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Gout incredibly painful

FfldCntyFan said:
I've never had gout so I have no clue as to how painful it is. I will say that if it is anywhere near as painful as the sausage argument that has taken over the Best Pizza the thread, anyone who has experienced a gout episode has my sympathy.
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Sausage festival = any concert related to Frank Zappas music. In case you didnt know.
 
August_West said:
Sausage festival = any concert related to Frank Zappas music. In case you didnt know.
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I saw the earlier post.

A former coworker's husband (I'm going back nearly four decades) saw Zappa's Halloween show at the Garden every year from the late 1970's until the mid 1980's.

Can't really call myself a fan but Zappa was a pretty good (and unique) guitarist and his lyrics were,.... well,.... different.
 
FfldCntyFan said:
I saw the earlier post.

A former coworker's husband (I'm going back nearly four decades) saw Zappa's Halloween show at the Garden every year from the late 1970's until the mid 1980's.

Can't really call myself a fan but Zappa was a pretty good (and unique) guitarist and his lyrics were,.... well,.... different.
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He was great guitar player. find a chick there ;-)
 
Gout is most often triggered by Purine rich foods like organ meats, seafood, beer, greens, lentils, gravy. Minor trauma and starting/stopping Allopurinol can also trigger an attack. There is also a link between taking Hydrochlorothiazide diuretics and gout attacks.

The problem with bloodwork is that the uric acids level spike before the attack and by the time the attack occurs the levels are frequently just mildly elevated or back within the normal limits. The history of sudden onset of a red hot swollen and very painful joint is most important in the diagnosis. A joint aspirate with microscopic examination using polarized light can also confirm the diagnosis but the joint aspiration would be extremely painful.

Treatment for acute attacks are usually oral prednisone, Indocin or Colchicine. Each has its own problems. Colchicine causes diarrhea, Indocin has to be taken with food to avoid stomach problems and oral Prednisone will shoot your glucose levels way up if you have diabetes. Long term management tends to mostly be Allopurinol which blocks the production of uric acid but Probenecid should actually be prescribed if the true cause is under excreting Uric acid.
 
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Try some contrast hydrotherapy it will help alleviate some of the pain so you can get some rest.
 
Not sure if this was mentioned already but Aleve or any naproxen sodium helps with gout pain
 
Annnd a misdiagnosis of gout, instead its an serious infection in the knee. If it doesn’t show signs of getting better by monday/tuesday it’s hospital bound with the instruction of “be prepared to be admitted and stay a while”.

But pain has eased and I can state unequivically that I’m not nearly as tough as @Bryan L daughter Kendall Lord
 
Northbound said:
Annnd a misdiagnosis of gout, instead its an serious infection in the knee. If it doesn’t show signs of getting better by monday/tuesday it’s hospital bound with the instruction of “be prepared to be admitted and stay a while”.

But pain has eased and I can state unequivically that I’m not nearly as tough as @Bryan L daughter Kendall Lord
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Wow. Good luck.
 
temery said:
I had gout when I weighed 130#, and when I weighed 230#. Weight is a big factor, but not the only factor.
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Yes. You can get killed in a car crash with a seat belt at 30mph. And survive another without it at 40 mph. If you want to maximize your chances of surviving a car wreck, wear a seat belt. If you want to minimize your chances of getting gout, weigh 130, not 230. I am an actual doctor FYI. You really gonna argue with me? And sorry for the preaching. Anesthesiologists dislike people that go from 130 to 230. If you had gout at 130 you probably have a genetic predisposition. But what's with the 230? It's easier to keep you safe at 130 than 230. If you eat more, walk more.
 
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Northbound said:
Annnd a misdiagnosis of gout, instead its an serious infection in the knee. If it doesn’t show signs of getting better by monday/tuesday it’s hospital bound with the instruction of “be prepared to be admitted and stay a while”.

But pain has eased and I can state unequivically that I’m not nearly as tough as @Bryan L daughter Kendall Lord
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Wow! I hope it all works out for you.
 
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DrZzzz said:
Yes. You can get killed in a car crash with a seat belt at 30mph. And survive another without it at 40 mph. If you want to maximize your chances of surviving a car wreck, wear a seat belt. If you want to minimize your chances of getting gout, weigh 130, not 230. I am an actual doctor FYI. You really gonna argue with me? And sorry for the preaching. Anesthesiologists dislike people that go from 130 to 230. If you had gout at 130 you probably have a genetic predisposition. But what's with the 230? It's easier to keep you safe at 130 than 230. If you eat more, walk more.
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So, you agree. Weight is a big factor, but not the only factor. That's all I was saying.
 
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DrZzzz said:
I am an actual doctor FYI. You really gonna argue with me?
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I will, because if you are a doctor that sees weight as the cause of everything I would get a new doctor. I ran into a guy like you 25 years ago, he totally botched my diagnosis and I'm still suffering because of it.
 
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two summers ago, and headin out to play a round, i see that doc was joining us. 'cool, im gonna ask him aboot my soreish big right toe.'
once upon a time, doc was the ortho guy for the jints (200 ortho docs in his nyc practice, meant nuthin to me cuz he was all modern with his work, ya know, drugs and surgery an all that. used to tease him all the time aboot that. now retired, he too had enlightenment with the drugs and surgery thing, particularly for his health issues.)
on the putting green and catching up with stuff, im like 'hey bones, my toe is weird, what say you?' he knew that i was no kind of regular drinker, he knew my general attitude on health stuff, so he asks some other lifestyle questions. everybody knows that i like to eat, so he gets into that, and learns that i was on some kind of pickled herring kick, often eating a quart (or two!) per week (always Acme, never Vita), in addition to the usual lox, smoked bluefish, smoked whitefish, etc, etc.
doc sez something like 'ur nutz anyway, but that herring thing is way, way, too much. word up.' now, i get enlightened, tone it way down to almost nuthing, and call him a few weeks later. 'ur right, that was it.'
i really, really do not like this new 'prednezone' (or however u spell it) for everything, especially gout stuff, thinking by the quacks. sure, fill our whole system with steroids why don't we....

in his current movie, ol doc jumped both feet into the cannabis biz, after first a surgery for his prostate thing, and then trying a different take on drug therapy for rehab part. now, aboot the four exwives and cash part.... and he thinks that im the nut.
 
and, since it's long been called the 'king's disease, or royals disease,' what more can be in evidence, and for an overwhelming number of sufferers, that it is a lifestyle affliction? of course, and with a host of triggers, it can be a highly personal search for what caused it.
 
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So, some long-term follow-up on this for me.

Turns out I didn't have gout but rather have torn LCL's on my first metatarsal (both feet). Ended up getting an MRI to find out what x-rays amd blood work couldn't find.

Some inputs from this thread.

Allopurinol was a non-starter for me due to side effects.
Drank the tart cherry juice.
Mottin 800mg once or twice a day was fine. I'm prior militsry so my body basically requires Motrin to function.
Took Colchisine during flare ups. Didn't do anything so thst helped rule out gout.
Being that my first comment on this thread was June 2022, it took almost a full year to figure out it was ligament damage.

I needed a flare up to occur to get a good diagnosis.

Even with the ligament damage diagnosis the pain and inflammation was excruciating. Doc gave me some steroid injections and that helps immensely but he says doing thst every six months isn't a solution.

I'm going to have surgery in December to get feet right.

All that being said, it's a great feeling being able to sleep pain free and walk without a limp.

OBTW, in the midst of all this, I also contracted Cellulitis on a business trip a few months ago which wrecked my left ankle and foot for two weeks. Bacterial infection that made it feel like I took a crow bar or tire iron to my Achilles and sprained my ankle at the same time. That pain was 10x worse than the flare ups from ligament damage.
 
Wow. Good luck. Can't believe they didn't test your uric acid levels before diagnosing you with gout, but as someone with high uric acid and ligament issues in at least one foot, i literally feel your pain. I been on allopurinol for 9 years and never experienced any side effects knock on wood. Were you concerned about them or did you experience some?
 
noeynox said:
Wow. Good luck. Can't believe they didn't test your uric acid levels before diagnosing you with gout, but as someone with high uric acid and ligament issues in at least one foot, i literally feel your pain. I been on allopurinol for 9 years and never experienced any side effects knock on wood. Were you concerned about them or did you experience some?
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I had several blood tests and my uric acid level is always above the level they look for but it doesn't fluctuate and taking or not taking meds had no effects on the levels.
We didn't do a deep dive in to removing foods from diet and tracking based on that. We just realized food wasn't affecting uric acid levels. We were working our way through some of those steps when the MRI came back and we decided to get that right before going deeper in to other stuff. There's also some arthritis down in the feet.
As for the Allopurinol, doctor wasn't against it but he said once you go on it, you are on it for life.

I type all of this as I just finished off a great breakfast of eggs over easy on top of a crab cake which was devine.
 
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Chin Diesel said:
So, some long-term follow-up on this for me.

Turns out I didn't have gout but rather have torn LCL's on my first metatarsal (both feet). Ended up getting an MRI to find out what x-rays amd blood work couldn't find.

Some inputs from this thread.

Allopurinol was a non-starter for me due to side effects.
Drank the tart cherry juice.
Mottin 800mg once or twice a day was fine. I'm prior militsry so my body basically requires Motrin to function.
Took Colchisine during flare ups. Didn't do anything so thst helped rule out gout.
Being that my first comment on this thread was June 2022, it took almost a full year to figure out it was ligament damage.

I needed a flare up to occur to get a good diagnosis.

Even with the ligament damage diagnosis the pain and inflammation was excruciating. Doc gave me some steroid injections and that helps immensely but he says doing thst every six months isn't a solution.

I'm going to have surgery in December to get feet right.

All that being said, it's a great feeling being able to sleep pain free and walk without a limp.

OBTW, in the midst of all this, I also contracted Cellulitis on a business trip a few months ago which wrecked my left ankle and foot for two weeks. Bacterial infection that made it feel like I took a crow bar or tire iron to my Achilles and sprained my ankle at the same time. That pain was 10x worse than the flare ups from ligament damage.
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Holy crap. Glad you have a way forward. Foot pain is so limiting. I have foot pain and wondered about Gout, but it just doesn't fit. I think I have early bunions forming and some other things. Sadly, most podiatrists I've ever seen have been useless orthotic salesmen. I did that most of my life, not going there. But I probably should go get checked out.
 
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