by Nathan Wei, MD, FACP, FACR
Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.
Click here: Second Opinion Arthritis Treatment Kit
Gout is a type of arthritis that develops as a result of deposits of monosodium urate within joints.
Itoccurs in four stages (asymptomatic, acute, intercritical and chronic) and has the following signs and symptoms:
In the asymptomatic stage, urate levels rise in the blood, but there are no symptoms
In the acute stage, an attack of gout occurs. Symptoms usually last five to 10 days and consist of:
• sudden attack of joint pain
• joints feel hot, tender and look reddish-purple or bruised
The intercritical stage is a symptom-free interval between gout episodes. Most people have a second attack from six months to two years, while others are symptom-free for five to 10 years. If gout is not treated, the period of attacks becomes shorter and shorter.
Finally, the chronic stage ensues with:
• persistently painful joints with large urate deposits in the cartilage, joint capsule, tendons and soft tissues
• skin over the ulcerates and releases a chalky discharge of monosodium urate crystals
• joint stiffness
• limited motion of affect joint
The chronic stage of gout may be confused with other arthritis conditions such as rheumatoid arthritis. Careful diagnostic evaluation by a rheumatologist is advised.
The diagnosis of gout is based on symptoms, blood tests showing elevated levels of uric acid, and the finding of urate crystals in joint fluid. In chronic gout, x-rays show typical damage to the cartilage and bones.
Currently, there is no cure for gout, but through proper diet, a healthy lifestyle and medications, the symptoms of gout can be relieved and gout can be put into remission.
Medications used for acute attacks include non-steroidal anti-inflammatory drugs, sterooids, and colchicine.
These drugs are used to break the acute attack but have no effect on lowering serum urate levels.
Drugs used to modify the course of gout by lowering urate levels include probenicid, allopurinol, anf febuxostat.
Another drug that is available to treat patients with chronic tophaceous gout where urate deposits can be massive is PEG-uricase, which converts uric acid to allantoin, a relatively harmless metabolite. The brand name is Krystexxa.
Get more information about gout cures and related issues as well as...
• Insider arthritis tips that help you erase the pain and fatigue of rheumatoid arthritis almost overnight!
• Devastating ammunition against low back pain... discover 9 secrets!
• Ignored remedies that eliminate fibromyalgia symptoms quickly!
• Obsolete treatments for knee osteoarthritis that still are used... and may still work for you!
• The stiff penalties you face if you ignore this type of hip pain...
• 7 easy-to-implement neck pain remedies that work like a charm!
• And much more...
Click here Second Opinion Arthritis Treatment Kit
Return to arthritis home page.