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Got Gout? (Warning : possible whining within)(11 posts)

Got Gout? (Warning : possible whining within)hrv
Jul 6, 2003 3:06 AM
I do and it's getting old! I've had it for several years and usually goes away in a few days but seems to be hanging on this time. Seeing a doctor for it so don't need any medical advice.

My toe area is so swollen I don't even want to try stuffing my foot in my bike shoe. So I found a pair of Shimano biking sandals that both saved me and doomed me. Saved me because they allow me to still bike (did 70 miles, 8K vertical yesterday) and not lose my sanity/fitness, and doomed me because my foot ain't gettin' any better because of it. Damn double-edged sword!

To really stop the pain, I'll need to not bike for 2 - 5 days, closer to 5 probably. I'll swim for the aerobic stuff, but need to find leg exercises that don't involve the foot. Any ideas? Back to base, I guess.

Any other people here have gout? Doc got me on Allopurinol,
but I'm not supposed to take it when I have pain, so I need to stop doing stuff that makes the pain worse. Easier said than done. I'm working on adjusting my diet and as a result have lost some weight, which I also read contributes to gout. In the words of Phil Ligget, it's a tricky one, that!

hrv
re: Got Gout? (Warning : possible whining within)sb61
Jul 6, 2003 5:22 AM
I too have had gout for years, had surgery to remove gout induced bunion, take allopurinol also, no gout since, bike shoe fits fine again. Do you take an anti-inflammatory as soon as you feel a bout coming on? This used to relieve my pre-surgery symptoms.If joint is deformed, have you consulted Dr. concerning surgery? Good luck to you, I know the pain you speak of.
sandals?kgg
Jul 6, 2003 5:29 AM
Don't know if this'll really help, but didn't someone (Shimano? Nike?) used to make an SPD sandal? You'd either have to go to a mt bike or put some spd's on your road bike, but maybe it would allow you to at least get out and do some casual riding. Good luck.
See 2nd paragraph: got sandals! Thanks (nm)hrv
Jul 6, 2003 4:27 PM
oops - I should read first. nmkgg
Jul 6, 2003 8:06 PM
FWIW.....things your doctor didn't learn in Med School..coonass
Jul 6, 2003 5:58 AM
and if he did, he certainly hasn't told you. Go to the health store and get a copy of "Prescription for Nutritional Healing" by Phylllis & James Balch. It tells you exactly what Gout is, how it's caused and has recommendations of what foods/drinks you should avoid; what you should consume, etc. Pretty cheap investment (~$20) for something that may help you throughout your life..
re: Got Gout? (Warning : possible whining within)hipfx1230
Jul 6, 2003 8:33 AM
Allopurinol should be taken daily as a preventive for gouty arthropathy. To be most effecctive you should be on a high enough dose to drive down your uric acid. Some people need a higher dose. so the level needs to be cchecked on therapy. Having said that even with a low uric acid level gout flare-ups can occur. Cholchecine taken propmtlt and on the first day up to once an hour (un til pain releif or diarrhea or up to 5 times)can be very helpful. Cholchecine can then also be use up to twice a day for the flare-up.If Non-Steriodals and colchecine do not help, short term rapid taper oral steroids can help. Another option is an intra-articular steriod injection in the affected joint. You may need to see a Rheumatologist or Podiatrist for that.
Isn't Gout mainly caused by bad diet?ColnagoFE
Jul 7, 2003 9:27 AM
I'd also make sure I was eating stuff that didnt contribute rather than eating the same and medicating it away.
re: Got Gout? (Warning : possible whining within)Money D
Jul 6, 2003 9:25 AM
Diet: reduce ingestion of fat, alcohol, sardines, anchovies, liver, and sweetbreads

Treatment:
acute attack, take nsaids at max dosage
colchicine
Intra-articular long-acting steroid injection

chronic (not during acute attack)
nsaids
probenecid
allopurinol
sulfinpyrazone
ACTH

I agree that you need to have your uric acid levels check a couple weeks after initiating prophylactic therapy. A baseline level would be helpful if you had one checked in the past.
I can't really think of many exercises that don't involve the toes. Perhaps a stairmaster, but put some sort of a cushion under that foot so only your heel is touching. There would be no involvement of the toe, or movement of the foot, and those things kick my ass!
Good luck.
FWIW....Money-back gurarnteecoonass
Jul 6, 2003 3:47 PM
http://www.gout-treatment.com/
Found another one toohrv
Jul 6, 2003 4:31 PM
Maybe more 'natural' than gout-treatment:

http://www.goutcure.com/index.html .

Ton of sites hawking gout cures. It's wheat from chaf time.
thanks, CA!

hrv