Tuesday, May 21, 2024

How To Tell The Difference Between Gout And Arthritis

Will Gout Show Up In An Xray

Gout Diagnosis

Plain film radiography may be used to evaluate gout however, radiographic imaging findings generally do not appear until after at least 1 year of uncontrolled disease. The classic radiographic finding of gout late in disease is that of punched-out or rat-bite erosions with overhanging edges and sclerotic margins.

What Is The Prognosis Of Gout

Gout is a chronic condition. Left untreated, patients may suffer from recurrent painful and disabling acute attacks of gout. Joint damage and other complications of gout may occur. However, excellent treatments for gout are available, and most patients respond very well to gout treatment with a good prognosis.

The Role Of Physical Activity In Prevention Of Gout

Along with diet, physical activity can help with weight loss, and gout has been associated with being overweight.7 in patients with well-established gout, especially if X-rays have demonstrated joint damage in the foot, a low-impact exercise program is reasonable. An exercise program combined with diet in gout can reduce risk for attacks.7 If an attack seems to be coming on in the lower extremity, patients are well-advised to try to get off their feet, since impact seems to worsen gout attacks. Clues to an attack of gout coming on include local swelling, heat, redness, and tenderness in a joint, especially in the foot, ankle, or knee. Some patients have fever and chills as the first warning that an attack of gout is coming on.

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Which Joints Are Involved In Gouty Arthritis And Why Is It Most Common In The Foot

As with all other known types of arthritis, Gout has particular joints it tends to attack, and the foot is its most common location. Gout especially favors the bunion joint, known as the first metatarsophalangeal joint , but the ankle, midfoot and knee are also common locations, as is the bursa that overlies the elbow.

The bunion joint is the first joint involved in 75% of patients and is ultimately involved in over 90% of those with this condition. . It is thought that this joint is especially involved in gout because it is the joint that receives the highest pounds per square inch of pressure when walking or running.

Late in gout, if untreated, multiple joints can be involved, including the fingers and wrists. The shoulder joint is very rarely involved by gout and the same is true of the hip.

Figure 5: Location of Gout Attacks

Summary Of Gout Vs Rheumatoid Arthritis

Difference Between Gout and Bunion
  • Both gout and rheumatoid arthritis cause problems with the joints including pain and swelling.
  • Gout happens when there is too much uric acid in the body causing it to be deposited in the joints.
  • Rheumatoid arthritis seems to occur because the immune system attacks the joints of the body.
  • Both conditions can be treated with medications.

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What Are Bone Spurs

Bone spurs are of two basic types. One is the kind that arises near a joint with osteoarthritis or degenerative joint disease. In this situation, the cartilage has been worn through and the bone responds by growing extra bone at the margins of the joint surface. These spurs carry the formal name osteophytes. They are common features of the osteoarthritic shoulder, elbow, hip, knee and ankle. Removing these osteophytes is an important part of joint replacement surgery but removing them without addressing the underlying arthritis is usually not effective in relieving symptoms.

The second type of bone spur is the kind that occurs when the attachment of ligaments or tendons to bone become calcified. This can occur on the bottom of the foot around the Achilles Tendon and in the coroacoacromial ligament of the shoulder. These spurs often look impressive on X-rays, but because they are in the substance of the ligaments rarely cause sufficient problems to merit excision.

Symptoms Of Rheumatoid Arthritis And Gout

Because they are both forms of inflammatory arthritis, RA and gout share some of the same symptoms. Both can cause pain, inflammation and redness, swollen joints, and visible nodules . RA and gout can also cause stiffness in the affected joints, limiting the joints range of motion over time. These similarities may appear to make the two conditions indiscernible, but the location and onset of pain can help set them apart.

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The End Of Gout Your Ultimate Beginners Approach

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 adjustment can correct years of gout-causing errors inside your eating. And you may start on this immediately within a few minutes of obtaining the program.That really helped my problem of What Is The Difference Between Fibromyalgia And Gout.

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!

In General Gout Occurs In 4 Major Stages:

Two Ways to Tackle Gout
  • Asymptomatic hyperuricemia

the patient has elevated levels of uric acid but no other symptoms.

often occurs at night and can be caused by stressful events, alcohol, drugs, and other illnesses. After a few days to three weeks, the attack subsides.

  • Intermittent stage

an asymptomatic interval between two gout attacks.

a permanent damage to the affected joints and, in some cases, to the kidneys.

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Gout Compared To Other Types Of Arthritis

There are more than 100 different types of arthritis, but a few of the most common are:

  • Osteoarthritis: worn-down cartilage in your weight-bearing joints
  • Rheumatoid arthritis: an autoimmune disease that affects your joints the same on both sides
  • Psoriatic arthritis: affects your joints and skin
  • Lupus: an autoimmune disease that affects your joints and organs
  • Gout: crystalized uric acid accumulated in your big toe

The symptoms of gout most closely mirror the symptoms of rheumatoid arthritis: they both cause red, swollen joints that can be so painful its debilitating. They can both affect the feet and hands, which can make it difficult to tell the difference. And to make it even more confusing, about 2% of those who have rheumatoid arthritis also have gout.

To determine which type of arthritis you have and which type of treatment will work best, our team thoroughly examines your affected joint or joints, discusses your symptoms, evaluates your medical history and lifestyle, and uses X-rays and lab tests to arrive at a diagnosis.

Location Of Gout Symptoms Vs Rheumatoid Arthritis Symptoms

Rheumatoid arthritis tends to affect similar joints on both sides of the body if one knee joint is affected by RA, for instance, the other one will likely be affected as well. RA can affect any joint in the body, as can gout. However, the two tend to affect certain joints more frequently than others. RA often starts by affecting the small joints in the hands and feet, whereas gout typically develops in the large joint of the big toe.

MyRAteam members report experiencing gout symptoms in a variety of joints. The gout started in my ankles, wrote one member, who shared that their pain was particularly intense. Another member shared that they are dealing with gout in feet, ankles, and knees. As one member admitted, I never even thought gout occurred anywhere except for the big toe and thats one place I dont have it!

If you experience symptoms of either of these forms of arthritis, seek medical advice from your rheumatologist. They will be able to diagnose the cause of your symptoms and provide you with the right treatment.

To determine the underlying cause of joint symptoms, a doctor may perform a physical exam alongside several types of tests, including joint fluid tests, blood tests, and imaging tests.

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What Are Future Possible Treatments Of Gout

Fortunately, present medications are successful in the vast majority of gout patients. But some patients cannot tolerate our present arsenal of gout medications. For others, these agents are not sufficiently effective. Therefore, new treatments are continually being sought. Some of the more promising include anakinra, rilonacept, canakinumab, BCX4208 and arhalofenate.

The End Of Gout Your Quick Start Plan

Gout Puts Men at Higher Risk of ED

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 years of gout-causing errors in your eating. And you can start on this straight away within a few minutes of getting this program.That really helped my problem of What Is The Difference Between Gout And Cellulitis.

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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Symptoms By Body Part

The most commonly affected areas during the onset of RA are the small joints in your hands and feet. This is where you may first feel stiffness and an ache.

Its also possible for RA inflammation to affect your knees and hips. Because the disease presents differently in different people, it can go on to affect almost any joint.

Your organs are another area that can be disrupted by RA inflammation:

  • Your heart muscle can become damaged.
  • Your lungs can become scarred.
  • Blood vessel damage can lead to subsequent skin and nerve issues.

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What Is The Difference Between Rheumatoid Arthritis And Gout

Rheumatoid arthritis is an autoimmune disorder, meaning it is a condition in which the bodys immune system mistakenly attacks its own tissues. It is a chronic inflammatory disease characterized by inflammation and pain in the joints. Symptoms usually consist of tender, swollen, warm joints, with stiffness in the morning or after a period of inactivity. Additional symptoms can include fatigue, fever, and loss of appetite. The joint pain associated with rheumatoid arthritis tends to start in the small joints of the hands and feet and is usually symmetrical . RA can later spread to larger joints like the wrists, elbows, knees, ankles, shoulders, and hips as the disease progresses.

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Pain In Your Knees Ankles Wrists Or Elbows

While shooting pain in the big toe is very characteristic of gout, it can affect any joint and present like psoriatic arthritis, says Dr. Malik. Uric acid crystals can form in your foot, ankle, knee, elbow, hand, wrist, and small joints in your fingers. Roughly 25 percent of gout patients experience polyarticular symptoms. This means the pain strikes in more than one joint at a time for example, the big toe and the left knee. While gout rarely impacts the spine, it can affect soft tissues in the body, including your bursae and sheaths around your tendons.

Surgery For Spinal Arthritis

Arthritis & Osteoarthritis – Part 2: Medical History

Surgery may be recommended for spinal arthritis if other treatments donât sufficiently relieve pain. The goals of the surgery may include:

  • Stabilizing the spine by fusing several segments together in a procedure called spinal fusion

These surgeries can be performed as open procedures or with a minimally invasive approach. There are pros and cons to each method. The surgeon will review and discuss the options before the operation.

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Effects On Your Daily Life

  • See a doctor or other relevant healthcare professional if youre unable to do everyday tasks due to joint or muscle pain.
  • If youve lifted something heavy and hurt your back, for example, take some painkillers, apply some heat and try to stay active. If the pain doesnt ease after a couple of weeks or so, see a doctor.

Its important to see a doctor if you get any new symptoms or if you have any trouble with drugs youre taking.

If you have an appointment with a doctor, to help make sure you get the most out of it, you could take a list of questions with you and tick them off as they are discussed.

You could also keep a symptoms diary with details of how youre feeling in between appointments. Some people find that taking a friend or relative with them to an appointment can provide support and ensure that all important points are discussed.

Who Is Affected By Gout

Gout can affect anyone. It usually occurs earlier in men than women. It generally occurs after menopause in women. Men can be three times more likely than women to get it because they have higher levels of uric acid most of their lives. Women reach these uric acid levels after menopause.

People are more likely to get gout if they have:

You are also more likely to develop gout if you:

  • Consume a diet high in animal proteins.
  • Consume a significant amount of alcohol.
  • Are on water pills .

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Arthritis Is A Complicated Group Of Diseases

As mentioned above, there are over 100 types of arthritis. And along with gout, osteoarthritis and rheumatoid arthritis are the most common types.

The Arthritis Foundation states that osteoarthritis a degenerative joint condition that usually occurs in the hands, feet, hips, knees, or spine is the most prevalent. Symptoms present itself when the cartilage between the bones wear out, causing bone to rub against bone, resulting in swelling, stiffness, and pain.

Rheumatoid arthritis is when the body mistakenly attacks its own tissues in the body, causing inflammation in the joints. Its not degenerative rather, its an autoimmune disease a dysfunction of the immune system.

Apart from causing pain, stiffness, and inflammation, these gout, osteoarthritis, and rheumatoid arthritis have other things in common: treatment options.

Arthritis commonly occurs in the load-bearing joints, like the feet, ankles, and knees. This can be eased by maintaining a healthy weight. Regular physical activity, whenever possible, can also strengthen the joints and in the long-term lessen the severity of arthritis attacks.

Certain exercises can also strengthen muscles around affected joints in order to provide more support. Always keeping the body hydrated can lessen the amount of gout-causing uric acid in the body, as well as keep the joints lubricated. And while theres no cure for arthritis, there are safe and long-term ways to manage its symptoms.

The Role Of Medication In Prevention Of Gout

Can You Get Tested For Rheumatoid Arthritis

Table 3: Medications to pevent attacks of gout

  • Colchicine: to decrease the ability of uric acid crystals to cause inflammation.
  • Allopurinol and febuxostat: to decrease production of uric acid
  • Probenecid and lesinurad: to increase the excretion of uric acid
  • Pegloticase: to increase the breakdown of uric acid
  • Standard medications in preventing gout attacks

    i. Colchicine : using the matches analogy discussed above1, using colchicine can be seen as dampening the uric acid matches. Colchicine does not lower the bodys store of uric acid, but it decreases the intensity of the bodys inflammatory reaction to these crystals. Recent studies have shown that at least one mechanism of colchicines action is by acting to prevent a cascade of reactions that lead to the production of interleukin 1-beta, which is an inflammatory protein , which is important in gouty inflammation.8

    ii. Allopurinol: This agent is presently the most commonly used drug for the prevention of gout. Allopurinol blocks the enzyme xanthine oxidase, which blocks the breakdown of purines, thus decreasing the bodys total amount of uric acid. Allopurinol is effective in preventing gout no matter what the mechanism of the elevated uric acid was. Whether a person is making too much uric acid, or has difficulty excreting it via the kidney, allopurinols decrease in uric acid production leads to the same goal: a decreased total body uric acid.

    Table 4: Reasons to use medication to lower uric acid

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    Gradual Increase In Pain

    Arthritis pain usually starts slowly, although it can appear suddenly in some cases.

    At first, you may notice pain in the morning or after youve been inactive for a while.

    Your knees may hurt when you:

    • stand up from a sitting position
    • walk on a flat surface
    • sit down for a while

    Knee pain that wakes you up from sleep can be a symptom of OA.

    For people with RA, the symptoms often start in the smaller joints. They are also more likely to be symmetrical, affecting both sides of the body. The joint may be warm and red.

    With OA, symptoms may progress rapidly or they may develop over several years, depending on the individual. Symptoms can worsen and then remain stable for a long time, and they can vary day to day.

    Factors that may cause worsening of symptoms include:

    • excessive activity

    With RA, symptoms usually appear over several weeks, but they can develop or worsen in a few days. A flare can happen when disease activity increases. Triggers vary and can include changes in medication.

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