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 Plantar Fasciitis
Plantar fasciitis occurs when the connective tissue along the bottom of the foot becomes inflamed and irritated. Luckily, it is a treatable condition. Stretching, massages and using proper footwear can decrease symptoms.
The condition can make it difficult and painful to walk, so it's important to treat it quickly so you can go back to your normal lifestyle. Let's take a look at the best treatment options for plantar fasciitis.
7 Best Treatment Options
So, you have got heel pain. Now, what? You actually have quite a few options. Below offers an outline of some of the most popular ones.
1. Calf Stretching
In many cases, plantar fasciitis can be caused by tight calves or a tight Achilles heel. This usually happens due to high levels of activity without adequate stretching. Thus, part of your solution to plantar fasciitis may be stretching your calf muscles regularly.
To do so, find a wall nearby. Place both your hands on the wall and extend your affected foot back, pressing the heel down into the floor. As you do this, lean forward into the wall. You should feel a gentle stretch on your back leg. Hold here for about 20 to 30 seconds. Make sure to do both sides (this can actually help prevent plantar fasciitis from developing in both feet).
2. Use Custom Insoles
Custom insoles are fitted to your feet. This offers the support your feet and body needs, including abnormal foot motion or collapsed arches (flat feet). Often referred to as orthotics, you will need to go to a clinic or center that specializes in making these. You’ll usually go in for making the mold, then have a follow-up appointment to ensure the insoles fit correctly.
3. Wear Proper Footwear
Walking in high heels or flip-flops can lead to improper gait and foot movements. As a result, you are more likely to experience plantar fasciitis after doing so. A quick fix (and preventative tactic)? Wear proper footwear! If you are planning on walking for a set duration, put on sneakers or shoes suited to the activity. This may further involve wearing insoles made specifically for you, as mentioned above.
4. Ice the Painful Area
Icing can help reduce pain and decrease inflammation. Aim to ice your affected foot for about 10 to 15 minutes, about three to four times each day. Ensure you place a cloth between your skin and the ice pack to prevent any damage caused by the cold. It may further help to roll a cold water bottle along the bottom of your foot (this can help release tension and knots in that connective tissue). However, if this causes more pain, don’t continue.
5. Limit Physical Activity
Unfortunately, the main treatment for plantar fasciitis involves resting. This means no walking or running. Yet, you can still exercise, but you may simply need to explore different options, such as floor movements or sitting exercises over standing. Ideally, you likely want to limit your physical activity until the pain subsides.
6. Lose Weight
If excess weight is a contributing factor to your plantar fasciitis, your doctor may recommend losing weight and working toward a healthier weight. As such, you may need to change certain lifestyle habits. This may involve eating healthier and cutting out processed foods.
When it comes to exercise, you may opt for options that don’t put pressure on your feet, such as swimming or biking. The key is to start slow and gradually build up your resistance, frequency or intensity.
7. Physical Therapy
Physical therapists are knowledgeable when it comes to the musculoskeletal system and biomechanics of the body. They can help determine the reason why you are experiencing plantar fasciitis, helping you come up with strategies to reduce your pain and prevent it from happening again.
As part of your physical therapy treatment, you may undergo manual therapy, be given prescribed exercises and stretches, as well as be provided with advice on types of shoes to wear or what type of activities you can do.
Plantar Fasciitis Signs and Symptoms
The most common signs of plantar fasciitis include:
- Pain in the heel, or near the heel.
- Increased pain after walking or exercise.
- Pain in the arch of the foot.
- Increased pain in the morning.
- Swelling in the heel.
- Pain in the heel that goes on for months at a time.
- A tight Achilles heel or calf muscle.
Plantar fasciitis can occur due to several reasons, such as:
- Wearing improper footwear.
- Carrying excess weight.
- Running, jumping, working or walking on hard surfaces.
- Standing for long durations.
- Exercising without properly stretching the calves.
In Review
All in all, plantar fasciitis is treatable. You don’t have to experience ongoing heel pain for the rest of your life, nor do you have to experience recurring heel pain. Taking proper care and the proper measures to prevent it go a long way, as well as help you maintain your health well into the future.