Gouty arthritis of the joint - symptoms and treatment

General information about the disease

Gouty arthritis is a systemic metabolic disease associated with the deposition of uric acid salts in articular and periarticular tissues. Men get sick more often after 40 years of age. In women, gout is less common and begins later - in the postmenopausal period after 50-60 years. In total, gout affects about 2.5% of these populations. With age, this percentage increases significantly and by the age of 80 it is 9% in men and 6% in women. The ICD-10 code is M10.

Gouty arthritis is comorbid (often combined) with kidney diseases and chronic renal failure, cardiovascular diseases (angina pectoris, high blood pressure), type 2 diabetes mellitus, and obesity.

Despite the fact that treatment for this disease has been developed, it is not always possible to keep gout attacks under control. This mainly occurs due to patients’ misunderstanding of the mechanism of development (pathogenesis) of gout and refusal or irregular maintenance therapy.

Read more about arthritis, its symptoms and treatment in this article.

What are the benefits of mustard for joints?

Composition of mustard seeds

The spicy seasoning has a rich composition that provides a therapeutic effect for lesions of bone and cartilage tissue. Pathologies of the musculoskeletal system are effectively treated with the external use of a natural substance in the form of mustard plasters. Mustard contains the following components:

Indications for use

It is recommended to use mustard plasters both for the manifestation of negative symptoms associated with the musculoskeletal system, and for diagnosing the following pathologies:

arthrosis;
arthritis;
hallux valgus;
heel spur;
gout;
mechanical damage to joints.

Benefits for joint diseases

The effect of the active components of grains in the form of powdered seasoning or food mixture causes acceleration of blood flow to the site of the pathological process, which promotes the healing of microcracks and the removal of swelling. Patients note a noticeable improvement and disappearance of pain after 1-2 external applications, but much depends on the stage of development of the disease.

Doctors diagnose the restoration of the joint and cartilage tissue after completing a daily treatment course for 1-2 months. It is also worth considering the bactericidal and anti-inflammatory properties of mustard. Despite the healing effects, the folk remedy can only be used after making sure that there is no allergic reaction.

Cause and mechanism of development (etiology and pathogenesis) of the disease

The cause of gouty arthritis is a disorder of purine metabolism. Purines are chemical compounds that form the basis of nucleic acids necessary for the formation of DNA and RNA molecules. As cells break down, purines are broken down into uric acid (UA). The latter enters the intercellular space and into the blood plasma, where it combines with sodium, forming a salt - monosodium urate (MUN).

An increased level of urate in the blood (hyperuricemia - GU) may be a consequence of a genetic predisposition (the kidneys do not eliminate MUN completely), high blood pressure (BP), consumption of large amounts of animal food, and alcohol.

With an excess of urates, when they can no longer dissolve in the surrounding fluid (EOR concentration more than 0.4 mmol/l), the salts crystallize, deposit in the articular and periarticular tissues and are surrounded by protein rings. This formation is called tophi. The release of MUN from the tophi causes an immunological reaction: a large number of neutrophils (one of the types of leukocytes responsible for cellular immunity) appear in the synovial membrane and joint fluid.

Neutrophils ingest MUN crystals, which causes the release of proinflammatory (inflammation-causing and maintaining inflammation) cytokines and the development of an acute inflammatory response in the synovium. Acute attacks in the form of synovitis are very painful, but do not leave any consequences. The long-term chronic course of the disease with frequent repeated attacks leads to the destruction of articular cartilage, proliferation of bone tissue, deformation and dysfunction of the joint. Deposition of MUN in the kidneys causes a decrease in their function.

Factors contributing to increased urate levels in the blood:

the presence in the diet of a large number of meat dishes, offal, eggs, alcoholic beverages,
overweight;
taking certain medications - diuretics, aspirin, nicotinic acid, medications to lower blood pressure (Concor), etc.;
lead poisoning;
increased breakdown of purines in blood diseases, psoriasis, etc.;
increased formation of purines;
impaired renal function and uric acid excretion.

Diet for rheumatoid arthritis (rheumatism of the joints)

For acute rheumatoid arthritis, it is recommended to take diet No. 10a as the basis of the diet. The main purpose of this diet is to reduce inflammation and metabolic disorders in the body, increase the effectiveness of drug treatment and reduce the side effects of certain medications.

The amount of proteins in such a diet is within the physiological norm, mainly dairy proteins - milk, cottage cheese, lactic acid drinks, cheese, eggs, fish. The amount of fat is limited, mainly vegetable oils are recommended, butter is allowed, and refractory fats - lamb, beef, pork - are excluded. Limit easily digestible carbohydrates (honey, sugar), but increase the amount of vegetables, fruits and berries in the diet.

In a diet for rheumatoid arthritis, the use of table salt is sharply limited. The amount of free fluid is reduced to 1 liter per day. Food is taken in small portions 5-6 times a day.

A diet for rheumatoid arthritis should provide a large amount of vitamins, so in addition to fruits and juices, it also includes decoctions of rose hips, lemons, black currants, bran decoction, and a yeast drink.

Classification

Based on the causes of occurrence, gouty arthritis is divided into forms:

primary
– associated with hereditary characteristics of purine metabolism and excretion of MUN by the kidneys;
secondary
– the cause of development is some other diseases, nutritional disorders, bad habits, etc.

According to the mechanism of accumulation of MUN, gout is divided into types:

metabolic
– increased internal production of purines during their normal excretion by the kidneys;
renal
– impaired excretion of uric acid by the kidneys;
mixed
.

By severity:

mild course
- attacks of gouty arthritis no more than 2 times a year with damage to no more than two joints; single tophi no more than 1 cm in diameter; there are no complications from the kidneys or impaired joint function;
moderate severity
- no more than 5 attacks per year affecting no more than 4 joints with minor changes in cartilage and bone tissue; a large number of small tophi; stones in the kidneys;
severe
– attacks of gouty arthritis more than 5 times a year, multiple large tophi and arthritis; decreased kidney function.

The use of mustard for the treatment of arthrosis and arthritis

Mustard for joints is a folk remedy that effectively helps relieve inflammatory processes in diseases such as arthrosis, arthritis or osteochondrosis.

The use of mustard helps relieve joint pain. Its composition has an irritating effect on the skin, thereby accelerating the regeneration of affected tissues in pathologies associated with the musculoskeletal system.

Symptoms of gouty arthritis

The appearance of the first symptoms of gouty arthritis is sometimes preceded by a long-term increase in the concentration of urate in the blood. Therefore, men after 40 years of age, and women after menopause, need to periodically check the content of uric acid salts (UA) in the blood. This is especially important for those who have close relatives suffering from gout. Gouty arthritis develops when the concentration of urate in the blood exceeds 0.4 mmol/l. But with such an indicator, arthritis manifests itself only in a fifth of patients; the rest may not be aware of their risk of developing gout.

Primary signs

The first attack of acute gouty arthritis begins suddenly. Sharp pain appears in the affected joint, the tissue over it swells, and the skin turns red. The pain is very strong. The body temperature may rise and the general condition of the patient may be disrupted.

Severe pain in the affected joint, high body temperature and poor condition of the patient are the first signs of gouty arthritis.

In half of the cases, gouty arthritis begins with damage to one joint. This is usually the first metatarsophalangeal joint of the foot. The knee, elbow, small joints of the hand, etc. may also be affected.

Symptoms of gouty arthritis are especially pronounced at night.

Obvious symptoms

The attack of gouty arthritis lasts from 2 days to 2 – 3 weeks. Then complete remission occurs without any consequences. The next attack usually develops within a year, but sometimes remission lasts several years.

Acute gouty arthritis can recur over a number of years, but gradually its course becomes chronic. Several joints are asymmetrically affected, including the first metatarsophalangeal joint on the lower extremities.

Under the skin on the extensor surface of the joints, as well as in the area of the ears, tophi appear - small superficial nodules or larger subcutaneous nodes with a cartilaginous consistency. They are painless, but can become inflamed during an exacerbation of gouty arthritis. In this case, they become painful and sometimes break through to the surface of the skin in the form of a whitish mass.

Attacks of urolithiasis may occur - urates are deposited on the walls of the urinary tract, as well as in the kidneys, which leads to disruption of their function.

When you need to see a doctor urgently

You should seek medical help if:

joint pain appeared, accompanied by severe redness and swelling of the tissues; body temperature increased, chills and malaise appeared;
severe paroxysmal pain appeared in the lower back - an attack of urolithiasis;
joint pain also bothers you during the interictal period - a sign of the chronic course of gouty arthritis.

Remedy for joints: honey, salt, soda and mustard

Honey and soda compresses with the addition of mustard are considered an effective remedy for joint pain:

Mix sea salt, baking soda, mustard powder and natural honey in a ratio of 1:1:1:1;
Mix thoroughly until smooth;
Spread the mixture over the affected area, cover with film and a warm cloth;
Leave the ointment overnight and repeat the procedure for 14 days.

For knees, you can prepare an ointment according to Professor Neumyvakin’s recipe:

Mix 1 tsp. soda, honey and rock salt. Add 7-8 drops of iodine to the mixture and stir. To enhance the therapeutic effect, you can add 5-6 drops of castor oil;
Warm the sore joints in warm water, apply a compress to the warmed area. Leave it under a warm cloth for 30-40 minutes.

The duration of the course is 10 days.

Stages of gouty arthritis

Gouty arthritis occurs in 4 stages:

Asymptomatic
- Increased levels of MUN in the blood without the presence of crystals and gout attacks.
Asymptomatic
- increased levels of MUN in the blood with the presence of crystals in the synovium and joint fluid, but without signs of gouty arthritis and the presence of tophi.
Intermittent
- deposition of MUN crystals in tissues in combination with attacks of acute gouty arthritis.
Chronic tophi
- the presence of tophi in articular and periarticular tissues in combination with chronic arthritis, destruction of cartilage tissue, impaired joint function and kidney damage.

Any form of arthritis has serious complications, so you should not delay treatment.
See how easily the disease can be cured in 10-12 sessions.

If gouty arthritis is not treated

If you suspect gouty arthritis, you should immediately contact a rheumatologist. The disease requires treatment, both during an attack and in the interictal period. The main reason why the development of gout attacks cannot be brought under control is the refusal of patients to undergo treatment in the inter-attack period, which inevitably leads to:

hyperuricemia – increased urate levels in the blood;
resumption of attacks of gouty arthritis;
transition of acute gouty arthritis to chronic;
joint destruction and disability;
severe complications from the kidneys and cardiovascular system.

What to do during exacerbations

If severe joint pain occurs in combination with severe swelling and redness of tissues, increased body temperature, and malaise, you should:

take any sedative + medicine from the group of non-steroidal anti-inflammatory drugs (NSAIDs) - Diclofenac (oral tablet or rectal suppository), Ibuklin, Nise, etc. Apply ointment or gel from the same group (Voltaren, Pentalgin, etc.) to the skin over the sore joint. ;
call a doctor at home;
lie down and take a position that minimizes joint pain.

Drugs for the treatment of exacerbation of gouty arthritis

How to use mustard to treat joints

Before using mustard for joints, do a standard test for an allergic reaction. If after a day there is no irritation or swelling, you can apply a compress with mustard to the sore joint.

After the procedure, the heated area is insulated with a warm scarf or blanket.

It is important to move less and injure the problem area for at least an hour.

How to make a compress with mustard - mix blue or white clay, mustard powder, nine percent vinegar, purified kerosene, water. Stir until a smooth, homogeneous mass is obtained.

A piece of natural fabric is generously smeared with the resulting mixture, covered with the other half and applied to the sore spot. Keep it as long as possible. After the procedure, the problem area is insulated and the patient goes to bed.

Ointment for joints with mustard and paraffin - add molten paraffin to a mixture of 200g of table salt and 100g of dry mustard powder. Stir until a creamy mass is obtained, leave for twelve hours. Rub in at night with careful, smooth movements until completely absorbed.

Mustard for arthrosis of the knee joint - fifty grams of camphor, the same amount of dry mustard powder is dissolved in half a liter of vodka, three whites whipped to a stiff foam are added, and left to infuse for seven days. Used as a rub for sore spots.

An anesthetic, mustard for sore joints has an anti-inflammatory, antiseptic effect, camphor alcohol warms the problem area, but this recipe only helps at the beginning of the disease.

Mustard for back pain - smear the sore spot with linden honey, cover with one layer of paper and apply mustard plaster, insulate for two hours. If the burning sensation becomes severe, the treatment procedure is stopped earlier, and the application site is washed with warm water.

Compress at night - one tablespoon of mustard powder, vegetable oil and honey. Mix in a boiling steam bath until a smooth, homogeneous mass is obtained. Apply to the problem area, cover with a natural cloth or a warm scarf. Honey softens the effect of mustard powder; the burning sensation when adding honey becomes less, but the depth of heating is deeper. The procedure cannot be done if you have cancer, high fever, or problems with the heart and blood vessels.

Ointment - 100g dry mustard, 100ml beer (dark), 200g fine table salt. Mix until you get a thick, stretchy mass. In the evening, rub the problem areas, fix the bandage, insulate with a down scarf, and leave until the morning. The duration of treatment of joints with mustard is a week, but noticeable improvements occur after the first time.

Plaster - mix dry mustard powder and grated garlic. The mixture is diluted with a concentrated decoction of hazelnut leaves. A homogeneous mass is applied to a piece of fabric made from natural fibers, covered with the other half, and applied to the inflamed area. Keep it for as long as possible. If the burning becomes very strong, remove it.

Articles about joint treatment

Source rgtravnik.ru

The most complete answers to questions on the topic: “remedy for joints honey salt soda mustard.”

Arthrosis is a widespread degenerative disease of the joints, in which the slow destruction of internal cartilage occurs. The disease begins to develop when cartilage can no longer cope with the load on the joints.

Localizations

With gout, gouty arthritis of the joints of the lower extremities most often develops. There may be other localizations, including damage to the joints of the upper extremities. Gout is also characterized by asymmetrical joint lesions.

Gouty arthritis of the lower extremities

During a primary gouty attack, the pathological process in half of the cases involves the 1st metatarsophalangeal joint of the foot. And even if this joint is not the first to be affected, gouty arthritis will still develop in it later. The periarticular tissues swell, the skin turns red. Subsequently, small and large tophi appear on the dorsum of the foot.

Gouty arthritis of the ankle is less common and most cases occur with repeated attacks. The ankle becomes inflamed, swollen and red, and the inflammation spreads to the heel. There is severe pain and the inability to step on the foot.

The knee is often affected, the lesions are asymmetrical, often combined with lesions of the 1st metatarsophalangeal and elbow joints. Severe pain, swelling and redness are initially combined with impaired limb function due to pain, but with prolonged gout, joint deformation and ankylosis (immobility) occur.

Hip gouty arthritis is rare and the redness and swelling are not so noticeable under the thick layer of muscles and ligaments. But the pain can be severe.

Chondroprotectors: what are they, how to choose, how effective are they?

Joint pain at rest

Gouty arthritis of the upper extremities

The small joints of the hand and fingers often become inflamed, and the fingers become like sausages. The pain, inflammation and swelling are very severe. Large tofuses appear on the back of the hand.

The elbow is no less often affected. The lesions are asymmetrical and are often combined with the involvement of small joints of the hand and foot. Small and large tophi appear on the extensor surface of the shoulder and forearm.

Brachial gouty arthritis develops much less frequently, but is painful. Swelling and redness are not expressed, tophi appear on the flexor surface of the shoulder.

Lesions in gouty arthritis of the upper extremities are usually asymmetrical

Tofus lesion of the spine

In the mid-50s of the last century, spinal damage due to gout was first identified. In this case, tophi grow in the soft tissues and joints of the spine with the destruction of their structures.

The lumbar region is most often affected, followed by the cervical region. Pain appears in the back, which is often mistaken for symptoms of osteochondrosis. When the vertebrae are destroyed and the spinal nerves and spinal cord are compressed, neurological symptoms appear. When the cervical spine is affected, this results in paresis and paralysis of the upper limbs, and radicular pain.

When the lumbosacral region is affected, it can be complicated by compression of the final part of the spinal cord - the cauda equina. In this case, the function of the pelvic organs is disrupted - involuntary urination, defecation, and potency disorders occur.

Recipes.

Let's learn easy recipes that will help get rid of pain, swelling and inflammation due to gonarthrosis .

1. 50 gr. mustard powder and 5 gr. Mix camphor Take 2 egg whites, beat well and mix with the resulting mixture.

This composition is used to lubricate the sore joint every day for 14 days.

2. mustard powder and camphor (50 g each) with 3 egg whites and 1 tbsp. spoon of goose fat .

Rub this ointment into the knee 2-3 times a day, throughout the week.

3. Take fine salt and mustard powder paraffin , enough to make a mixture with the consistency of porridge.

Let the pulp sit for a day, then rub it (at night) into the joints.

4. Take a small amount of powder (about 2 tablespoons) and mix with a glass of good red wine , until smooth.

Soak the gauze in this infusion, squeeze it a little, and apply it to problem areas for 20 minutes. For better effect, insulate.

5. 1 tbsp. a spoonful of honey, mustard, water and fine salt. This ointment is rubbed into sore spots and wrapped in heat for 1.5-2 hours.

After removal, it is necessary to wipe the compressed area to avoid burns. Store the ointment in the refrigerator, but no more than five days. You will feel the improvement immediately!

Diagnostics

Despite the fact that gouty arthritis has pronounced symptoms, only 10% of patients can be correctly diagnosed during the first attack. In other cases, a diagnosis of other types of arthritis is made. Diagnostic criteria for gout are:

acute arthritis of the 1st toe;
the presence of large and small tophi;
increased levels of uric acid in the blood;
detection of EOR crystals in joint fluid and tissues.

If at least two criteria are identified, the diagnosis of gouty arthritis is considered reliable.

Laboratory research:

general blood test
- signs of inflammation;
biochemical blood test
- uric acid content more than 0.32 mmol/l; increased levels of C-reactive protein (a sign of an inflammatory reaction);
general urine analysis
;
examination of synovial fluid using polarization microscopy
- identification of MUN crystals and a large number of leukocytes.

Instrumental studies:

Ultrasound of joints
- detection of EOR crystals on the surface of cartilage and tophi;
radiography of the joints
- in the early stages there are no changes; later, bone changes are revealed;
computed tomography (CT)
- reveals the presence of changes in the spine.

Treatment of joints with laundry soap

Some may say that laundry soap is “last century”, an anachronism, etc.

But! Among modern, newfangled and popular detergents, there are no analogues to this “anachronism” in terms of the naturalness of its constituent components.

Household soap contains 72% fatty acids and many alkalis. These are sodium chloride, white clay, colophon resin and fatty carboxylic acids.

Its pH is very low and equal to 11-12.

It is cooked from vegetable and animal fats, without adding dyes or flavors. The darker the bar, the better its composition.

Laundry soap is mainly used for washing, but its use in the treatment of certain diseases has been time-tested.

This brown antiseptic helps with problems with skin diseases and burns. Laundry soap is also used in the treatment of arthrosis of the knees, as the main component in applications, compresses and baths.

Bath for treating joints with laundry soap and iodine

We make a bath - pour 3 liters of warm water into a basin, wash the bar in it until the water becomes white, like milk.

Add a handful of baking soda and salt. Dissolve. We drip 10 drops of iodine. Add hot water so that it is tolerable for the skin and lower the sore limbs into this bath for strictly 15 minutes!

After this, we wipe the joints and insulate them. The solution can be heated and used three times, each time adding a new portion of iodine.

Next, we prepare a new solution. The course is 10-14 days, every day.

This method is not very convenient for treating knee arthrosis, so we use others.

With honey:

Heat 50 grams of grated soap, 10 grams in a water bath. beeswax, 10 gr. propolis and 2 tablespoons of honey.

httpv://www.youtube.com/watch?v=embed/RLnAbU19cXE

Rub the resulting homogeneous mass into the sore spot with massage movements. Store the ointment in the refrigerator.

Read about the methods and benefits of massage and manual therapy here.

With vinegar:

Steam the sore joint. Rub a bandage or gauze soaked in warm water with thick household soap. Apply a bandage soaked in table vinegar on top. Wear a knee pad.

With sunflower:

Cut off the head of a blooming sunflower and grind it in a meat grinder.

Rub a bar of soap into the resulting mass and fill it with a bottle of vodka.

Mix well and put in the refrigerator for two weeks.

We rub the sore joints with this mixture and, for greater effectiveness, wrap them in something warm.

All these recipes help to quickly relieve inflammation and pain, as well as swelling from joints affected by arthrosis. Strengthen microcirculation and metabolic processes in the joint. They have a pronounced warming effect.

These recipes are also valuable because they have virtually no contraindications, except for individual intolerance to the constituent drugs.

Treatment of gouty arthritis

The goal of treatment for gouty arthritis is to improve disease outcomes. For this purpose, mainly medicinal treatment methods are used. Non-drug methods are of auxiliary value.

Drug treatment

The main objectives of drug treatment of gouty arthritis are:

relieving inflammation and pain in acute arthritis;
preventing attacks of arthritis by reducing uric acid in the blood.

Treatment of an acute attack of arthritis

The following drugs are used to relieve an attack of gouty arthritis:

Colchicine
is a dry extract of autumn crocus seeds. Available in tablets. Effective in the first 12 hours from the onset of a gout attack. The result of its use is the elimination of swelling and pain. The drug is prescribed in small dosages. The daily dose is divided into several doses. First, most of the daily dose is prescribed, then an hour later - a smaller one. If necessary, the dose can be repeated several times a day. A day after the onset of an attack, minimum dosages cannot be used; they are increased, which contributes to the manifestation of side effects, mainly from the gastrointestinal tract. All dosages are selected by the doctor.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
– relieve inflammation, pain and swelling. These drugs are divided into 2 groups: non-selective and selective. Non-selective or 1st generation NSAIDs suppress the action of biologically active substances - prostaglandins, which support inflammatory processes. But they do not act selectively, also suppressing the action of prostaglandins that protect the gastric mucosa. Therefore, drugs such as Diclofenac, Indomethacin, Ibuprofen have side effects from the gastrointestinal tract (GIT). However, they are suitable for some patients and are often prescribed, both orally and intramuscularly. Selective NSAIDs (Nimesulide, Etoricoxib, Celecoxib) belong to the second generation. They act selectively on pro-inflammatory prostaglandins and have almost no effect on the gastrointestinal tract. The selection of the drug is carried out individually, in accordance with the characteristics of the patient’s body.
Glucocorticoid hormones (GCs)
- quickly relieve inflammation, pain and swelling, but are not suitable for everyone, as they can increase blood pressure, blood sugar and cause exacerbation of peptic ulcer disease. Prescribed in short courses orally (Prednisolone), intramuscularly (Betamethasone), in the form of intra-articular injections. Currently, they are trying to use mainly drugs from the NSAID group and only if there are contraindications for their use, GCs are used.
Canakinumab (trade name Ilaris)
is a monoclonal antibody to interleukin-1beta (IL-1b). IL-1b is a messenger protein molecule (cytokines) responsible for the inflammatory response. Antibodies bind to IL-1b and neutralize its action, which leads to the elimination of inflammation and pain. Canakinumab is used in an individually selected dosage for patients who have contraindications to the use of Colchicine, NSAIDs and GCs.

Drugs for the treatment of gouty arthritis

Decrease in uric acid levels in the blood during the interictal period

Outside of attacks, patients suffering from gouty arthritis are prescribed long-term courses of urate-lowering therapy (UST), which lower the content of uric acid (UA) in the blood serum, preventing the formation of UA crystals in tissues. With a low content of uric acid in the blood, the crystals already present in the tissues gradually dissolve. In the presence of chronic gouty arthritis and tophi, the UA content is reduced to a minimum (below 0.3 mmol/l), which contributes to the accelerated elimination of tophi. In the absence of tophi, an acceptable UA content of 0.36 mmol/l is acceptable.

For urate-lowering therapy for gouty arthritis, the following groups of drugs are used:

A group of drugs that interfere with the formation of uric acid. They suppress the action of the enzyme involved in the formation of uric acid. When prescribing them, constant monitoring of UA content in blood serum is necessary. These medications include:
Febuxostat (trade names: Adenuric, Azurix) is a more modern drug of this group; it acts selectively on only one enzyme involved in the synthesis of uric acid. It does not inhibit other enzymes, so it has fewer side effects. It works softly and effectively. Doses are selected individually and initially combined with the use of NSAIDs.
Drugs that enhance the excretion of sUA through the kidneys. Prescribed for intolerance to drugs of the first group or ineffectiveness of their use:
Enzymes that are absent in humans can reduce the level of sUA in the blood. The enzyme uricase is present in the blood of some mammals and reduces the level of UA in the blood, but it is not present in human blood. The drug rasburicase (recombinant bacterial uricase) was produced using genetic engineering from bacteria, which is used for gouty arthritis if other methods fail to reduce UA in the blood. The disadvantage of the drug is increased allergenicity, so it is used strictly according to indications.

Peguricase is a uricase with polyethylene glycol, which suppresses increased allergenicity. A more modern drug, but it is also used strictly according to indications.

Crunching in joints - when to worry

Intra-articular injections of hyaluronic acid

Non-drug treatment

This type of treatment includes:

diet;
control over the course of comorbid (often combined with gout and aggravating its course) diseases;
physiotherapeutic procedures;
folk remedies.

Diet for gouty arthritis

Patients suffering from gouty arthritis should not consume foods rich in purine bases. But recent studies have found that only animal products have a negative effect. This is fatty red meat, offal (liver, kidneys, heart, brains), strong meat broths, canned fish in oil, canned meat and pates.

On the contrary, plant foods containing purine bases should not be completely excluded from the diet. These are nuts, peas, beans, lentils, legumes, cocoa and coffee. Dairy-vegetable diets with low-fat dairy products, a variety of vegetables and fruits are very useful. Especially useful are foods rich in vitamin C, which helps eliminate uric acid.

Alcohol should be excluded from the diet: strong spirits and beer, including non-alcoholic beer. Only a small amount of dry wine is allowed. You should not consume sweets, baked goods, and especially sweet carbonated drinks. It is also necessary to stop smoking.

Monitoring the course of comorbid diseases

Gouty arthritis is often combined and aggravated by obesity, diabetes mellitus, cardiovascular and kidney diseases.

Obesity requires constant monitoring of body weight. This includes following a diet with a reduced daily caloric intake, an active lifestyle, and courses of therapeutic exercises.

Diabetes mellitus also requires constant monitoring, laboratory monitoring and supportive treatment.

Frequent concomitant diseases with gouty arthritis are also arterial hypertension (consistently high blood pressure) and coronary heart disease with angina attacks. Currently, there are medications that can stabilize the condition of such patients, but this requires constant monitoring by a cardiologist.

Any renal pathology also complicates the course of gouty arthritis. She also needs to be observed and treated.

Physiotherapeutic procedures

Physiotherapy is an additional treatment for gouty arthritis. During a gouty attack, electrophoresis with glucocorticoid hormones and ultraviolet irradiation of the affected area are prescribed.

Electrophoresis with glucocorticoid hormones and ultraviolet irradiation are used to treat gouty arthritis.

During the period of remission, courses of magnetic and laser therapy are prescribed to improve blood microcirculation and restore damaged joint tissue.

In the absence of gout attacks, sanatorium treatment can be carried out for six months. The Caucasian Mineralnye Vody and Crimea sanatoriums are suitable.

Read about other methods of treating arthritis in this article.

Folk remedies

To relieve inflammation, swelling and pain during a gout attack, traditional medicine recommends compresses with activated carbon. Previously, charcoal was used for this purpose, today it is enough to take 50 tablets of activated carbon, crush, dilute with water to the consistency of homemade sour cream, add a tablespoon of vegetable oil, mix and apply to the inflamed area, apply a napkin, compress paper, cotton wool on top, bandage and leave all night long. Perfectly relieves inflammation, swelling, reduces pain.

Surgery

For large tophi, which often suppurate and compress surrounding tissues, disrupting their function, they are removed.

Surgical operations aimed at restoring joint function are carried out strictly according to indications, in case of destruction of cartilage tissue, proliferation of bone tissue with articular deformation and loss of limb function. If the joint is completely destroyed, it is replaced with an artificial one (endoprosthetics).

Diet for arthritis - general recommendations

For people with all types of arthritis, there are a few general guidelines worth paying attention to.

Foods containing omega-3 fatty acids should be included in the diet for arthritis . These substances reduce inflammation, which alleviates the symptoms of arthritis. Most omega-3 fatty acids are found in sea fish, in its fatty varieties, but if it is contraindicated for you, pay attention to flaxseed oil. It is easier to digest and also has a healing effect due to the content of the same healthy fatty acids.

For all types of arthritis, you should give up strong tea, coffee, and reduce alcohol consumption. The diet for arthritis limits, and often completely excludes, pickles, hot seasonings and spices. But there are exceptions here. Some studies have found the positive effects of turmeric and ginger. However, you should be careful here and exclude allergic reactions.

Although there is no solid scientific evidence on this matter, some studies have shown that plants of the nightshade family - potatoes, bell peppers, tomatoes, eggplants - can have a negative effect on the condition of patients with arthritis. If you notice a deterioration in your health after eating these foods, eliminate them from your diet.

The main thing to remember: the diet for arthritis should be balanced, with a sufficient content of vitamins and minerals, preferably low in calories.

Approach to the treatment of gouty arthritis at the Paramita clinic

Our clinic has developed a unique method for treating gouty arthritis. There are two opposing approaches to identifying and treating this disease. First of all, a thorough clinical, laboratory and instrumental examination of the patient is carried out. After establishing the final diagnosis and concomitant diseases, individually selected comprehensive treatment is prescribed, including:

modern Western techniques, including the use of the latest medications; this allows you to eliminate inflammation and pain during a gout attack and maintain the desired level of uric acid in the blood serum during the inter-attack period;
traditional oriental techniques that have a regulating effect on the body as a whole and on the site of inflammation; techniques allow you to eliminate pain after the first session; After the course of treatment, the patient feels a surge of strength and complete renewal.

We combine proven techniques of the East and innovative methods of Western medicine.
Read more about our unique method of treating arthritis

A completed course of treatment and properly selected urate-lowering therapy allows the patient to forget about gout attacks for a long time (in most cases until the end of life). You can get more detailed information about treatment at the clinic on our website.

Principles of treatment

Treatment approaches depend on the exact reason for the thinning of the cartilage. This may happen as a result of:

inflammatory diseases;
degenerative processes;
injuries;
surgical operations performed.

Treatment can be aimed at eliminating symptoms, slowing down degenerative processes, stopping inflammation, and enhancing the regenerative abilities of cartilage tissue. Sometimes surgery is required. It allows you to replace defects of the cartilage surface.

General clinical recommendations for patients with gouty arthritis

All patients suffering from gout are advised to:

follow a diet, lead an active lifestyle;
follow all doctor's orders, including taking prescribed urate-lowering medications;
monitor your weight;
treat concomitant diseases: diabetes, obesity, angina pectoris, high blood pressure, chronic kidney disease.

Prevention of gout

Gout is most often associated with hereditary metabolic characteristics. There are also no factors predisposing to the development of this disease. If you eliminate their influence, then even if you have a family history, you can significantly reduce the risk of developing the disease. To do this, you need to follow the following recommendations:

do not overeat, reduce the calorie content of your daily diet, do not consume offal, red meat, alcohol, quit smoking;
get rid of excess weight;
Take any medications in consultation with your doctor - some of them increase the concentration of uric acid (diuretics, nicotine, acetylsalicylic acid, etc.);
regularly treat chronic diseases: diabetes, obesity, kidney and cardiovascular diseases;
men over 40 years old, and women over 50, periodically check the level of uric acid in the blood.

Contraindications

There are some contraindications for treatment with baking soda when consumed orally. Because if you have a number of diseases, sodium bicarbonate should absolutely not be used.

What diseases do not allow treatment with soda:

Gastritis with low acidity. Baking soda can cause constipation.
Gastritis with high acidity. The use of soda creates the appearance of suppressing heartburn. However, long-term use can lead to the formation of stomach ulcers.
Allergy to soda.
The period of bearing a child.
Diabetes itself creates an alkaline environment.
Cancer in stages III and IV.

Treatment must be carried out very carefully. And first of all, you should avoid getting soda into the respiratory tract - it can cause a chemical burn.

Due to lifestyle changes, many of us experience joint pain from the age of 25.

Joint pain can be caused by fractures, injuries, hard work, rheumatism, arthritis, and other factors.

If you want to get rid of joint pain without any medications, we have a special remedy for you. This is a homemade cream recipe taken from old Russian medical books. The medicine may have significant benefits.

Making the cream requires very few ingredients and the process itself is quite simple.

Here is a detailed recipe for a cream that you can use at night to treat joint pain.

Ingredients:

honey - 2 tbsp.
hot mustard - 1 tsp.
sea salt - ½ tsp.
baking soda - 1 tbsp.

Preparation and use:

Take 2 tablespoons of honey and add 1 tablespoon of baking soda.
Use a wooden spoon to mix the ingredients and add 1 teaspoon hot mustard.
Finally add ½ teaspoon of sea salt and mix all the ingredients well to make a smooth paste.
Apply the prepared cream to the affected areas of the body and cover them with a plastic bag.
Secure well with a bandage.
Let the cream remain in effect for at least 2 hours.
You can use this cream for night use.
Wash the affected area with warm water the next day in the morning.

Continue using this remedy every night for 2 weeks to get relief from joint pain.

Let me introduce myself. My name is Vasiliy. I have been working as a massage therapist and chiropractor for over 8 years. I believe that I am a professional in my field and want to help all site visitors solve their problems. All data for the site has been collected and carefully processed in order to convey all the required information in an accessible form. Before using anything described on the site, a MANDATORY consultation with your specialist is always necessary.

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Frequently asked questions about the disease

Is it possible to get disability?

For chronic tophi gouty arthritis with impaired joint function.

Which doctor treats you?

Rheumatologist.

What prognosis do doctors usually give?

With proper systematic treatment under the supervision of a physician, the prognosis is favorable.

Gouty arthritis requires constant monitoring by a rheumatologist, urate-lowering therapy, diet and all doctor’s recommendations. If treated correctly, you can forget about gout attacks forever. Doctors at the Paramita clinic have extensive experience in treating gout. Contact us!

Literature:

Fedorova A. A., Barskova V. G., Yakunina I. A., Nasonova V. A. Short-term use of glucocorticoids in patients with prolonged and chronic gouty arthritis. Part III. Frequency of development of adverse reactions // Scientific and practical rheumatology. 2009; No. 2. pp. 38–42.
Eliseev M. S. Gout. In the book: Russian clinical guidelines. Rheumatology / Ed. E. L. Nasonova. M.: GEOTAR-Media, 2021. pp. 372–385.
Rainer TH, Cheng CH, Janssens HJ, Man CY, Tam LS, Choi YF Oral prednisolone in the treatment of acute gout: a pragmatic, multicenter, double-blind, randomized trial // Ann Intern Med. 2016; 164(7):464–471.
Reinders M., van Roon E., Jansen T., Delsing J., Griep E., Hoekstra M. et al. Efficacy and tolerability of urate-lowering drugs in gout: a randomized controlled trial of benzbromarone versus probenecid after failure of allopurinol // Ann Rheum Dis. 2009; 68:51–56.

Themes

Arthritis, Joints, Pain, Treatment without surgery Date of publication: 01/25/2021 Date of update: 02/02/2021

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