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.
Sprained Ankle Treatment
An ankle sprain occurs when there is an eversion or inversion of your foot (a twist of your ankle) that causes your ligaments to stretch or tear. The eversion or inversion can be caused by either a fall, an accident involving someone stepping on your foot, or walking on an uneven surface.
The ankle has three ligaments that prevent excessive movement and stabilize your joints. Most sprains are inversions that injure the ligaments on the outer side of your ankle. The severity of the damage caused by an eversion/inversion determines if the injury is a twist, sprain, or fracture.
After you twist your ankle, you should be able to walk it off immediately, or your ankle should be back to normal after a day of home treatment. Ideally, a twisted ankle may not require medical intervention.
A sprain means you have an excessive stretch or tear of the ligaments. Your ankle may be bruised or swollen after the incident. On the other hand, a fractured ankle can only be diagnosed with an x-ray and occurs when the ankle bone is cracked or broken.
A good indication of a fractured ankle is that you would have probably heard a cracking sound at the time of the injury. If you have excessive pain, your ankle is numb, or it looks crooked and cannot bear weight, it is probably fractured.
Treatment Options for Sprained Ankle
A sprained ankle treatment protocol is indicated by the abbreviation RICE, which means:
1. Rest
Rest may mean you’ll be restricted from activities that will put undue weight on your injured ankle. A doctor may put you on bed rest for the first two days after sustaining an injury. The unnecessary movement will strain your ankle further and may delay the healing process.
2. Ice
Ice will reduce pain and inflammation. You should apply an ice pack immediately after sustaining the injury to minimize swelling. After that, subject the ankle to the ice for 15 minutes three or more times a day for the first three days.
If you’re in pain after the three days of ice therapy, apply heat to soothe the pain. Heat treatment relaxes tissue and stimulates the flow of blood to the affected area. Use moderate heat for a limited time, and never leave the heat pad or towel on yourself for extended periods or while sleeping. Whether applying heat or ice, do not apply directly to the skin but place a towel over the ankle and then apply the necessary treatment.
3. Compression
Compression means wrapping the ankle with an elastic wrap or bandage. The wrapping compresses the area, reduces swelling, and helps stabilize and minimize the ankle’s movement.
It is advisable to have a sports injury medic wrap the ankle for you or watch this video on how to wrap an injured ankle.
4. Elevate
Anytime you’re sitting or lying down, elevate the injured foot to a level above your heart. Elevation also minimizes swelling.
5. Medication and Therapy
Depending on the severity of the injury and pain level, you may purchase over-the-counter pain relievers such as ibuprofen, naproxen sodium, or acetaminophen to help manage the painful inflammation.
To give the ligaments enough time to heal, and if the injured foot cannot bear weight, you may need to walk with crutches. Your doctor may also recommend the use of an ankle brace for immobilization of the joint. Ankle braces also provide compression and heat, which are essential for healing.
Once the swelling eases, your doctor may recommend physiotherapy to restore the ankle's strength and stability. Your doctor may recommend surgery to repair or reconstruct a ligament that isn't healing in rare situations.
Final Remarks
Sprains almost always heal quickly, especially if the RICE. protocol is followed keenly within the first 72 hours of injury. Restraining from activities could mean a faster healing process, especially if you're young. Sprains can be avoided by wearing the right gear and using equipment correctly.