GOUT AND HOMEOPATHY
Acute Gout:
A disease in which defective metabolism of uric acid causes arthritis, especially in the smaller bones of the feet, deposition of chalk-stones, and episodes of acute pain.
Predisposing factors: Trauma to the joint, acute infection, surgery, exposure to cold, injection of foreign protein, drugs, an excess of alcohol, high protein diet, diuretics, chemical like urografin, allopurinol, uricosuric drugs, sometimes it is associated with changes in the atmospheric pressure. Premonitory symptoms are nausea, vomiting, flatulence, abdominal pain and occasionally renal colic or polyuria.
Clinic features:
Onset is sudden: Age: usually above 40
Sex: Male predominate (95%), rare in females (8 times more common in males)
The attack usually occurs in the night awakening the patient from sleep. The joint most commonly affected initially is first metatasophalangeal joint (50%). Other sites are ankle, heel, knee and hand. The involvement may be monoarticular or migratory polyarthritis. Hip and shoulder joints are usually not affected.
General features are anorexia, malaise, headache, tachycardia, and fever which may come with a slight chill. Locally there is excruciating pain, tenderness, swelling and violaceous color of the joint and involved skin is tense. Lymphangitis and cellulitis may occur. Local veins are very much prominent. The skin over the joint becomes scaly and itchy during recovery which is pathognomonic. An attack may last for two weeks after which the joint becomes completely normal till another attack occurs.
Chronic gout:
The acute attacks recur at the interval of months to years. Gradually a stage comes when irreversible changes develop in the joints characterized by changes in joints spaces, capsule, tendons, and bursae.
Clinic features:
The pain becomes persistent along with stiffness and deformity of the joint. The condition becomes polyarticular involving wrist, ankles, knees, elbows, lastly shoulders and hips. Sodium biurate crystals begin to be deposited in the periarticular tissue and cartilages especially in the ear develop in hands, feet, olecranon and prepatellar bursa. The bursae particularly ulnar bursae may be inflamed and swollen with fluid exudate. Progressive functional loss and disability of joints, together with gross deformity may develop.
Tests to help diagnose gout may include:
Joint fluid test: Needle to draw fluid from your affected joint. When examined under the microscope your joint fluid may reveal urate crystals.
Blood test: Blood test to measure the levels of uric acid and creatinine in your blood.
X-ray imaging: X-rays can be helpful to rule out other causes of joint inflammation.
Ultrasound: Musculoskeletal ultrasound detects urate crystals in a joint or in a tophus. This technique is more widely used in Europe than in the united states.
Dual energy CT scan: This type of imaging can detect the presence of urate crystals in a joint even when it is not acutely inflamed. This test is not used routinely in clinical practice due to an expense and is not widely available.
Complications:
1. Deposition of urates in renal parenchyma leading to nephrosclerosis, chronic pyelonephritis, and progressive renal failure.
2. Renal calculus (Gouty kidney) giving rise to renal colic(10%-20%).
3. Hypertension, Atherosclerosis.
4. Hypertriglyceridemia: Hypertension and atherosclerosis may lead to coronary or cerebrovascular accidents.
5. Diabetes mellitus.
6. Acute tenosynovitis, bursitis, and supraspinatus tendinitis.
Homeopathic Treatment for Gout: Homeopathy offers a wider range of options than conventional medicine. Constitutional homeopathic treatment with the management of an experienced and professional homeopath is an excellent choice for gout. The homeopathic approach to gout treatment is more of a totalistic approach. Homeopathy helps in controlling the pain during the acute attack of gout as well as helps in preventing the recurrence of such episodes. It helps in reducing stiffness and improves the mobility of the joints. Homeopathy is very strongly suggested for the treatment of gout.
Heredity plays an important role in gout. However, a study conducted at the Stanford university school of medicine suggested that emotions can overcome genetics. The constitutional approach of homeopathy which considers mind and body together as one bestows a lot of significance to emotions, and believes that emotional factors are vital in the development of most of the diseases, including gout, It can even be the cause of gout. The study showed that even those who are genetically predisposed to gout can avoid the disease by staying emotionally healthy. If you are at risk for gout, you can avoid getting the disease if you stay in good condition psychologically.
Homeopathic remedies for Gout:
Benzoic acid: Tearing in joints with nearly clear urine, old nodes becomes painful, and as the pains about palpitation sets in ceasing only when pains increase gout going from left to right or commencing in right great toe, urine of offensive odor depositing a reddish cloudy sediment.
Urtica urens: This helps in the elimination of uric acid the body. The patient has a tendency to gout and stone formations, especially in kidneys. The joints symptoms are associated with urticaria or alternate with it. The shoulder (Deltoid region) wrists and ankles are more commonly affected. The patient cannot tolerate touch.
Lithium carb: There are a swelling and tenderness of the finger and toe joints, better by hot water application. Gout in knees, sides of feet and soles, ankle joints pain on walking profuse urine with deficiencies, aggr. from mental agitation which causes a fluttering and trembling of heart general puffiness of body and limbs increase of bulk and weight clumsiness in walking at night and weariness in standing.
Ledum: Gout is the result of alcoholism ledum should be thought of the inflammation of the joints begins in the lower limbs and ascends upwards. The ball of the great toe is swollen. It is red sometimes bluish and cold to touch. Dipping the part in a bucket of ice water relieves the pain. It is generally worse from getting warm in bed.
Lycopodium: Drug for chronic gout with chalky deposits in the joints. It is suited to persons who are mentally keen but of weak muscular power. these [patients suffer from gastric ailments especially lower abdomen flatulence. There is a pain in the heels as if treading on a pebble.
Colchicum: the Specific power of relieving the gout paroxysms but it seems to be more beneficial in chronic affections of these parts. The part are red, hot, swollen with tearing pain felt more in the night. The parts are sensitive to touch the patient complains of tearing in the joints is hot weather and stinging during cold. Gout settles in the great toe or in the heel.
Rubrics about Gout:
Kent repertory: EXTREMITIES: GOUT( see pain, also Arthritic Nodosities)
Arthritic nodosities: 3 Apis, benz-ac, calc, Graph, Led, lith, lyc
2 ant-c, aur, bry, calc-p, dig, elaps, caust, cic, clem, dig, form, guaj, kali-i, merc, puls,
on condyles: Calc-p
painful: led
shoulder: Calc, kali-i
Elbow, above: mag-c
Forearm: am-c
Wrist: 2benz-ac, calc, led
Hands: 2Benz-ac. calc, hep. led
Finger joints: 3Apis, Benz-ac. Calc, Caust, Lith, Lyc. 2 Aesc, ant-c, calc-f, clem, colch, dig, rhod, sil, staph, sulph, urt-u.
with stiffness: 3Lyc, 2 Carb-an, Graph
Knee: 2 bufo, calc, led, nux-v.
Foot: 3Led, 2.kali-i, nat-s, 1 bufo
Toes: 1.asaf, caust, ran-s, sabin, sulph, thuj. 2 graph
fibrous, of first toe: rhod
Acute Gout:
A disease in which defective metabolism of uric acid causes arthritis, especially in the smaller bones of the feet, deposition of chalk-stones, and episodes of acute pain.
Predisposing factors: Trauma to the joint, acute infection, surgery, exposure to cold, injection of foreign protein, drugs, an excess of alcohol, high protein diet, diuretics, chemical like urografin, allopurinol, uricosuric drugs, sometimes it is associated with changes in the atmospheric pressure. Premonitory symptoms are nausea, vomiting, flatulence, abdominal pain and occasionally renal colic or polyuria.
Clinic features:
Onset is sudden: Age: usually above 40
Sex: Male predominate (95%), rare in females (8 times more common in males)
The attack usually occurs in the night awakening the patient from sleep. The joint most commonly affected initially is first metatasophalangeal joint (50%). Other sites are ankle, heel, knee and hand. The involvement may be monoarticular or migratory polyarthritis. Hip and shoulder joints are usually not affected.
General features are anorexia, malaise, headache, tachycardia, and fever which may come with a slight chill. Locally there is excruciating pain, tenderness, swelling and violaceous color of the joint and involved skin is tense. Lymphangitis and cellulitis may occur. Local veins are very much prominent. The skin over the joint becomes scaly and itchy during recovery which is pathognomonic. An attack may last for two weeks after which the joint becomes completely normal till another attack occurs.
Chronic gout:
The acute attacks recur at the interval of months to years. Gradually a stage comes when irreversible changes develop in the joints characterized by changes in joints spaces, capsule, tendons, and bursae.
Clinic features:
The pain becomes persistent along with stiffness and deformity of the joint. The condition becomes polyarticular involving wrist, ankles, knees, elbows, lastly shoulders and hips. Sodium biurate crystals begin to be deposited in the periarticular tissue and cartilages especially in the ear develop in hands, feet, olecranon and prepatellar bursa. The bursae particularly ulnar bursae may be inflamed and swollen with fluid exudate. Progressive functional loss and disability of joints, together with gross deformity may develop.
Tests to help diagnose gout may include:
Joint fluid test: Needle to draw fluid from your affected joint. When examined under the microscope your joint fluid may reveal urate crystals.
Blood test: Blood test to measure the levels of uric acid and creatinine in your blood.
X-ray imaging: X-rays can be helpful to rule out other causes of joint inflammation.
Ultrasound: Musculoskeletal ultrasound detects urate crystals in a joint or in a tophus. This technique is more widely used in Europe than in the united states.
Dual energy CT scan: This type of imaging can detect the presence of urate crystals in a joint even when it is not acutely inflamed. This test is not used routinely in clinical practice due to an expense and is not widely available.
Complications:
1. Deposition of urates in renal parenchyma leading to nephrosclerosis, chronic pyelonephritis, and progressive renal failure.
2. Renal calculus (Gouty kidney) giving rise to renal colic(10%-20%).
3. Hypertension, Atherosclerosis.
4. Hypertriglyceridemia: Hypertension and atherosclerosis may lead to coronary or cerebrovascular accidents.
5. Diabetes mellitus.
6. Acute tenosynovitis, bursitis, and supraspinatus tendinitis.
Homeopathic Treatment for Gout: Homeopathy offers a wider range of options than conventional medicine. Constitutional homeopathic treatment with the management of an experienced and professional homeopath is an excellent choice for gout. The homeopathic approach to gout treatment is more of a totalistic approach. Homeopathy helps in controlling the pain during the acute attack of gout as well as helps in preventing the recurrence of such episodes. It helps in reducing stiffness and improves the mobility of the joints. Homeopathy is very strongly suggested for the treatment of gout.
Heredity plays an important role in gout. However, a study conducted at the Stanford university school of medicine suggested that emotions can overcome genetics. The constitutional approach of homeopathy which considers mind and body together as one bestows a lot of significance to emotions, and believes that emotional factors are vital in the development of most of the diseases, including gout, It can even be the cause of gout. The study showed that even those who are genetically predisposed to gout can avoid the disease by staying emotionally healthy. If you are at risk for gout, you can avoid getting the disease if you stay in good condition psychologically.
Homeopathic remedies for Gout:
Benzoic acid: Tearing in joints with nearly clear urine, old nodes becomes painful, and as the pains about palpitation sets in ceasing only when pains increase gout going from left to right or commencing in right great toe, urine of offensive odor depositing a reddish cloudy sediment.
Urtica urens: This helps in the elimination of uric acid the body. The patient has a tendency to gout and stone formations, especially in kidneys. The joints symptoms are associated with urticaria or alternate with it. The shoulder (Deltoid region) wrists and ankles are more commonly affected. The patient cannot tolerate touch.
Lithium carb: There are a swelling and tenderness of the finger and toe joints, better by hot water application. Gout in knees, sides of feet and soles, ankle joints pain on walking profuse urine with deficiencies, aggr. from mental agitation which causes a fluttering and trembling of heart general puffiness of body and limbs increase of bulk and weight clumsiness in walking at night and weariness in standing.
Ledum: Gout is the result of alcoholism ledum should be thought of the inflammation of the joints begins in the lower limbs and ascends upwards. The ball of the great toe is swollen. It is red sometimes bluish and cold to touch. Dipping the part in a bucket of ice water relieves the pain. It is generally worse from getting warm in bed.
Lycopodium: Drug for chronic gout with chalky deposits in the joints. It is suited to persons who are mentally keen but of weak muscular power. these [patients suffer from gastric ailments especially lower abdomen flatulence. There is a pain in the heels as if treading on a pebble.
Colchicum: the Specific power of relieving the gout paroxysms but it seems to be more beneficial in chronic affections of these parts. The part are red, hot, swollen with tearing pain felt more in the night. The parts are sensitive to touch the patient complains of tearing in the joints is hot weather and stinging during cold. Gout settles in the great toe or in the heel.
Rubrics about Gout:
Kent repertory: EXTREMITIES: GOUT( see pain, also Arthritic Nodosities)
Arthritic nodosities: 3 Apis, benz-ac, calc, Graph, Led, lith, lyc
2 ant-c, aur, bry, calc-p, dig, elaps, caust, cic, clem, dig, form, guaj, kali-i, merc, puls,
on condyles: Calc-p
painful: led
shoulder: Calc, kali-i
Elbow, above: mag-c
Forearm: am-c
Wrist: 2benz-ac, calc, led
Hands: 2Benz-ac. calc, hep. led
Finger joints: 3Apis, Benz-ac. Calc, Caust, Lith, Lyc. 2 Aesc, ant-c, calc-f, clem, colch, dig, rhod, sil, staph, sulph, urt-u.
with stiffness: 3Lyc, 2 Carb-an, Graph
Knee: 2 bufo, calc, led, nux-v.
Foot: 3Led, 2.kali-i, nat-s, 1 bufo
Toes: 1.asaf, caust, ran-s, sabin, sulph, thuj. 2 graph
fibrous, of first toe: rhod
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Remedies for gout treatment are most of the times work but in painful condition Herbal Supplements For Gout will help to give fast relief from pain.
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