Arthritis, joint, bone & muscle

Gout

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A form of arthritis characterised by intense pain in a single joint, often the big toe.

Affected areas

Most commonly affects the big toe, but may also occur in the knee, ankle, elbow and other joints

Symptoms

  • Pain in a joint, that appears very quickly
  • Inflammation
  • Swelling
  • Redness
  • Stiffness of the affected joint

Causes

Gout is a form of arthritis and is associated with high-blood-levels of uric acid, a compound that's a by-product of your body's normal breakdown of food. Uric acid itself is a product of the metabolism of purines, compounds found in a range of food.

Foods containing purines;

  • Offal (including related products like pate)
  • Game meat
  • Some seafood (especially anchovies and sardines)
  • Some vegetables including asparagus and mushrooms

Normally your body maintains uric acid levels by dissolving it in the bloodstream, filtering it through the kidneys and then urinating. If you start creating too much uric acid or other factors prevent your body dealing with the load, then uric acid crystals form on the joints. This is what causes the sudden pain, redness and swelling of gout.

Diet and lifestyle

It is advisable to see your doctor as soon as possible. This is important as gout can cause severe pain and permanent damage to the joints if left untreated. The dietary and lifestyle suggestions below are recommended as support measures but not as a replacement for medical treatment from a qualified medical practitioner.               

Lowering uric acid levels is a priority and changing your diet to reduce your intake of foods containing purines may help with this.

Important notes

Calcium Pyrophosphate Deposition (CPPD) or Pseudogout is a similar condition to gout though its causes are unknown. It has been linked with a variety of causes including low magnesium levels in the blood, an over-active parathyroid gland, and excessive quantities of iron, as well as genetic factors.

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hi my name is Cheryl and I may be suffering from gout in the cartilage of the knee can it have a crunching feeling in the knee when I walkbut only have a small amount of pain when sitting,can anyone help
Anonymous
Anonymous 22 Aug 2014
Hello and thank you for your post. I’m sorry to hear about your worsening gout. You will find several useful lifestyle and dietary tips relating to gout on our website. Unfortunately we can’t offer you individual advice, especially with the other conditions you’ve mentioned. We would advise you to speak to a health care professional in private practise if you are seeking advice tailored to you and your specific medical conditions. Ensuring that you are drinking plenty of water and achieving and maintaining an healthy body weight are just two general suggestions that may help to manage gout. Try consuming the cherries every day and avoid excess sugar as both these strategies may be helpful to reduce the incidence of gout attacks. All the best, Leanne (Blackmores naturopath)
Leanne
Leanne 15 Aug 2014
I am male 67 years non drinker, smoker with high blood pressure & enlarge heart high colestrol, & 110 kilo. The end of last Dec 2013 I had my first Gout in right big toe, since then I am on my 4th Gout to date. My doctor perscribed Goutout tablets for it. More help.
Anonymous
Anonymous 15 Aug 2014
Hi Brad,
I’m sorry to hear that you have gout.
If you haven’t already I think the best thing to do would be to see your GP to discuss your concerns, and then work on putting together a management plan.
The article above has lots of information for you about possible diet & lifestyle support for gout.
You may like to try some of the following supplements: Celery seed - a traditional remedy which may reduce the pain of gout attacks by reducing uric acid levels.
Devil’s claw is another herb which has been traditionally used for its analgesic and anti-inflammatory properties and may be useful for relieving pain associated with gout. Vitamin C is a nutrient which may assist pain by reducing uric acid concentrations and the incidence of gout attacks. Seeking advice from a naturopath or health care professional in private practice would be best to ascertain which remedy, nutrients and dosage would be most appropriate in your individual case.
All the best Brad.
Kind regards,
Charmaine (Blackmores naturopath)
Charmaine
Charmaine 01 Aug 2014
I have gout and im scared what do I do ????
Anonymous
Anonymous 31 Jul 2014
Hi Mark, there are many different things that you can do and take for a healthy liver. Some things that I would recommend in the way of diet and foods would be lemon juice (in water) – brassica family vegetables such as broccoli, kale, brussel sprouts, and cabbage. Bitter drinks, such as dandelion coffee. These all help with detox processes in the liver. Vitamins for a healthy liver include the B vitamins. Herbs that have been shown to have a detoxification and antioxidant effect include milk thistle, dandelion root and turmeric. I trust this information is helpful. If you require any individual advice please do not hesitate to contact us at advice@blackmores.com.au All the best, Jen (Blackmores naturopath)
Jennifer
Jennifer 13 Jun 2014
Are there any vitamins that may assist the liver recover, or combination of vitamins.


Thanks

Narelle

P.S Far too much social drinking and aware I need to change and start assisting my body.
Anonymous
Anonymous 11 Jun 2014
Dear Anthony
I was concerned to read your post – gout can be very painful. Gout in children may be due to a few underlying conditions or causes. It’s very important and essential that you have seen a doctor and also having further investigations with a specialist. Anthony, I would suggest that you follow the dietary and lifestyle advice as recommended above and I strongly suggest getting your mum or dad to give the Naturopathic Advisory Service a call 1800 803 760 to discuss a possible treatment regime for you.
Kindest, Kath (Blackmores Naturopath)

Kathleen
Kathleen 11 Jun 2014