Doctor diagnosed gout as my uric acid level is high. I went to see the doctor because my ankles were swollen, he prescribed allopurinol, but so far after 3 weeks my ankles are still swollen and painful, but what's weird is that my right ankle is more swollen than the other. Any explanation?
View 1 RepliesFive days ago we rushed our four year old son to A&E where we were told he had HSP. the hospital were wonderful made our son comfortable on the ward and we got settled for the night at his bedside. we now have a nurse coming once a week to check on him and i have to check his wee in a morning ( which has been clear so far).
I was under the impression he was getting better so i let him go to school and since he came home his ankles have swollen up like balloons though he says there not painful.
i don't know now if i should allow him to return to school or maybe if he could go half day. he loves school and i know he wouldn't get any rest at home as he has a two year old sister. I am really unsure of how to treat this disease as you never seem to know what the next hour is going to bring let alone the next day.
we are praying that this does not spread to his kidneys and stomach as it hasn't done yet.
I am just writing with the hope of getting some more help/assurance re the Gould brostrom (or as my letter has now pointed out Arthroscopic debridement and lateral ankle reconstruction - unsure if this is the same of different?) procedure which I am due to have in just over 2 weeks on the 22nd June.
I have been very unsure for a while now as to whether or not to go ahead with it but have decided to take the plunge, however I still have my doubts!
I injured my ankle initially around 5 years ago (ruptured ATFL showed up in MRI scan) and almost had the surgery back then, only to decide not to go ahead with it. Since then I have rolled over and sprained it on multiple occasions, and have felt it become increasingly weak to the point where I have very little confidence in its strength. When playing football I now wear lace up supports, which are strong enough to prevent the rolling, but obviously doesnt deal with the root cause and there is a still a feeling of achiness and limited movement. When not wearing my ankle supports I would say its at least a 50/50 chance I'm going to roll over on my ankle every time.
I can still run and go about my everyday life virtually without any issues (feel twinges but nothing major unless recently sprained) and the views of the consultants varied from the cautious 'maybe only have it if you're playing high level sport' ( which I'm not but just play football weekly for my local team), to saying yes I go for it as its clearly getting weaker and weaker and becoming more of a frustration.
I guess alongside asking for advice as to what to expect post op, I am also seeking assurance that by going ahead I am making the right decision (bearing in mind surgery is considered last resort and rehab process is lengthy).
I'm a 42 year old female. Six weeks ago I was climbing ropes at the gym and dropped down from 4-6 feet onto a piece of excess rope resting on the ground. My ankle rolled and pain and swelling occurred immediately. Being a stubborn woman, I walked it off until the swelling started spilling over my shoe.
Got an X-ray from the orthopedic who said nothing was broken.
I was on crutches for 2 weeks and still in an air cast boot when I'm on uneven ground or working out. My workouts are modified (rowing, 12" box steps, shoulder work, cleans)and ankle swells 4x the size afterwards.
My current problem/question is this: Saturday I walked without the book (tennis shoes) on a flat surface and was very careful not to twist/turn or injure the ankle. Of course, it swelled 4x the size, as it always does each afternoon.
However, pain woke me up in the middle of the night/early the next morning. I couldn't put any weight on the foot and experienced severe pain over my medial ankle bone. It was extremely tender to the touch and any movement caused sharp pain.
One day later, it's sore but the severe pain is gone.
I had ankle surgery to repair my medial malleolus back on May 8. It was fairly routine--just 2 screws. I was in a cast for a week, then was put into a boot but told to treat it like a cast--NO weight bearing for 7 weeks, keep the boot on 24/7 unless in the bathtub. I followed directions religiously.
I did notice that when I pressed on certain areas of the foot, I would feel a sharp pain. This occurred in the heel (from the bottom), toes (again, from the bottom, primarily the foot pad below the pinky, second, and 4th toes). When I asked the doctor about this, he said (around week 5) that it was just because I hadn't been using the foot.
The problem persisted, and this week, week 7, I was cleared to start partial weight-bearing--walking in the boot while taking approximately 1/2 the weight off my foot via the crutches. I don't have ankle pain to speak of (or at least, not often and only if I overdo it), but I have terrible shooting pains in my heel and toes as I step. It's OK if I take most of the weight on the crutches, but as soon as I go to more than just a little weight on the boot, the pain starts.
This week I also started PT and the therapist told me this is nerve pain--not uncommon after surgery (don't know why the doctor couldn't have told me this, but OK). I couldn't get much of an idea from her how long this will persist or if there is anything I can do about it.
I'm doing my ankle and leg exercises (those are mostly non-weightbearing at this point) and they are going great. The ankle is clearly healing well. But I don't see how I can progress to full weight bearing (supposed to try that next week!) when much more than a little pressure on the foot results in this nerve pain!
Help! Does anyone have experience with this? Is there anything I can do to speed things along? I need to return to my second job (barefoot hoof trimming for horses--how I broke the ankle!) ASAP and I'm fearful this will slow my progress to a crawl! The doctor is useless.
I am a 29yr old male, in good shape and not obese. I had my first gout attack 2 years ago, most certainly due to high blood pressure (on meds now). About 6 months ago I had a bad fall and injured the same toe that had previously gotten a gout attack, so I had a resulting 2nd gout attack. I had uric acid of 7.5 and started taking Uloric.
I read alcohol (especially beer) is very bad for gout. I can't say that I've ever noticed alcohol to cause an attack, maybe a few times my big toe has been a little tender the day after drinking a little too much, but never an attack.
So my question is how would you know if alcohol affects your gout or not? I'm a social 29yr old and drink pretty regularly, so I'm worried that it's hurting my gout without me knowing it, if that makes any sense.
I've had 4 procedures on my ankle to remove bone spurs from the front of the joint and to microfracture an OCD.
The first procedure didn't get all of the bone spur removed and I lost 6 months doing PT and then had to have another procedure at the NYC HSS to correct the issues and I also had the stem cells to regenerate the cartilage.
All of the repairs to the ankle went well and the stems regenerated the cartilage based on the 6 month follow up MRI.
I never regained my dorsiflexion. I am stuck at about 2 degrees.
I then had a gastroc release where they told me they got over 10 degrees during the surgery but I was unable to retain it after the PT started.
I then had a debridement to remove scar tissue from the front of the ankle where they we able to get about 16 degrees during the surgery, but the scar tissue once again re-formed and I stuck back at the 2-3 degrees.
I am currently still working hard on PT and have ART and GRASTON done 2x per week.
Has anyone had any luck in finding a surgeon or technique that helps permanently remove the scar tissue to regain ROM?
I'm also a candidate to wear the ankle distraction device where the device is supposed to be able to re-distribute my existing dorsiflexion and plantarflexion to give me enough of each to walk with a normal gait.
I am currently trying to weigh my (limited) options as after 20 months I'm tired of walking with a limp!
I took the drug for High BP for many years at max dose 5mg/day.
Can cause awkward need to pass water at inconvenient times- but effective against high BP - in my case used in conjunction with ACE inhibitor Trandolapril with some success.
However, if you have a familial tendency to Gout (ie Arthritis in family- as a precursor) then this drug type will make Gout pretty likely.
You will not want to experience the pain of Gout, believe me!
At the first sign of joint reddening (esp. with alcohol usage) then review use of this drug. Certainly reduce alcohol intake.
It took me 6 weeks to adjust to cessation of this diuretic -with some fluid retention problems and BP surging up again.
I've talked to many people over the years about this -and the link between any diuretic and Gout seems very common.
i have just been prescribed lansoprazole for gout, how will this help?
View 1 RepliesWhy do all sites differ on what food you can and cannot eat !! I'm new to this and looking for a few tips on how to lower Uric acid levels pls
View 2 RepliesI'm 34. I had a left ankle reconstruction for instability with a ligament repair and arthroscopy in July 2015.
My recovery has been slow due to hip operations around the same time. My ankle has healed well however the range of motion is still below neutral for dorsiflexion though it's improving.
I still have loud cracking on the outside (lateral) aspect of my ankle where the ligaments were repaired. It's terribly painful and my ankle swells straight away each time. It usually occurs with shifting my weight. My ankle surgeon says it's scar tissue breaking down but is it usually accompanied by a loud painful crack in the same area each time. I'm worried it's not ok.
I was on diclofenac 25mg tablets for a number of years for gout - however when I had a double heart bypass I was taken of this medication and put on allopurinol 200mg tablets - I have suffered the last 8 weeks with gout on my left ankle which has now also gone to my left ankle in that time I have been to the doctors 4 times and had 1 x ray. I do not think that allopurinol is the medication for me but my doctor will not take me off it. I have had another blood test and waiting for results, in the meantime I suffer with this. I do not think that the doctor is acting on my best interest
View 1 RepliesHave taken several forms of ppis over the past year on and off and for the past six months cimetidine. Now have gout lower back. You tell the doctor this and he doesn't want to accept it. I do not eat much in the way of acidic - bad diet - and this can be the only cause of it. Yet doctor tries to fob me off with how it is just some temporary thing - a month later it is still there. I have insisted on blood tests for kidney and liver as I know it is not some muscle strain and that would not last a month or have fatigue and
dizziness with it either. He had also told me that people do not get a lot of coughing from ppis. WellI go it and nothing else could have caused it. I only ever had the bad coughing when taking the ppis, it would stop when I came off and start again when I started again. I then found about 50 people online with the same problem.
My wife got gout in her foot yesterday after eating mushrooms, I believe there is a connection.?
View 1 RepliesI have suffered from gout for many years often in big toe on either foot, eventually in most joints to the point of swelling and deformity of joints.
Now it has been named as TOFI which is uric crystals forming as lumps on joints on my fingers, toes , knuckles of hand
I have as many as seven lumps formed on one toe all around toe joint, now it has formed an abscess oozing a thick white mucus now with a gaping oozing hole,this is also happening on another toe.
Went to my doc told me it is tofi I know that, then I saw another locum doc to ask for referral to consultant told NO
take antibiotics finished course to no difference at all in desperation went to a podiatrist she is so shocked to see the state my toes are in and put a dressing on them with a urgent referral to my own doc my condition is so bad now that it has been mentioned I will need amputation.
I've just been told my Uric acid levels are dangerously high (7.5) has anyone else had or heard of this during menopause? I'm worrying now what with everything else going on during peri.
View 2 RepliesMy uric acid level when checked yesterday is 13.0 mg/dl... ,how can i reduce uric acid level? also i read in internet that drinking lemon juice,eating tomato will reduce uric acid..is it true?
View 1 RepliesI am a 32 year old man and i had my first gout attack 5 months ago (right knee), my gp put me on allopurinol 300 mg daily . the medication brought my uric acid levels down to around 5 and my gp says this is the target , it took several weeks for the first attack to clear and left me in pain when i walk for months . my uric acid levels are still 5 ish and i have been getting really bad flares in my right foot quite regular 3 times in 4 weeks now , is it meant to be possible to have attacks when on medication . i feel like a oap with this , i don't drink alcohol anymore (since first attack) and eat a low purine diet , if anyone has any advise on this it would be good.
View 2 RepliesI've had this nasty gout episode for four days now and I am reading conflicting information, perhaps a few of you with some experience can help. First, is it better to apply heat, cold or both? Second, will walking around and staying active even through the pain make it worse, better or stay the same? Third, is there any prescription out there that works without any nasty side effects? And lastly, knowing that I have gout, is it really necessary to see a doctor?
View 6 RepliesIs it OK to start colchicine after taking naproxen?
View 1 RepliesI am aware that us folks with a gout flare-up are taking many different types of medications but I wanted to know if any of the folks in this forum are also taking Lipitor or the generic Atorvastatin for high cholesterol?
View 4 Replies