Gouty arthritis is a serious chronic disease that affects the joints. The trigger for its development is a violation of the normal process of excretion of uric acid s alts. Their excess is deposited in the form of crystals, which causes pathology, accompanied by inflammation and a number of other unpleasant symptoms.
The disease must be eliminated. And now we will talk about exactly how and how to treat gout on the big toe (where it occurs most often), doctors recommend.
Causes and symptoms
We should start with their discussion. The key symptom of gout on the big toe, the photos of which are unpleasant, is the presence of an inflammatory focus that develops in the joint. This phenomenon in medicine is called an attack or seizure.
Begins its development becausethat uric acid s alt crystals enter the joint cavity from the tissues. The causes that are prerequisites for the onset of the disease can be identified in the following list:
- The use of drugs with a pronounced diuretic effect.
- Surgical interventions.
- Injury.
- Excessive stress placed on the joint (long workouts, running, wearing uncomfortable shoes).
- Alcohol abuse.
Inflammatory focus most clearly manifests itself in the evening or at night. In all cases, this process is accompanied by a pronounced pain syndrome, which can spread to the entire limb.
As the disease progresses, there is hyperemia and swelling of the soft tissues, as well as changes in bone tissue in the area of the diseased joint.
An attack is usually accompanied by fever, headaches, weakness, chills and the formation of “nodules” (tophi) that appear through the skin in the area of the auricles, elbow joints and Achilles tendons. Sometimes they spontaneously open - the contents of a whitish color and a curdled consistency come out.
Acute attack subsides in 2-3 days. In severe cases, it can take up to a week. The next usually comes after a period that can vary from 6 months to 2 years. If proper therapy is not available, then this time will begin to decrease.
Butadion
Now we can talk about how to treatgout on the big toe. The exact answer to this question can only be given by a doctor, based on the results of the examination and diagnosis. But there are drugs that are prescribed for most patients
Butadion is a non-steroidal pain reliever that contains carmellose sodium, propylene glycol, methyl parahydroxybenzoate and other active ingredients that provide its therapeutic effect.
The remedy is effective for joint diseases of various etiologies - it is prescribed even for thrombophlebitis, osteoarthritis, articular rheumatism and polyarthritis. Symptoms of gout on the foot of the big toe also helps to quickly eliminate. "Butadion" has an analgesic and antipyretic effect, creating an impulse for the formation of interferons. It is quickly absorbed, and therefore the effect comes quickly.
It is recommended to apply to the affected area three times a day. Do not use the ointment for more than 20 days. It is important to take into account contraindications - the remedy cannot be used by people with trophic lesions, eczema and increased intolerance to the constituent substances.
Diclofenac
Continuing to talk about how to treat gout on the big toe, this ointment should also be noted with attention. "Diclofenac" is also an anti-inflammatory agent of non-steroidal origin. The active substance is a derivative of phenylacetic acid. It also has an analgesic effect.
Pretty quickly relieves (or at least weakens) pain,eliminates swelling and stiffness that the patient may feel in the morning. Also helps increase range of motion.
It is recommended to use 3-4 times a day, but not longer than 14 days.
Fullflex
If a person is concerned about gout on the big toe, then he should pay attention to this ointment. "Fulflex" is a dietary supplement that effectively relieves pain and inflammatory reactions. Also, using it, you can reduce swelling of soft tissues, remove uric acid s alts, and also prevent infection.
The listed effects are achieved due to the substances contained in the composition - these are extracts of white willow bark and fragrant martini. Phytoncides, glycosides and bioflavonoids that form them are distinguished by astringent, antimicrobial, anti-edematous and anti-inflammatory effects.
Their effectiveness is complemented by extracts of horse chestnut, eucalyptus, silver birch, fir, juniper, as well as vitamins E and P.
Voltaren emulgel
Another diclofenac remedy to consider if you want to know how to treat gout on the big toe.
It has the same effect as the drug of the same name, but due to the water-alcohol base it also has a cooling and soothing effect.
Can be used twice a day, but not longer than 14 days in a row. Not recommended for people prone to asthma attacks, rhinitis, skin rashes. If there is a violationintegrity of the skin, then it is also worthwhile to refrain from using the gel for a while.
Tablets
They also need to be taken to eliminate bumps on the big toe. Gout is a disease that needs to be addressed from all sides.
Here are the most common pills your doctor prescribes:
- Nemulex. The most gentle and safe drug from the group of non-steroidal anti-inflammatory drugs. Its more famous counterparts are Aponil, Nimesil and Nimulid. The drug effectively fights neurological ailments and various joint diseases.
- "Colchicine". This remedy quickly stops gouty attacks, and the composition includes mainly herbal ingredients. This drug regulates the solubility and further migration of urates, which reduces the concentration of urea in the blood.
- "Ibuprofen". A powerful remedy that has analgesic, anti-inflammatory and antipyretic effects. The drug also exhibits antiplatelet activity and lowers the temperature.
- "Indomethacin". This remedy is also often prescribed if the patient has inflammation of the gout on the big toe. It not only eliminates an unpleasant phenomenon, but also relieves redness and reduces the intensity of pain.
In addition to these funds, you can also use Ibuprom, Ivalgin and Bofen.
Surgery
Sometimes people wonder what to do for gout in the big toe, too late. A neglected disease is characterized not only by the soreness of the bone, but also by the spread of the tophi (nodules) mentioned at the beginning throughout the body.
They begin to accumulate in the kidney structures, resulting in disruption of the urinary system. And this is fraught not only with infection of the urinary tract and inflammation of the kidneys, but also with urolithiasis. However, even this state is not the saddest consequence.
If the organs of the urinary system are involved in the process, kidney failure may begin to develop. And this is fraught with arterial hypertension.
Surgery can help in the following cases:
- Tophi are localized atypically, due to which intra-articular effusion accumulates.
- Uric acid crystals are too large.
- Fistulas begin to form.
How to cure gout on the big toe and eliminate the consequences? You need to agree to the operation, although it is not a guarantee of getting rid of the disease.
A huge disadvantage is that such surgical manipulations are performed in a very small number of Russian clinics. Therefore, most patients who decide to undergo surgery are sent to Germany or Israel, where such treatment is combined with plasmapheresis hemosorption.
Compresses
Folk treatment for gout on the big toe is quite common. Compresses are the easiest thing to do.
Worth ithighlight the three most popular recipes:
- You need to mix the contents of one bottle of triple cologne with the composition of two bottles of alcohol valerian tincture. Then remove this liquid in a dry, dark place for 1-2 days. After the time has elapsed, use it - moisten a cotton pad with plenty of liquid and apply to the affected area overnight. Be sure to wrap with foil and tie with a bandage. It is recommended to do this for 2 weeks.
- In an enamel bowl, mix 500 grams of iodized s alt and a liter of clean water. Boil the composition until all the liquid has evaporated. In the s alt that remains, put 200 grams of petroleum jelly (you can replace it with melted pork or chicken fat). Mix well, and then use the ointment, applying it to the sore spot. You also need to wrap the film and bandage. Make compresses until the ointment runs out.
- Make minced meat from any raw fish. Attach it to the sore spot and wrap it well with cling film, hold for 2-3 hours. Wear a wool sock over the top. Do this for at least 10 days.
It is not forbidden, by the way, to combine these funds. When the course of treatment with one method is over, you can start using another.
Baths
They are made by many people with gout on the big toe. And rightly so - steaming the legs contributes to intense sweating, in which toxic substances are removed from the body and metabolic processes are normalized. However, baths should be taken only in remission, so as not to provoke complications.
It is highly recommended to use the following ingredients to prepare healing decoctions, in which the legs will be steamed in the future:
- Sage.
- Soapwort.
- Blackcurrant leaves.
- Juniper.
- Black Elderberry.
- Fern.
- Nettle.
- Chamomile.
- Angelica roots.
Preparing any decoction is elementary. You need to take 5-6 tbsp. l. dry component, pour a liter of boiling water and cook for half an hour over low heat. You will get a strong, saturated broth, which you need to pour into a container for taking a bath, and make up for the missing volume with warm water.
Regular performance of this procedure will help to stop painful manifestations, relieve redness of the skin and swelling, improve circulation, and also relax muscles and ligaments.
Decoctions and tinctures
So, what does gout look like on the big toe and how to treat it with medication is clear. But since we are talking about folk remedies, we need to discuss what healing elixirs from natural ingredients can be taken orally to relieve symptoms.
The funds prepared according to the following recipes have proven themselves well:
- A few fresh green cones of common spruce should be poured with two cups of boiling water, then leave the mass in a dark, cool place overnight. In the morning you can take - you need to drink half a glass three times a day between meals.
- Pour two glasses of cold water into an enamel bowl and put 3-4 bay leaves there. Bring the liquid to a boil, then simmer for another 5-7 minutes on minimum heat without a lid. Then within 3-4 hours to infuse the resulting elixir. When it cools down, you can use it - a glass twice a day.
- Put a few branches of the string into a cup and pour boiling water over it. Let it brew for 20 minutes, then strain and drink. Make this tea several times a day.
- Fill a glass bottle with a wide mouth with lilac flowers. There is no need to tamp them down. Then pour vodka (200 ml) and send for 2 weeks in a dark place to infuse. Shake the container every day. After the time has passed, you can take - three times a day, 2-3 ml 1-2 hours before meals.
- Mix willow bark, horsetail and drooping birch leaf (4 tbsp each), black elderberry and nettle leaves (2 tbsp each), buckthorn, juniper berries, blue cornflower, marigold color and dried peony flowers (1 tbsp each). Then grind all the ingredients, select 1.5 tbsp. l. and pour a liter of boiling water. Infuse for an hour, and then drink - half a glass once an hour.
- Pour a glass of boiling water 1 tsp. crushed red madder root. Insist for several hours. Drink the volume in two doses - in the afternoon and in the evening.
- Pour 1 liter of water into a saucepan and put 2-3 medium-sized onions there, without peeling. You just need to wash them first and clean them from the roots. You need to cook them for 40-50 minutes. Strain after time. This decoction should be drunk three times a day 30 minutes before meals.
They say if used regularlythese funds, then gout and a bump on the big toe will pass in a few months, and the result will begin to appear after a couple of weeks.
Diet
It is very important to observe proper nutrition for gout of the big toe. This can be said to be the main method of treatment and prevention of relapses.
The menu is compiled by a doctor, taking into account the presence of concomitant diseases and the patient, as well as his individual characteristics. But be that as it may, in any case, nutrition for gout of the big toe is aimed at eliminating elevated levels of uric acid.
The list of prohibited foods is impressive. Here's what to give up:
- Sweet pastries.
- Offal.
- Canned food.
- Meat of young animals.
- Cooked, raw-smoked and smoked sausages.
- Sausages, sausages.
- Fatty pork meat.
- Caviar.
- Fried, smoked, s alted, oily fish.
- Spicy and s alty cheeses.
- Sorrel.
- Mushrooms.
- Beans, beans, lentils, soybeans.
- Raspberries, figs, grapes.
- Mushroom, fish, meat broth.
- Soups with spinach, legumes, sorrel.
- Mayonnaise and any sauces.
- Lard and margarine.
- Pies, cakes, other similar confectionery.
- Any alcohol, strong tea, coffee, cocoa.
- Spicy spices, horseradish, mustard, pepper.
Eating all these foods negatively affects the he alth of the big toe joint. The gout will only get worse.
Restricted products include the following items:
- Cauliflower.
- Turnip.
- Parsley.
- Green onion.
- Pepper.
- Celery.
- Asparagus.
- Spinach.
- Plums.
- Tomato juice.
- Med.
These products can be used in small quantities during remission.
Of course, there are many restrictions, but the list of allowed products is not small. Includes:
- White and black bread, lean pastries.
- Chicken, turkey, rabbit. Take 2-3 times a week for up to 170g
- Shrimp, squid, trout, salmon, crustaceans and marine cephalopods. It is recommended to boil the fish and drain the broth.
- Natural yogurt, low fat milk, cottage cheese, sour cream, uns alted cheese. But you should not get carried away with these products. Milk, for example, is best diluted when cooking. Butter only fill finished products.
- Eggs. Can be 1 pc. per day in any form.
- Grains. Everything is allowed except legumes. It is advisable to eat them every day in large quantities.
- Vegetables: pumpkin, tomatoes, dill, eggplant, corn, zucchini, beets, cucumbers, onions, white cabbage, carrots, potatoes.
- Fruits and berries: pears, oranges, apricots, tangerines, strawberries, green apples, lemons, dates, persimmons and dried fruits (excluding raisins).
- Vegetarian borscht, cereal porridge with milk, salads from pickled andfresh vegetables (you can make caviar out of them, by the way), homemade sour cream and milk sauces.
- Ice cream, non-chocolate sweets, jam, marshmallows, marshmallows.
- Vegetable oils. Animal fats are excluded completely.
- You can eat nuts - pistachios, almonds, hazelnuts, and also pine and walnuts.
- From spices allowed cinnamon, citric acid, bay leaf and vanillin.
- You can drink green, fruit and berry teas, juice, herbal teas, fruit drinks, compotes, chicory, rosehip drinks.
- Fish oil. This, of course, is not a key component of the diet, but a very valuable supplement, a real storehouse of vitamins that the body of a person suffering from gout needs.
Diet-supplemented treatment for gout in the big toe joint will be more effective than therapy alone. As symptoms improve, the list of allowed foods can be expanded - if the doctor sees progress, he will allow you to eat what was previously prohibited.
