“We Do Not Simply Treat Arthritis But The Person With Arthritis. ”
Ideal Treatment for Joints & Bones
Arthritis and rheumatism are among the commonest forms of chronic disease and, with an aging population, are set to become commoner still. Strictly speaking, arthritis means disease of the joints, while rheumatism is disease of the soft connective tissues which support and move the joints. In fact, the distinction is often artificial, since many of these conditions affect both the joints and connective tissues.
Relief of acute arthritic pain can be provided through homeopathic primary care, either using individually chosen homeopathic medicines or homeopathic formula products; there is mounting evidence for this in the scientific literature. For deeper and longer-term relief, professional homeopathic care is highly recommended.
We do not simply treat arthritis but the person with arthritis. Because arthritis is usually only a part (sometimes a significant part) of a person’s dis-ease, the homeopathic approach makes sense and is often very effective. While the best results tend to occur for people who are in early onset or who have not taken massive doses of corticosteroid drugs, at least some relief can be expected for people in any stage of arthritis when the correct homeopathic remedy is given.
Cervical spondylosis is a common, age-related condition that affects the joints and discs in your cervical spine, which is in your neck. It’s also known as cervical osteoarthritis or neck arthritis.It develops from the wear and tear of cartilage and bones.
Cervical spondylosis is very common and worsens with age. More than 85 percent of people older than age 60 are affected by cervical spondylosis.
As you age, the bones and cartilage that make up your backbone and neck gradually develop wear and tear. These changes can include dehydrated disks, herniated disks, bone spurs, and stiff ligaments.
Most people with cervical spondylosis don’t have significant symptoms. When symptoms do occur, they typically include pain and stiffness in the neck. One common symptom is pain around the shoulder blade. Some complaint of pain along the arm and in the fingers. The pain might increase while standing, sitting, sneezing, coughing, and tilting your neck backward
Other common signs include:
- Muscle weakness
- A stiff neck that becomes worse
- Headaches that mostly occur in the back of the head
- Tingling or numbness that mainly affects the shoulders and arms, although it can also occur in the legs
Your doctor will likely start with a physical exam that includes:
- Checking the range of motion in your neck
- Testing your reflexes and muscle strength to find out if there’s pressure on your spinal nerves or spinal cord
- Watching you walk to see if spinal compression is affecting your gait
Imaging tests can provide detailed information to guide diagnosis and treatment. Your doctor might recommend:
- Neck X-ray. An X-ray can show abnormalities, such as bone spurs, that indicate cervical spondylosis. Neck X-ray can also rule out rare and more serious causes for neck pain and stiffness, such as tumors, infections or fractures.
- CT scan. A CT scan can provide more detailed imaging, particularly of bones.
- MRI. MRI can help pinpoint areas where nerves might be pinched.
- Myelography. A tracer dye is injected into the spinal canal to provide more detailed X-ray or CT imaging.
Homeopathic medicines provide symptomatic relief in cervical spondylosis. The medicines are selected basis the theory of individualization and symptoms similarity by using Homoeopathic holistic approach.
Following remedies are top grade effective in the treatment of cervical spondylosis:-
- Pain and excessive stiffness in the neck.
- Patient gets relief from warm applications on the neck.
- Complaint due to injury to the neck.
- Neck pain from over straining or overuse.
- Stiffness and contraction in neck muscles causing the neck stiff.
- Spine very sensitive, especially the upper part.
- Pain in the angle of left scapula.
- Severe pain in the neck along with rigidity .
- Stiff neck and sore shoulders.
- Stitches between the scapulae to occiput.
- One sided stiffness of back from neck to sacrum.
- Pain from the neck radiates upwards to the head, back of head or the entire head.
- In some cases, the neck pain radiates to the head and settles over the eyes.
- Pain may be associated with vertigo in some cases. Vertigo mainly arises from looking upwards.
- Pain in small of the back as after long stooping.
- Stiffness and lameness across the neck and shoulders after getting cold or wet.
- Pain and stiffness in the neck that worsen with motion.
- Taking rest relieves the symptoms.
Osteoarthritis (OA) is the most common chronic (long-lasting) form of arthritis caused by the breakdown of joint cartilage and underlying bone.
Although osteoarthritis can damage any joint in your body, the disorder most commonly affects joints in your hands, knees, hips, and spine.
- Primary (idiopathic) osteoarthritis, osteoarthritis not resulting from injury or disease, is partly a result of natural aging of the joint. With aging, the water content of the cartilage increases, and the protein makeup of cartilage degenerates as a function of biologic processes. Eventually, cartilage begins to degenerate by flaking or forming tiny crevasses.
Repetitive use of the worn joints over the years can mechanically irritate and inflame the cartilage, causing joint pain and swelling.
- Secondary osteoarthritis is a form of osteoarthritis that is caused by another disease or condition. Diseases that may increase your risk of osteoarthritis include:
- Older age. The risk of osteoarthritis increases with age.
- Sex. Women are more likely to develop osteoarthritis, though it isn’t clear why.
- Obesity. Carrying extra body weight contributes to osteoarthritis in several ways, and the more you weigh, the greater your risk. Increased weight puts added stress on weight-bearing joints, such as your hips and knees. In addition, fat tissue produces proteins that may cause harmful inflammation in and around your joints.
- Joint injuries. Injuries, such as those that occur when playing sports or from an accident, may increase the risk of osteoarthritis. Even injuries that occurred many years ago and seemingly healed can increase your risk of osteoarthritis.
- Certain occupations. If your job includes tasks that place repetitive stress on a particular joint, that joint may eventually develop osteoarthritis.
- Genetics. Some people inherit a tendency to develop osteoarthritis.
- Bone deformities. Some people are born with malformed joints or defective cartilage, which can increase the risk of osteoarthritis.
Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of osteoarthritis include:
- Pain. Your joint may hurt during or after movement.
- Tenderness. Your joint may feel tender when you apply light pressure to it.
- Stiffness. Joint stiffness may be most noticeable when you wake up in the morning or after a period of inactivity.
- Loss of flexibility. You may not be able to move your joint through its full range of motion.
- Grating sensation. You may hear or feel a grating sensation when you use the joint.
- Bone spurs. These extra bits of bone, which feel like hard lumps, may form around the affected joint.
During the physical exam, your doctor will closely examine your affected joint, checking for tenderness, swelling or redness, and for the range of motion in the joint. Your doctor may also recommend imaging tests.
Pictures of the affected joint can be obtained during imaging tests. Examples include:
- X-rays. Cartilage doesn’t show up on X-ray images, but cartilage loss is revealed by a narrowing of the space between the bones in your joint. An X-ray may also show bone spurs around a joint. Some people may have X-ray evidence of osteoarthritis before they experience any symptoms.
- Magnetic resonance imaging (MRI). An MRI uses radio waves and a strong magnetic field to produce detailed images of bone and soft tissues, including cartilage. An MRI isn’t commonly needed to diagnose osteoarthritis but may help provide more information in complex cases.
- Arthrocentesis is a procedure to remove joint fluid that is often performed in a health care professional’s office. During arthrocentesis, a sterile needle is used to remove joint fluid for analysis. Joint fluid analysis is useful in excluding gout, infection, and other causes of arthritis. Removal of joint fluid and injection of corticosteroids into the joints during arthrocentesis can help relieve pain, swelling, and inflammation.
- Arthroscopy is a surgical technique whereby a doctor inserts a viewing tube into the joint space. Abnormalities of and damage to the cartilage and ligaments can be detected and sometimes repaired through the arthroscope. If successful, patients can recover from the arthroscopic surgery much more quickly than from open joint surgery.
Homeopathic medicines provide symptomatic relief in Osteoarthritis. The medicines are selected basis the theory of individualization and symptoms similarity by using Homoeopathic holistic approach.
Following remedies are highly effective in the treatment of Osteoarthritis:
- Stiffness and soreness of the joints.
- Aching in the bones and tiredness.
- Calcium deposits or bone-spurs may develop, especially in the neck
- Arthritis starts in lower joints and extends to higher joints.
- Pain and inflammation often begin in the toes and spread up through the ankles and knees.
- The joints may make cracking sounds and may be very swollen.
- Pain that moves unpredictably from one joint to another.
- The hips and knees are often affected, and pain may be felt in the heels.
- Symptoms are worse from warmth, and better from cold applications and open air.
- This relieves muscular and articular pains at the beginning of motion and then improved by slow motion.
- Arthritis with a feeling of great stiffness and lameness.
- Tendons and the capsules of the joints may be affected.
- Arthritis developed after overuse, from repeated wear and tear.
What is Lumbago?
Lumbago is a general term used to describe pain and stiffness in the lower back.
Sometimes, the cause of lumbago is hard to pinpoint, even after comprehensive medical tests have been done. Lumbago can be caused from several factors, but the main reason is overuse of the lower back and the sudden lifting of a heavy load.
There are many different conditions that cause or contribute to low and lower back pain. Many involve nerve compression (eg, pinched nerve) that may generate pain and other symptoms. Types of spinal disorders include trauma-related and degenerative; meaning age-related. Some of these spinal problems are listed below.
- Bulging or herniated disc. A disc may bulge outward and can cause nerve compression, inflammation, and pain.
- Spinal stenosis develops when the spinal canal or a nerve passageway abnormally narrows.
- Spinal arthritis, also called spinal osteoarthritis or spondylosis, is a common degenerative spine problem.
- Spondylolisthesis occurs when a lumbar (low back) vertebral body slips forward over the vertebra below it.
- Vertebral fractures (burst or compression types) are often caused by some type of trauma (eg, fall).
- Osteomyelitis is a bacterial infection that can develop in one of the spine’s bones.
- Spinal tumors are an abnormal growth of cells (a mass) and are diagnosed as benign (non-cancerous) or malignant (cancer).
Since lumbago means suffering from lower back pain, some patients may think that’s the only symptom. It’s important to dig deeper into the kind of lower back pain in order to get lumbago treatment. Symptoms include:
- Pain radiating to the legs
- Muscle spasms
- Soreness if touched
- Difficulty walking
It is important to note that patients can experience lumbago without all of the above symptoms present. For example, patients with muscle spasms and stiffness may not have radiating pain. Acute or chronic lumbago may be diagnosed if one or more of the symptoms are present.
To help diagnose the cause of your back pain or rule out any serious problems, your doctor may ask questions about the pain, such as:
- Did the back pain come on suddenly, does it come and go, or has it gradually worsened over time?
- Is your back sore to the touch?
- Is your back pain affected by your position, e.g. is it worse or better when you stand or sit, or bend over or lie down?
- Was it brought on by exercise or activity that you are unaccustomed to?
- Do you have any pain in your feet or legs?
- Is there any tingling in your legs or feet?
- Is the back pain accompanied by any swelling?
- Is the pain worse during the night?
- Are you having any problems going to the toilet?
- If your doctor suspects a specific cause of the back pain then they may refer you for imaging tests such as X-ray of the lumbar spine (although plain X-rays are rarely useful), or an MRI scan. MRI scans can show the spinal discs and the nerve roots and the soft tissues. MRIs are probably the most useful imaging technique for low back pain as they can show problems with the discs and whether anything is pressing on the nerves of the spinal cord. Sometimes a CT scan will be suggested, if an MRI is not available.
- Ultrasound may be used if kidney stones are suspected as the cause of the pain.
- Nerve conduction studies called electromyography may be suggested, however the results often don’t reflect the symptoms, so this test may not give any useful information.
Homeopathic medicines provide symptomatic relief in Lumbago. The medicines are selected basis the theory of individualization and symptoms similarity by using Homoeopathic holistic approach.
Following remedies are highly effective in the treatment of Lumbago:
- Violent, acute low back pain.
- Pain is severe and can be burning, throbbing, shooting, or spasmodic.
- Intense spasms come on suddenly and leave just as quickly.
- Sense of exhaustion in the back, or the back may feel broken.
- Pains have a stitching nature and are much better from pressure.
- In women, back pain may occur during labor or the menstrual period.
- Back pain comes on after overexertion, especially from lifting something too heavy.
- The pain is aching and the low back is stiff.
- It is worse from first motion, yet better from continued motion.
- The pain may come on with exposure to cold wet air, cold drafts, or before storms.
- Weak feeling in the low back.
- Symptoms are often worse in the late afternoon from 3 to 5 p.m.
- The person can be indifferent to their loved ones and desire sour or vinegary foods.
- The pain is often as if the back is broken, or it may be a burning pain.
- The person is often chilly and is anxious about their health or worries about others.
- Better when someone is sitting right there with them, giving them sympathy.
- Back pain is better from rubbing/massaging.
4. Rheumatoid Arthritis (RA)
What is Rheumatoid Arthritis (RA)?
Rheumatoid arthritis (RA) is an autoimmune disease that can cause joint pain and damage throughout body. The joint damage that RA causes usually happens on both sides of body. So if a joint is affected in one of the arms or legs, the same joint in the other arm or leg will probably be affected, too. This is one way that doctors distinguish RA from other forms of arthritis, such as osteoarthritis (OA).
Rheumatoid arthritis is an autoimmune disease. In Rheumatoid arthritis, the immune system’s antibodies attack the synovium, which is the smooth lining of a joint. When this happens, pain and inflammation result.
Inflammation causes the synovium to thicken. Eventually, if left untreated, it can invade and destroy cartilage — the connective tissue that cushions the ends of the bones.
The tendons and ligaments that hold the joint together can also weaken and stretch. The joint eventually loses its shape and configuration. The damage can be severe.
Rheumatoid arthritis is a long-term or chronic disease marked by symptoms of inflammation and pain in the joints. These symptoms and signs occur during periods known as flares. Other times are known as periods of remission — this is when symptoms dissipate completely.
RA symptoms, which can occur throughout the body, include:
- Joint pain
- Joint swelling-Tender, warm, swollen joints
- Joint stiffness- Joint stiffness that is usually worse in the mornings and after inactivity
- Loss of joint function
- Fatigue, fever and weight loss
Symptoms can vary from mild to severe. It’s important not to ignore your symptoms, even if they come and go.
Early rheumatoid arthritis tends to affect your smaller joints first — particularly the joints that attach your fingers to your hands and your toes to your feet.
As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips and shoulders. In most cases, symptoms occur in the same joints on both sides of your body.
About 40 percent of the people who have rheumatoid arthritis also experience signs and symptoms that don’t involve the joints. Rheumatoid arthritis can affect many nonjoint structures, including:
- Salivary glands
- Nerve tissue
- Bone marrow
- Blood vessels
In its early stages, it may be difficult for a doctor to diagnose RA as it can resemble other conditions. However, early diagnosis and treatment are essential to slow the progression of the disease.
A doctor will look at the person’s clinical signs of inflammation and ask how long they have been there and how severe the symptoms are. They will also carry out a physical examination to check for any swelling, or functional limitations, or deformity.
They may recommend some tests.
Erythrocyte sedimentation rate (ESR): This test assesses levels of inflammation in the body. This test is not specific for RA and is a useful test for other inflammatory conditions or infections.
C-reactive protein (CRP): A higher CRP level suggests that there is inflammation in the body. This test is not specific for RA and CRP can occur in other inflammatory conditions or infection.
Anemia: Many people with RA also have anemia. Anemia happens when there are too few red blood cells in the blood.
Rheumatoid factor: If an antibody known as rheumatoid factor is present in the blood, it can indicate that RA is present. However, not everyone with RA tests positive for this factor.
Imaging scans and X-rays
Homeopathic medicines provide symptomatic relief in Rheumatoid Arthritis (RA). The medicines are selected basis the theory of individualization and symptoms similarity by using Homoeopathic holistic approach.
Following remedies are highly effective in the treatment of Rheumatoid Arthritis (RA):
- Patients who may have developed Rheumatoid Arthritis (RA) after prolonged stress in the form of grief.
- It is the emotional trauma that leads to the disturbance of immune system, in turn, leading to the disease like RA.
- Patients may be reserved, less expressive, emotionally governed, with the tendency to get hurt.
- Arthritis of large or medium joints such as knee joint, spine or shoulders.
- Pain on waking up in the morning or while getting up from a sitting position.
- Joint pains are better by hot application.
- Useful especially for RA of small joints affected, especially fingers and toes.
- Useful for all forms of arthritis.
- Pain in joint is worse with initial movements such as getting up from bed or chair, and better by continuous movements.
5. SLIPPED DISC
What Is Slipped Disc?
It refers to a condition whereby portions of an abnormal, injured, or degenerated disc have protruded against adjacent nerve tissues. This condition is also known as herniated disc, ruptured disc, or prolapsed disc. The most frequently affected area is in the low back, but any disc can rupture, including those in the neck.
CAUSES & RISK FACTORS
Risk factors that lead to a slipped disc include aging with associated degeneration and loss of elasticity of the discs and supporting structures; injury from improper lifting, especially if accompanied by twisting or turning; and excessive strain forces associated with physical activities.
Overweight individuals are also at increased risk for a slipped disc because their discs must support the additional weight. Weak muscles and a sedentary lifestyle may also contribute to the development of a slipped disc.
A slipped disc can produce varying degrees of pain in the back or neck along with numbness or weakness in the corresponding organs, arms, or legs as follows:
- For slipped discs in the neck: Neck symptoms and other associated symptoms include numbness, tingling, weakness, or pain in the shoulder, neck, arm, or hand. Symptoms of a herniated disc in the neck often increase or decrease with neck motion.
- For slipped discs in the lower back, back symptoms include
- Pain down the back of each leg from the buttocks to the knee or beyond (this is called sciatica, as it affects the sciatic nerve)
- Numbness, tingling, weakness, or pain in the buttocks, back, legs, or feet or all of these as in sciatica
- Numbness and tingling around the anus or genitals
- Pain with movement, straining, coughing, or doing leg raises
- Difficulty controlling bowel movements or bladder function
Your doctor will first perform a physical exam. They will be looking for the source of your pain and discomfort. This will involve checking your nerve functions and muscle strength, and whether you feel pain when moving or touching the affected area. Your doctor also will ask you about your medical history and your symptoms. They will be interested in when you first felt symptoms and what activities cause your pain to worsen.
Imaging tests can help your doctor view the bones and muscles of your spine and identify any damaged areas. Examples of imaging scans include:
- CT scans
- MRI scans
Homeopathic medicines provide symptomatic relief in Slipped disc. The medicines are selected basis the theory of individualization and symptoms similarity by using Homoeopathic holistic approach.
Following remedies are highly effective in the treatment of Slipped disc:
- Pain in lower back which gets worse by sitting, lying down or any rest position.
- Stiffness in the spine which gets worse after a period of rest and better by walking.
- Lower backaches which gets better by taking rest.
- Worsening of pain in back from a slight motion or walking.
- Stiffness and rigidity also accompany pain in back.
- Patient may have an increased thirst for large quantities of water.
- Colocynth is mainly prescribed for left-side Sciatica cases.
- Severe pain in the lower back extending down the left lower limb.
- Pain mostly gets better by pressure or heat application.
- Sciatica of the right side.
- Sciatica pains can be of varying nature like stitching, shooting or cutting.
- Relief from Sciatica pain by applying pressure or warmth.
- Sciatica pains accompanied by numbness.
- Degenerative disc disease presenting itself with Sciatic nerve impingement, leading to pain and numbness.
6. FROZEN SHOULDER
What Is a Frozen Shoulder?
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in shoulder joint. Over time, the shoulder becomes very hard to move.
Frozen shoulder most commonly affects people between the ages of 40 and 60, and occurs in women more often than men. In addition, people with diabetes are at an increased risk for developing frozen shoulder.
The causes of frozen shoulder are not fully understood. There is no clear connection to arm dominance or occupation. A few factors may put you more at risk for developing frozen shoulder.
- Frozen shoulder occurs much more often in people with diabetes. The reason for this is not known. In addition, diabetic patients with frozen shoulder tend to have a greater degree of stiffness that continues for a longer time before “thawing.”
- Other diseases. Some additional medical problems associated with frozen shoulder include hypothyroidism, hyperthyroidism, Parkinson’s disease, and cardiac disease.
- Frozen shoulder can develop after a shoulder has been immobilized for a period of time due to surgery, a fracture, or other injury. Having patients move their shoulders soon after injury or surgery is one measure prescribed to prevent frozen shoulder.
Symptoms of Frozen Shoulder
Pain from frozen shoulder is usually dull or aching. It is typically worse early in the course of the disease and when you move your arm. The pain is usually located over the outer shoulder area and sometimes the upper arm.
Frozen shoulder typically develops slowly, and in three stages. Each stage can last a number of months.
- Freezing stage. Any movement of your shoulder causes pain, and your shoulder’s range of motion starts to become limited. Freezing typically lasts from 6 weeks to 9 months.
- Frozen stage. Pain may begin to diminish during this stage. However, your shoulder becomes stiffer, and using it becomes more difficult. During the 4 to 6 months of the “frozen” stage, daily activities may be very difficult.
- Thawing stage.Shoulder motion slowly improves during the “thawing” stage. Complete return to normal or close to normal strength and motion typically takes from 6 months to 2 years.
Diagnosis of Frozen Shoulder
Physical Examination-After discussing your symptoms and medical history, your doctor will examine your shoulder.
Your doctor will move your shoulder carefully in all directions to see if movement is limited and if pain occurs with the motion. The range of motion when someone else moves your shoulder is called “passive range of motion.” Your doctor will compare this to the range of motion you display when you move your shoulder on your own (“active range of motion”). People with frozen shoulder have limited range of motion both actively and passively.
Imaging Tests-Other tests that may help your doctor rule out other causes of stiffness and pain include:
- X-rays. Dense structures, such as bone, show up clearly on x-rays. X-rays may show other problems in your shoulder, such as arthritis.
- Magnetic resonance imaging (MRI) and ultrasound. These studies can create better images of soft tissues. They are not required to diagnose frozen shoulder; however, they may help to identify other problems in your shoulder, such as a torn rotator cuff.
Homeopathic medicines provide symptomatic relief in Frozen Shoulder. The medicines are selected basis the theory of individualization and symptoms similarity by using Homoeopathic holistic approach.
Following remedies are highly effective in the treatment of Frozen Shoulder:
- Pain and stiffness in the shoulders along with swelling are predominant.
- Unable to raise arms as if no power left for any movement.
- Violent pain in the shoulder and muscles on both sides of the shoulder that travels along the arm.
- Frozen shoulder with pain and stiffness in between shoulders.
- Pain is relieved by moving or even when patient lies on a hard platform.
- Stiffness in the base of the neck.
- The forearm and arm of the patient also have pain and they feel weak and paralyzed.
- Frozen shoulder due to tendon strain and sprains.
- Pain in the neck that is relieved by lying on the back as it applies pressure.
- Pain is so violent as if the shoulder is getting torn.
- Frozen shoulder after injury or after bruises.
- Pain, especially in the left shoulder, occurs with numbness.
- Contracted tendons with tearing in the shoulder joints and weakness. Better by warmth, especially of bed.
- Frozen shoulder when there is a pain in shoulder and arm, with swelling of the affected part.
- There is ulcerative pain especially in roots of fingernails of right hand and in the middle finger.
What is Gout?
Gout is a form of inflammatory arthritis that develops in some people who have high levels of uric acid in the blood. The acid can form needle-like crystals in a joint and cause sudden, severe episodes of pain, tenderness, redness, warmth and swelling.
CAUSES OF GOUT
Gout occurs when urate crystals accumulate in joints, causing the inflammation and intense pain of a gout attack. Urate crystals can form due to high levels of uric acid in blood.
Normally, uric acid dissolves in blood and passes through kidneys into urine. But sometimes either body produces too much uric acid or kidneys excrete too little uric acid. When this happens, uric acid can build up, forming sharp, needlelike urate crystals in a joint or surrounding tissue that cause pain, inflammation and swelling.
Factors that increase the uric acid level in body include:
- Diet. Eating a diet rich in meat and seafood and drinking beverages sweetened with fruit sugar (fructose) increase levels of uric acid, which increase your risk of gout. Alcohol consumption, especially of beer, also increases the risk of gout.
- Obesity. If you’re overweight, your body produces more uric acid and your kidneys have a more difficult time eliminating uric acid.
- Medical conditions. Certain diseases and conditions increase your risk of gout. These include untreated high blood pressure and chronic conditions such as diabetes, metabolic syndrome, and heart and kidney diseases.
- Certain medications. The use of thiazide diuretics — commonly used to treat hypertension — and low-dose aspirin also can increase uric acid levels. So can the use of anti-rejection drugs prescribed for people who have undergone an organ transplant.
- Family history of gout. If other members of your family have had gout, you’re more likely to develop the disease.
- Age and sex. Gout occurs more often in men, primarily because women tend to have lower uric acid levels. After menopause, however, women’s uric acid levels approach those of men. Men are also more likely to develop gout earlier — usually between the ages of 30 and 50 — whereas women generally develop signs and symptoms after menopause.
- Recent surgery or trauma. Experiencing recent surgery or trauma has been associated with an increased risk of developing a gout attack.
SYMPTOMS OF GOUT
There are four stages of gout:
- Asymptomatic hyperuricemia is the period prior to the first gout attack. There are no symptoms, but blood uric acid levels are high and crystals are forming in the joint.
- Acute gout, or a gout attack, happens when something (such as a night of drinking) causes uric acid levels to spike or jostles the crystals that have formed in a joint, triggering the attack. The resulting inflammation and pain usually strike at night and intensify over the next eight to 12 hours. The symptoms ease after a few days and likely go away in a week to 10 days. Some people never experience a second attack, but an estimated 60% of people who have a gout attack will have a second one within a year. Overall, 84% may have another attack within three years.
- Interval gout is the time between attacks. Although there’s no pain, the gout isn’t gone. Low-level inflammation may be damaging joints. This is the time to begin managing gout – via lifestyle changes and medication – to prevent future attacks or chronic gout.
- Chronic gout develops in people with gout whose uric acid levels remain high over a number of years. Attacks become more frequent and the pain may not go away as it used to. Joint damage may occur, which can lead to a loss of mobility. With proper management and treatment, this stage is preventable.
DIAGNOSIS OF GOUT
Your doctor can make a diagnosis of gout based on a review of your medical history, a physical exam, and your symptoms. Your doctor will likely base your diagnosis on your description of your joint pain, how often you’ve experienced intense pain in your joint, and how red or swollen the area is.
Tests to help diagnose gout may include:
- Joint fluid test. Your doctor may use a needle to draw fluid from your affected joint. Urate crystals may be visible when the fluid is examined under a microscope.
- Blood test. Blood test to measure the levels of uric acid and creatinine in your blood. Blood test results can be misleading, though. Some people have high uric acid levels, but never experience gout. And some people have signs and symptoms of gout, but don’t have unusual levels of uric acid in their blood.
- X-ray imaging. Joint X-rays can be helpful to rule out other causes of joint inflammation.
- Ultrasound. Musculoskeletal ultrasound can detect urate crystals in a joint or in a tophus. This technique is more widely used in Europe than in the United States.
- Dual energy CT scan. This type of imaging can detect the presence of urate crystals in a joint, even when it is not acutely inflamed. This test is not used routinely in clinical practice due to the expense and is not widely available.
Homeopathic medicines provide symptomatic relief in Gout. The medicines are selected basis the theory of individualization and symptoms similarity by using Homoeopathic holistic approach.
Following remedies are highly effective in the treatment of Gout:
- Inflammation of the great toe, and in the heel.
- Edematous swelling and coldness of legs and feet.
- Joint stiff and feverish.
- Shifting rheumatism.
- Helps in elimination of uric acid from the body.
- Uric acid diathesis and gout.
- The joint symptomsare associated with hive like eruptions.
- Pain in acute gout deltoid, ankles and wrists.
- Uric acid diathesis.
- The symptoms are associated with high colored urine and offensive.
- Rheumatic gout nodes very painful.
- Pain in great toe, cracking sounds.
- Gouty pains shoot all through the foot and limb and in joints, especially small joints.
- Ball of great toe swollen, hot, and pale.
- Ascending rheumatism.
- Pain in fingers and heel.
- Associated with gastric complaints.
- Thick white coating of tongue.
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