Gout
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“I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill
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I had an attack of what turned out to be gout about 15 years ago. My ortho friend gave me some indomethacin (!) and it went away.
Then, in the last 4-5 years, I've had a couple of recurrences. It's a miserable condition. Pain is so severe that even a sheet on the foot hurts. Finally saw a rheumatologist about 8 months ago and got put on allopurinol. All's good since then.
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I take allopurinol daily to keep my uric acid levels in check. Otherwise it gets bad. Ever since transplant.
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A few of my friends are plagued by it. One maintains that during an attack just the vibration and sound of a truck or bus driving down his street is sufficient to set off searing pain in his affected foot joints.
No desire to experience the condition.
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Is allopurinol approved there?
When you shake someone's deep sense of self-worth, leaving a scar in their ego, they will persistently try to diminish you through petty arguments & obsessive captious criticism of your actions, just to soothe the wound.
- Nassim Nicholas Taleb
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Same here. Suggest it to your friends. There’s no need to live with chronic gout.
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Glad it went away @Doctor-Phibes !
I've been dealing with something for the past 5-6 weeks. Thought it was plantar fasciitis (and it may have been to an extent) but the side/top of my foot still is very painful in the morning but eventually warms up where I can walk without a major limp. I went to the docs the other day and they ruled out any fractures, said it's likely tendonitis mid-foot where the 5th metatarsal has a joint. I hope it goes away one day... basically it's just stretching and rest that is the recipe.
Plantar fasciitist is severe pain in the heel. It feels like you are stepping on a nail or thumbtack.
I had a couple of incidents with it. Good shoes and orthopedic insoles along with stretching exercises are how I cured it.
I went to a podiatrist after I had self cured it and showed him the insoles I used. He really liked the brand I used and also liked the shoes I settled on.
He also recommended a night splint. Xstance has a nice one although I didn't end up getting one as I was already over it at the time.
https://thexstance.com/collection/shop/
https://www.hoka.com/en/us/mens-trail/stinson-7/1141530.html?dwvar_1141530_color=WEPR
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Speaking of Gout...
Remember the name Gout Gout. He ran a 10.5 second 100-meter as a 14 year old. He's 16 or 17 now...
Link to video -
I'll echo Marks' experience. I've had PF twice. The first time I was walking 4-6 miles a day religiously. Once I got up and stretched it out it was ok, but those first hundred steps were painful. Over a few months it went away. The second time I got some insoles which cured it right away.
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Just wanted to say thanks for this thread. My mom is dealing with gout in her foot. So I mentioned indomethacin (@George why did you add exclamation points?) and allopurinol.
https://my.clevelandclinic.org/health/drugs/19440-indomethacin-capsules
Indocin is an old drug. When my wife was on it 40 years ago, she was throwing up blood.
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(@George why did you add exclamation points?)
It also can shut off your liver, kidneys. It's a good NSAID, but there are much better alternatives.
Standard treatment is allopurinol to get the uric acid level below 6. That's lower than the "normal" range, but will prevent attacks. For the acute treatment, colchicine is recommended. It'll stop the process within a day or so. Colchicine prophylaxis until the uric acid is controlled with allopurinol, then stop it.
"Now look here, you Baltic gas passer... " - Mik, 6/14/08
The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.
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To be clear allopurinol does not relieve acute gout symptoms, it keeps gout at bay if you’re prone to it by keeping your uric acid levels in range.
Prednisone makes the pain go away in less than 24hrs, in my experience.
