The gout treatment blog brings news and reviews of gout treatments, cures, remedies, and relief that support the Gout Treatment Section. You can discuss these articles, and any other aspects of treating gout, in the gout remedies forum.
Treating gout was a searchable directory of all gout treatments and equipment. But I am replacing it with a new database that matches the needs of different types of gout sufferers.
I want to help you find the right items for your needs. So, I organized the directory to match steps in your gout treatment plans. But, the new resource database covers more than treating gout. Because I include resources for understanding gout principles and uric acid lessons. As well as the gout treatment topics listed below.
Resources for treating underlying primary diseases that cause secondary gout. These are mostly aimed at Secondary Gout Sufferers. Because secondary gout sufferers can cure gout permanently if they can identify and control underlying gout causes.
Resources for treating gout herbally with diet supplements and other plant-based products. These are mostly aimed at Gout Herbalists. Because gout herbalists often need to adjust their supplements according to uric acid test results. Also, you might be interested in the only resource remaining in this old directory. So read UriciPlex for Treating Your Gout.
Resources for treating gout medically by changing uric acid lowering medication. These are mostly aimed at Gout Patients. Because gout patients often need to adjust their drugs according to uric acid test results.
Resources for treating gout at home with food changes. These are mostly aimed at Gout Foodies. Because gout foodies often want to try a different gout food therapy.
Your Treating Gout Database
As GoutPal Treating Gout database grows, I may add other ways of grouping gout treatments and equipment. But you can influence how I publish resources. The best way is to contribute to current gout resources discussions. Or, use the Feedback Form, below.
You can follow progress by subscribing to the free update service:
Colchicine side effects can prevent this gout medicine being used for pain relief.
Investigations leading to 2010 licensing of colchicine as Colcrys in the USA, have shown that some side-effects are due to the way colchicine has been prescribed in the past. Specifically, those gout studies found that the dose of colchicine was too high in many cases.
I think this is the best tophi picture. Because it shows successful tophi treatment. Most tophi photographs are horrible. But I think you should know the dangers of untreated gout.
Despite the advances in science that mean we can now control gout, there is a tiny minority who cannot tolerate common uric acid-lowering treatment. If you do not get uric acid to safe concentration, you are doomed to the continuous growth of tophi. So, you might treat the pain, but can you control the gout?
Pain relief without uric acid control means more and more uric acid crystals that will eventually show themselves as gouty tophi.
My allopurinol for gout guidelines explain some implications of taking allopurinol for gout.
The main reason for taking allopurinol is to lower uric acid. When it is prescribed correctly, your doctor will take regular blood tests to ensure that your uric acid stays below 6mg/dL. In most cases, the upper limit should be 5mg/dL. For the early months of allopurinol, which is often referred to as the “debulking period,” your target should be much lower than 5mg/dL.
Those are the basic facts about allopurinol for gout. I explain those facts, and others, in detail throughout these allopurinol guidelines. In this page, I look at some practical issues that show why you have to be vigilant about your uric acid level, and your allopurinol dosage.
Despite a half century of allopurinol as the first choice treatment for gout, correct prescribing remains inadequate. In recent years, professional rheumatologists throughout the world have emphasized the need to set safe uric acid levels on a personal basis. Thereafter, physicians should treat-to-target. That is, every gout patient should have a personal target uric acid level, and allopurinol dose should be adjusted to meet that target. In addition, gout patients should:
Be pre-screened for genetic liability to Allopurinol Hypersensitivity Syndrome in at-risk ethnic groups (Korean, Han Chinese, and Thai). See Minimize Allopurinol Side Effects
Know about the risks of gout flares during the debulking period.
Have access to pain prevention or pain treatment during the debulking period.
Have kidney function and liver function tests alongside uric acid tests.
The Gout & Colchicine Dosage Facts are answers to questions about colchicine dose. So, they help answer questions such as how should you take colchicine, and when should you stop, etc.
The complete facts about colchicine are in the Colchicine guidelines. But here is a selection of questions commonly asked in the gout forums. Please remember that these are only a quick guide to general dosage aspects of colchicine. If you are in doubt, you should ask your doctor.
One of the most popular gout topics is massage and gout.
It started with a forum member asking:
A couple times I have massaged the toe joint and it felt like perhaps I was able to break up the crystals a bit. Not sure if that can really happen or if I imagined it. So, my questions are: 1) can you really break down the crystals by manually massaging the joint? 2) if so, should you? Would that help break it down and assist in the process? Or, is it doing more harm than good?
Inevitably, as forum discussions tend to do, there is talk of supporting the gout massage with hot baths, which in turn leads to a discussion of what to put in the bathwater. But this misses the fundamental question: is massage good gout relief, or will massaging gout cause more problems? Click to discover the dangers of misunderstanding gout and massage