Tuesday, December 6, 2022

What’s Better For Gout Heat Or Cold

How Does A Doctor Diagnose Gout

Heat Vs. Cold (Ice) Pack? Avoid This Common Mistake. Infrared Heat?

If you have sudden or severe pain in a joint, you should talk to your primary care provider . Your PCP may send you to a rheumatologist, a doctor who specializes in gout and other kinds of arthritis.

Healthcare providers consider several things when confirming gout:

  • Symptoms: The provider will ask you to describe your symptoms, how often they happen and how long they last.
  • Physical examination: Your provider will examine the affected joint to look for swelling, redness and warmth.
  • Blood work: A test can measure the amount of uric acid in your blood.
  • Imaging tests: You may have pictures taken of the affected joint with X-rays, an ultrasound or MRI.
  • Aspiration: The provider may use a needle to pull fluid from the joint. Using a microscope, a team member can look for uric acid crystals or a different problem .

How Will Gout Affect Me

Attacks can vary from person to person. Some people only have an attack every few years, while others have attacks every few months.

Without medication attacks tend to happen more often and other joints can become affected.

Having high urate levels and gout for a long time can lead to other health problems, including:

  • narrowing of the arteries – which can lead to an increased risk of stroke or heart attacks or other heart problems
  • osteoarthritis, which occurs when the urate crystals and hard tophi cause joint damage.
  • an increased risk of developing kidney disease or worsening of the condition if you already have it
  • kidney stones
  • an increased risk of some cancers, especially prostate cancer
  • mental health problems, including depression
  • underactive thyroid
  • erectile dysfunction in men.

If you take medication to lower your urate levels, and have a healthy diet and lifestyle, most of the damage and complications caused by gout can be stopped.

Treatments for gout are incredibly successful. There are two main parts to treating gout, which are:

  • treating the acute attack
  • treatments to prevent future attacks.

What To Do After A Gout Flare

While its possible to have an isolated gout attack, normally once gout strikes youll need prolonged therapy to manage it, says Dr. Saag. If you dont take regular uric-acid lowering medication or find another way to get your uric acid levels down cutting back on alcohol, losing weight, and cutting back on high-purine foods may make a difference over time you will likely experience shorter intervals between gout flares, he explains. Gout ultimately becomes a chronic arthritis, and it can be quite disabling.

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Which Is Better For Relief Of Gout Pain Hot Or Cold Soaking

When it comes to pain, there are always 2 ways to help relief the pain, ice bag or warm tower. Somehow, the cold treatment is a more commonly used solution to numb the nerves so that the signals of the pain cannot reach the brain, temporarily.

In the case of gout pain, because the infected area is like burning on fire, most patients will soak the whole foot into a bucket full of freezing cold ices. That will immediately numb all the nerves in the foot, he cannot even feel the existence of the feet, not to mention the grueling pain at the swollen toe.

This may sound like a good fix for the intense pain, but the fact is that cold treatment will only make the condition worse in the long run. This is a method that kills the symptoms but worsen the root cause of gout.

Gout is a direct result of accumulation of too much uric acid in the body and the population of gout patients is growing worldwide at alarming rate. This is because of our modern stressful lifestyle that is full of acidic diet and habits. Smoking, soft drinks, instant food, synthetic food additives, fast food, are all acidifying agents that actively pump acids into the bloodstream.

When the concentration of uric acid in the synovial goes beyond the saturation level, they will crystallize and forms urate crystals that triggers the immune reaction which result in inflammation, burning sensation and pain, intense pain! Gout attack!

The End Of Gout Your Quick Start System

Which is Better for an Injury: Ice or Heat?

Shelly Mannings The End of Gout is not only a fascinating read its also refreshingly practical.

Shelly gives you two simple quick-starts:

Eat more of these

Eat fewer of these

This simple modification can correct many years of gout-causing errors in the eating. And you can start this right away within minutes of obtaining this program.That really helped my problem of What Is Better For Gout Heat Or Cold.

The next step is to follow Shellys 7-day plan.

It tightens up the quick start advice and turns it into a solid, follow-along program.

The 7-day plan was the real clincher for me.

I am a pretty average cook Im competent but not at all skilled or adventurous. Turns out I didnt need to be.

The plan takes away all the thinking and gives me, for the first week, something I can simply copy.

After the first 7 days I used Shellys advice to adapt the plan according to my own tastes.

Which was pretty easy the plan is full of options so you can try different foods and see what you like best.

Its all food you can buy in your supermarket. And it includes lots of nice stuff the chocolate and strawberries desserts were real winners in my house!

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Medications For Acute Gout

  • Non-steroidal anti-inflammatory agents and COX-2 inhibitors are the mainstay of therapy of acute attacks of gout in patients who have no contra-indication to them. These medications include such agents as naproxen , ibuprofen , celecoxib , indomethacin and many others. These agents reliably decrease the inflammation and pain of gout. However, patients with ulcers, hypertension, coronary disease, and fluid retention must be careful with these agents, even for the short courses needed to resolve a gout attack. The doses of non-steroidal anti-inflammatory agents needed to resolve a gout attack are on the higher side, since full anti-inflammatory effect is needed. See examples of dosage in Table 2. Over-the-counter dosage levels, for example, ibuprofen at 200mg, two tabs three times a day, are often insufficient.
  • Corticosteroids, such as prednisone and methylprednisolone , are anti-inflammatory agents that are quite effective against gout attacks. Anti-inflammatory steroids are very different in action and side-effects as compared to male hormone steroids. Anti-inflammatory steroids have long-term risks, such as bone thinning and infection, but their risk for short-term therapy is relatively low. These agents can raise blood pressure and blood sugar, so can be a problem for those with uncontrolled hypertension or uncontrolled diabetes mellitus.
  • Pain From Sciatica Can Range From Mild To Intense

    Dear Mayo Clinic:

    Ive had sciatica on-and-off for weeks, but for the past few days it has been so bad that Im uncomfortable all of the time. It feels best when walking, but when I stop or sit down the pain is almost unbearable. My doctor says physical therapy is the only way to treat it. Are there no other options?

    Answer:Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from the lower back to the buttock and down the back of each leg. The lower lumbosacral nerve roots make up the sciatic nerve which is the longest nerve in the body.

    Although many people think of sciatica as a condition, it is actually a collection of symptoms. Most people with sciatica will experience pain more in their lower extremity than in their back. The pain will often extend below the knee and into the foot and, in many cases, it is accompanied by numbness or tingling. On occasion, patients will experience muscle weakness in the affected leg.

    For some, sciatica pain may be just a mild ache for others, it can be quite intense. Some people experience a sharp burning sensation and may feel a jolt like an electric shock. Often, the pain intensifies when sitting for long periods. Some patients lose bladder or bowel control, a sign of cauda equina syndrome, which is rare but serious and requires immediate medical care. See your doctor immediately if your sciatica is accompanied by these symptoms.

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    What Are Symptoms Of Gout

    Chances are you wont even know you have gout until youve experienced your first painful attack, often at night. Symptoms may not develop for years, but these often include:

    • Arthritis that develops quickly, resulting in a swollen, red, and warm joint with limited movement
    • An arthritis attack in only one joint often the big toe, as well as a foot, ankle, or knee
    • Bright red or purplish skin around the affected joint
    • More than one attack of acute arthritis

    How Does Ice Help Gout Pain

    Heat therapy or cold therapy? Hot water bag or ice pack? What works in arthritis?

    Hot and cold therapy is something of a routine treatment nowadays for many types of pain. The theory is that while cold therapy helps to reduce inflammation and swelling, the heat pads then relax your muscles.

    When dealing with gout however there is no muscular pain as such that needs to be treated. But there is most certainly plenty of painful inflammation and swelling so cold therapy and more specifically ice is often recommended for gout.

    The benefits of applying ice to help gout could be summarised as follows

    1) Reduced Swelling

    The ice is designed to provide a cold sensation to the joint or area to which it is applied. This cold causes the blood vessels around the joint to constrict, thus reducing blood flow and pressure around the affected joint.

    2) Synovial Fluid Reduction

    Too much synovial fluid is sometimes over-produced in response to the build-up of urate crystals, and can actually add to the swelling or pain of an attack .

    3) Numbing Effect

    Applying ice to an area of skin has been known to provide a numbing effect, both on the skin and just underneath.

    Again, this can help with pain reduction, especially when gout makes the skin around the affected joint super-sensitive.

    4) Distraction

    While gout may be the cause, it is your brain that ultimately receives and process the pain signals, before turning them in to actual feelings.

    Poorly sent pain signals means they wont be processed correctly and your pain will be less than otherwise expected!

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    When Should You Use Cold To Treat Your Knee Pain

    Cold compression works best to relieve pain, swelling and inflammation for new injuries, re-injury and during immediate post surgery recovery. Cold therapy should also be used during the first 24 72 hours of treatment, combined with resting your injury.

    If youve been suffering for some time with a chronic knee injury you should only use cold after activity causes you more pain or triggers more inflammatory response symptoms . This would be when your knee starts to hurt at the end of the day after youve been on your feet, active in athletics, or performing any other tasks that has put a lot of weight or stress on your knee. When used at this time cold compression becomes a natural / organic pain reliever, treating the site where you feel the pain.

    Sometimes we feel pain while doing a certain activity should you still use cold? Too much cold therapy can reduce your ability to heal correctly, because cold is a short term painrelievernot a soft tissue healer.

    We put milk in the fridge so it will stay fresh longer. We do this so it will stay in the same condition as when we bought it. Your injury is no different. Too much cold will keep your injury in the same state slowing down the healing process. This can sometimes make chronic injuries linger even longer. Heat should be used when you suffer from a chronic, tight or stiff knee injury and after you reduce swelling, pain and inflammation with cold.

    Here are a couple of examples for when to use cold :

    A Study Which Proved A Correlation Between Gout And Weather

    I was able to discover a study which was conducted in the United States, in Boston more precisely and which involved 619 people. All of them were aged between 21 and 88, so the average life age was 54 years. The scientists discovered that weather or better said temperature and humidity significantly affect gout.

    The first thing they discovered is that when the temperature is increased to 30 degrees Fahrenheit, the risk of a gout attack increases for impressive 40%. On the other hand, when the temperature is decreased or better said below 30 degrees Fahrenheit, the risk of a gout attack decreases by 25-35%.

    Humidity also affects gout and it is important to know that the risk of the attack is increased when the humidity is below 60% and the risk is decreased when it is higher than 70%.

    All of this can be explained as a result of sweating or losing the body fluids. It is important that you stay hydrated and to maintain the body temperature. As the body goes up, our bodies will have to sweat, which will literally increase the level of uric acid and decrease the amount of water in the body. As such, we are at a higher risk of a gout attack.

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    How Can An Attack Of Gout Be Treated

    The management of an acute attack of gout is very different from the prevention of subsequent attacks.

    Treatments used for prevention, such as allopurinol can actually make things worse if given during an attack, and so need to be held back until the attack has resolved for several weeks.

    There are a number of measures that can help resolve an attack of gout. See Table 2 for summary of treatment strategies for acute gout. One principle is that treatment for an attack of gout should be instituted quickly, since quick treatment can often be rewarded with a quick improvement.

    If an attack of gout is allowed to last more than a day or so before treatment is started, the response to treatment may be much slower.

    Table 2: Medications to treat acute attacks of gout

  • Nonsteroidal anti-inflammatory drugs or COX-2 inhibitorsExamples of : Naproxen 500mg twice daily, indomethacin 25mg three times daily. Example of COX-2 inhibitor: celecoxib 200mg twice a day. Possible side-effects: Elevation of blood pressure, ankle swelling, upset stomach, ulcer . Use with caution if kidney or liver problems.
  • Anti-Inflammatory corticosteroidsExamples of : Prednisone 40mg first day, 30mg 2nd day, 20mg third day, 10mg fourth day. Possible side-effects: Elevation of blood pressure, elevation of blood sugar, mood changes. Short-term use, as in gout, generally much better tolerated than long-term use. Use with caution if diabetic.
  • Drink Plenty Of Water

    Heat and cold treatment: Which is best?

    This wont likely provide immediate relief, but inadequate hydration is known to contribute towards the creation of urate crystals.

    Drinking water may flush uric acid crystals out of your system.

    Preliminary research suggests that adequate water consumption during the 24-hour period before a gout flare can decrease recurrent gout attacks.

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    Now Its Your Turn To Understand What Is Best For Gout Heat Or Ice

    Theres today thousands of us who no more put up with gout because we tackled it at its result in. Of just tinkering with the symptoms Alternatively.

    Im one of them!

    Remember, I got gout for exactly the same reasons it really is acquired by at this point you.

    An poor gut microbiome recommended that bacteria that should have been removing another of my bodys uric acid easily wasnt.

    That bacteria had diminished to the point that my kidneys were trying to cope with the acid independently.

    And they couldnt cope.

    Nor can yours.

    It wasnt i was suddenly making too much uric acid. Its that my gut was basically no able to support my kidneys take it off from my body longer.

    And the transformation from gout to no gout almost experienced like magic.

    You can possibly imagine it yourself.. what it would be like to simply never have any gout ever again.

    Take my word for it, its wonderful!

    No flare-ups, no pain, no being laid-up in bed for days waiting for the pain to subside.

    An absense of questioning if some upcoming occasion shall be smudged because Im laid up in agony with another invasion.

    Just as satisfying is the fact Ive significantly decreased my hazards of struggling diabetes in addition, kidney failure, cardiovascular disease and some cancers.

    Shellys program lays it all out for us. No special knowledge is required. I found it easy.

    Can You Get Rid Of Gout

    It should be fairly noticeable why youd want to get gone gout, but is it possible really?

    Sure is definitely, but theres not a one-size will fit all solution.

    Within the next section, well end up being going over whats worked best for us!

    You wont want to lose out on this free video tutorial.

    NOTICE: Id highly recommend going to your doctor or seeing a specialist about this situation, since we arent experts. See our medical disclaimer for more details.

    We dont know what will work for you, but we know whats worked for us and others

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    Heat Vs Cold Therapy: How They Work And When To Use Them

    Although it seems like a simple concept, one question that we are commonly asked is when to use ice versus heat therapy to treat pain. In this post, we will discuss how each one works on a physiologic level, and when to use each one. Both heat and cold therapy are an inexpensive and easy-to-use treatment for the management of acute, chronic, and postoperative pain. These therapies are also great to use after vigorous exercise to stimulate healing. One main point to keep in mind is that ice reduces inflammation, while heat stimulates blood flow. Knowing that simple fact can help if theres ever a question about when to use which one.

    Cold Therapy

    Heat Therapy

    Unlike cold therapy, heat therapy stimulates blood flow. This is helpful in the treatment of pain due to chronic, overuse type injuries or disease processes. Pain from sore or tight muscles is often associated with a buildup of lactic acid. Applying heat to these areas helps to stimulate the flow of oxygen-rich blood which can decrease the amount of lactic acid in the muscles, thereby decreasing pain and improving range of motion. Heat may also lead to pain relief by way of muscle relaxation. When using heat at therapeutic levels, collagen tissue relaxes and elongates, easing tension built up in the muscles. Using heat in conjunction with a stretching or home exercise program or along with a formal physical therapy program will provide the greatest results.

    Similarities between Heat and Cold Therapy

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