Gout incredibly painful | Page 3 | The Boneyard

Gout incredibly painful

I had gout when I weighed 130#, and when I weighed 230#. Weight is a big factor, but not the only factor.
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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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
Wow! I hope it all works out for you.
 
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.

So, you agree. Weight is a big factor, but not the only factor. That's all I was saying.
 
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I am an actual doctor FYI. You really gonna argue with me?
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.
 
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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?
 
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?

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.
 
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.
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.
 
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.
I tried the gout diet before meds. Nothing worked. I forget the exact numbers but i think normal uric acid levels were like a 6 and i was well over 9. Its the only med im on. I frigging hate it. I had "taken myself off" but at my last physical the uric acid levels were through the roof again, even though i had no "flare ups", so I'm just gonna accept i have to be on the crap.

Feet problems have to be worst next to back problems. Everything is supported from the feet up.
 
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.

Bunions are the final part of my solution. The bunion pushes the big toe against the metatarsal which puts strain on the ligaments.
My surgery is going to shave off some bone on the big toe and then he's going to break the big toe in a couple of places to align that toe more forward. Then he's going to repair the ligaments on the toe next to it.
 
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.
Have had periodic flare ups over the years and have been able to resolve through supplements (so far). Sounds like your situation might include other physical ailments that you're looking into. I will say this about gout and diet. There are certain foods and beverages that can accelerate or contribute to gout or gout-like conditions. One of those is beer. My Mother had a condition referred to as pseudo-gout. Gout-like conditions but more arthritic in nature.

Good luck with game plan. Definitely worth getting it figured out.
 
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Bunions are the final part of my solution. The bunion pushes the big toe against the metatarsal which puts strain on the ligaments.
My surgery is going to shave off some bone on the big toe and then he's going to break the big toe in a couple of places to align that toe more forward. Then he's going to repair the ligaments on the toe next to it.
I did something similar in 2021, brace yourself for a pretty uncomfortable rehab. Shaved down bunion, broke and reset two hammer toes...but now I can ski, play tennis, and ride the Peloton pain free again. One other silver lining, no PT for this...just R&R. Good luck Chin!
 
I did something similar in 2021, brace yourself for a pretty uncomfortable rehab. Shaved down bunion, broke and reset two hammer toes...but now I can ski, play tennis, and ride the Peloton pain free again. One other silver lining, no PT for this...just R&R. Good luck Chin!

Sounds about right. Doc said it will be 7-10 days of no weight bearing on the foot following by 2-3 weeks of the walking boot and finally a few weeks of the velcro strap sandal boot. He said at the two week follow up he'll know if everything will be healed within 6 weeks or if there's a possibility of having to go back in and take a second stab at it.
 
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.
The same thing happened to my brother a few weeks ago, he was sure the gout came back and it turned out to be a toe thing. I wonder if there a bunch of sprained toes out there not getting better with the cherry juice.
 
Finally had foot surgery today.
It was actually scheduled a month ago and day before my surgery there was a water main break on road outside the hospital anld all procedures for two days had to be rescheduled.
Two hours under the knife to perform a bunionectomy- shave, break, trim, realigned and screw back together. Also found remnants of gout flare ups which he cleaned up. So, some dietary changes and meds are coming my way.
Finally, had the ligaments cleaned up and re-attached.
Sitting at home recovering.
Interesting enough, since I was given oxycodone as a narcotic they automatically give you narcam too.
One week complete no weight bearing, two weeks in the big boot and then a walking sandal.
 
I now have a wire going through my toe. The green tip is just for protecting the end of the exposed wire. Hopefully it gets pulled out next week for the post-op follow-up.
IMG_20240202_140230.jpg
 
I know a lady who had that done and she was on a knee scooter and did not have the wire pulled for at least 3 weeks.
 
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Hey Chin, I'm not a Doctor but it looks like they lopped off 3 of your toes. If I were you I'd start asking some questions!!! Jokes aside, good luck on your recovery:)
 
Speedy recovery Chin...I had similar a few years back with the bonus of breaking and resetting two hammer toes. Bizarre feeling when they pull that wire.
 
How goes the recovery Chin?

Well, he pulled stitches and wire yesterday. About another month of walking sandal and boot.

Some swelling and bruising remain.
 
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