What is Gout? To answer "what is gout?" you should know it is a relatively frequently occurring type of arthritis. The common condition is the result of having elevated levels of uric acid in your bloodstream. This excess of uric acid leads to uric acid crystal formation in the joints, notoriously the one on the base of the big toe. These crystals cause a number of alarming and uncomfortable symptoms. [youmaylike] Signs and Symptoms Gout can manifest in several different ways depending on the patient. In general, gout can be characterized as episodes of joint pain, swelling and redness. The pain itself can occur out of nowhere, and either turn into a general discomfort or disappear. Episodes of gout can occur abruptly and it is not uncommon for them to start in the middle of the night. The big toe is one of the most common appendages that is affected, although it can also affect the forefoot, knees, ankles, knees, elbows and bones in your hand or wrist. Types of Gout Although these all refer to the same illness, there are “types” of gout, which indicate different stages of the illness. Asymptomatic hyperuricemia: This is the earliest stage of the disease. Some of the crystals may be causing some tissue damage, but symptoms may be mild to non-existent. Acute: This refers to a more extreme event. In acute gout, patients experience acute episodes of intense pain in a “flare” that lasts a couple of days. Different events can trigger the onset of symptoms, including stress or alcohol. They may also appear seemingly out of nowhere. Intercritical: When flares die down but you still have gout, your body is still depositing excess urate crystals into your joint tissue. These periods are called intercritical gout, where you may not really feel symptoms but the damage is still happening. Chronic tophaceous: This is the most extreme form of the disease. It is debilitating and can get to the point where permanent and extreme damage has been done to the joints and kidneys. Huge lumps and pain may be chronically present at this point. There is also a condition that is referred to as pseudogout. This condition is not a form of gout, but it is very similar in terms of the symptoms someone might experience. These similar symptoms are not caused by urate crystals, but rather calcium pyrophosphate crystals. Generally, symptom expression is less severe in comparison to traditional gout. Treatment Options There are several different medications that may be prescribed to treat gout. Different medications may be used depending on the types of symptoms you are experiencing or expressing a desire to reduce. These medications include some which may manage uric acid levels (aloprim, zyloprim, ulroic or lesinurad), inflammation (colcrys) or painkillers. Talk to your doctor to find a solution which is best for you. Natural Remedies for Gout One of the best natural remedies for gout is making lifestyle changes. By making these tiny lifestyle changes, you will be able to minimize the flares of gout or even prevent it entirely. If you know that you have had a flare before or are at risk for developing gout, consider taking the following steps: Drink lots of water: Drinking the recommended amount of water a day can help keep your body in tip-top shape. Achieve a healthy body weight: Obesity puts a lot of pressure on your body. If you are overweight, try to achieve and maintain healthy body weight. Stay sober: Alcohol can be an especially big trigger for gout. Consider abstaining from alcohol use in order to keep your gout under control. Change your diet: To limit the about of uric acid coming into your body, make changes to your what you eat. There are some foods that will encourage very high levels of uric acid in your body, including: anchovies, sardines, mackerel, herring, lobster, shrimp, mussels, scallops, mushrooms, organs (especially liver and kidneys), fast food, soda and alcohol. Consider having healthier foods that encourage an overall healthy diet. Some of the best foods for managing gout include: Yogurt and skim milk. Nuts and grains. Fresh fruits and veggies. Potatoes. Most importantly, be sure to practice moderation. When to See a Doctor As soon as you notice that your symptoms are interfering with your daily life, you should make an appointment with a medical professional. This is a good practice in general. Even if you do not have gout, alarming symptoms may be a sign of a more serious underlying condition.
How to Treat Arthritis
Generally, arthritis refers to the inflammation of one or more joints in the body. The term arthritis is actually used to cover over 100 conditions that impact the joints and the tissues around the joints of the body. When it comes to knowing how to treat arthritis, the options can differ between the various types, which we will explain.
Overall, arthritis can be uncomfortable. Pain and inflammation may come and go. Individuals with arthritis can also experience flare-ups at certain times. This condition can make it difficult to move or participate in regular activities. However, for the most common types of arthritis, there are treatment options available. In this article, we are going to explore the most common types of arthritis, their symptoms and their treatments.
4 Most Common Types of Arthritis
The four most common types of arthritis include rheumatoid arthritis (RA), osteoarthritis (OA), psoriatic arthritis and gout. In the following sections, we examine these arthritic conditions in more detail.
1. Rheumatoid Arthritis
Rheumatoid arthritis, RA, is technically an autoimmune condition. This type of arthritis happens when a person’s own immune system attacks healthy cells. This creates pain and inflammation at the joints, commonly impacting the hands, wrists and knees. However, RA can also impact various systems throughout the body, such as the skin, heart, lungs, eyes and blood vessels.
RA Symptoms
Symptoms of rheumatoid arthritis typically include:
- Tender, warm and inflamed joints.
- Joint stiffness, fatigue.
- Fever.
- Loss of appetite.
In most cases, symptoms happen to both sides of the body. These symptoms may further vary in their severity and involve flare-up periods and remission periods.
RA Treatment Options
Treatment frequently involves medications to help reduce inflammation, as well as physical therapy and occupational therapy to help an individual continue to perform their daily tasks with as much ease as possible. Common medications include NSAIDs, steroids and DMARDs.
2. Osteoarthritis (OA)
Osteoarthritis, OA, is the most common type of arthritis. Often referred to as the wear-and-tear arthritis, OA happens as the cartilage at the end of the bones wears down over time. This usually happens to the knees, hips, hands and spine. While it is impossible to reverse the damage caused by osteoarthritis, there are various options to help manage it and reduce the associated symptoms.
Osteoarthritis Symptoms
Typically, OA develops gradually over time. Symptoms may include:
- Painful joints.
- Stiff joints.
- Tender joints.
- Decreased range of motion and flexibility.
- Grating sensations.
- Swelling.
- Bone spurs.
Eventually, these symptoms become worse and worse, making it difficult to perform one’s regular activities and daily tasks.
OA Treatment Options
OA treatment usually involves a combination of methods. Depending on your circumstances, treatment may include a weight loss regime, increased physical activity and strengthening of the areas and muscles around affected joints. Treatment may also consist of medications, physical therapy and supportive devices. In severe phases of osteoarthritis, your doctor may recommend a hip or knee replacement.
3. Psoriatic Arthritis
Psoriatic arthritis happens in individuals who have psoriasis. Psoriasis is a condition that leads to patchy red and scaly skin. Similar to rheumatoid arthritis, psoriatic arthritis is when the body’s own immune system attacks healthy cells, causing damage, pain and inflammation at the joints. This type of arthritis most commonly affects the toes, fingers, knees, hips and elbows.
Psoriatic Arthritis Symptoms
Common symptoms of psoriatic arthritis are also similar to rheumatoid arthritis, including:
- Swollen fingers and toes.
- Painful joints that are warm to touch.
- Lower back pain.
- Foot pain.
- Nail alterations.
- Eye inflammation.
Although rare, some individuals with psoriatic arthritis may further develop arthritis mutilans, which can destroy the small bones in the hands and feet.
Psoriatic Arthritis Treatment Options
Similar to other types of arthritis, there is no cure. Thus, treatment also focuses on controlling and managing the associated symptoms to maintain a person’s quality of life. Medications, such as NSAIDs, DMARDs and more may be used. Your doctor may further recommend steroidal injections or joint replacement surgery. Additionally, physical therapy and occupational therapy can help improve strength and flexibility and help you lead a relatively normal life.
4. Gout
Gout is a type of arthritis that occurs quite suddenly. A gout attack usually impacts one joint at a time, with some individuals claiming it feels as though the joint is on fire. Most often, it impacts the big toe, with flare-ups lasting a few days or weeks.
Gout Symptoms
Common gout symptoms include:
- Intense joint pain (most common in the big toe, knees, ankles, elbow, fingers and wrist).
- Inflammation of the joint.
- Redness at the joint.
- Reduced range of motion.
Gout is frequently due to the build-up of urate crystals accumulating at the joint, leading to the above symptoms.
Gout Treatment Options
Usually, doctors prescribe medications to treat gout. These may include NSAIDs, colchicine, corticosteroids, or medications blocking uric acid production or helping with uric acid removal. For those who experience gout attacks, it is further recommended to drink plenty of healthy beverages and avoid alcohol and sweetened drinks. Avoiding foods with purines, such as red meat and organ meats, can also help prevent flare-ups. Lastly, regular exercise and a healthy lifestyle can help strengthen your joints, reducing gout incidences.