressure on it. Exercise is performed while standing, one leg serves as an emphasis, the other is on the rope.

Strengthen the muscles and ligaments to allow the feet to be pressed to the floor with a special effort. At each approach it is necessary to count to 10 and relax. Repeat the exercise 3-4 times.

Gymnastics for gout, accompanied by the formation of knots and tofusov should be combined with the massage. This will quickly relieve the condition of a person and accelerate recovery.

Alcohol for gout on the legs

Most people are confident that a small intake of alcohol is helpful. For people suffering from gout, even 5 grams can be a lot. Alcoholic drinks negatively affect the body of any person. Regardless of what alcohol the patient consumes, with gout on his legs this can be a fatal act. It is quite easy to provoke a new attack.

More often violate the prohibition of men. A study was conducted in the course of which representatives of the stronger sex used alcohol for 2 days. This provoked an increase in the number of seizures by a factor of 2. This is due to the fact that alcoholic beverages contain a large number of purines. It is enough to use one glass of something to call a new attack.

With gout, there is a worsening of the metabolism, this is due to a strict diet. The use of alcohol in such conditions will exacerbate the situation. The attack develops against the background of an increase in the body of uric acid. A sharp jump in this component is possible for alcohol.

Alcoholic drinks contribute to the development of an attack, but this statement applies to men. Women are not so susceptible to the harmful effects of alcohol. But it is still not recommended to use it, or, to reduce the amount of drink drastically.

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More information of the treatment

Prevention

Often gout manifests itself in those places where a trauma was previously received. Refers to the affected area with caution, to provoke the development of the disease here is very simple. The basis of prevention in this case - wearing comfortable shoes that do not bind the leg. Otherwise, damage to the thumb is not excluded.

Prevent the development of gout will allow proper nutrition. In this case, resort to diet № 6. It includes a list of allowed and prohibited products, based on which you can create your own menu for each day. Refuse to have alcohol, it can affect the development of lactic acid, which is subsequently deposited on the joints.

More often the lesion covers small joints, therefore it is necessary to watch them carefully. Particular attention is paid to their mobility. Daily gymnastics aimed at developing the joint will relieve pain and ease the condition. Observance of all rules is the guarantee of a healthy life.

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Forecast

Attacks of the disease take place within a week, their duration directly depends on the treatment used. It must be understood that the disease is not completely eliminated. The prognosis of maintenance therapy depends on the drugs used. If you adhere to a special diet, not to abuse prohibited foods and exercise, everything will go well.

Recommendations of the doctor must be observed without fail. Otherwise, the attacks will be severe. If you do not use supportive medication, the prognosis will not be favorable. The lack of proper nutrition and the necessary medication will lead to partial or complete destruction of the joint.

To achieve the maximum therapeutic effect, it is necessary to use drugs whose action is aimed at reducing the level of uric acid. In this case, the forecast will be extremely positive.

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