Today I want to actually emphasize on highly seen but somewhat taken care of "Gouty Arthritis". Gout which is also known as "BIG TOE" in our laymen terms is actually the osteoarthritis caused by increase in the uric acid levels. When this increase in the uric acid levels exceeds than the normal, it leads to the formation of small crystal which gets deposited on the 1st metatarsophalangeal joint. This might additional lead to combined inflammation causing pain and limitations of the movements. I recently came across two cases of gouty arthritis.
The First Case Was of a 43-Year Old Man Struggling With Gout
The second case was of a 14 year old teenager. The symptoms of pain and inflammation had been seen on bilateral lower extremities 1st metatarsophalangeal joints. The individual reports of difficulty in performing heel rise or standing on the toes. The patient also reported of pain on hyperextension of the 1st MTP Joint (metatarsophalangeal joint).
Physical Therapy: The most likely goal to be achieved over here is to cut the symptoms of pain and inflammation. To be able to combat pain, bodily therapists can use different methods like muscle stimulation, hot packs and gentle mobilization for the joint range improvement. I recently tried the contrast bath way of the joint pain relief. I could clearly see that the patient demonstrated 75% distinction in his complain of pain. The pain decrease might be due to the vasodilation and constraint mechanism caused by the contrast bath method. The other technique which I found really attractive and also worked to my surprise is "Stretching". I found that performing the stretching of peroneus longus proved quite effective for the patient. The patient reported decrease in the pain from 8/10 in order to 6/10 on the visual analogue scale. The deep tendons tissue massage also created a positive response in the patient.
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I've bartended many years and have been drinking after work many years. One morning I woke up with incredible pain in my right big toe. It was gout. Too much ...
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Well as we have normally seen gout in the middle age patients I recently came across an article that states that younger patient who are obese can also have problems with gout. The article is presented by Demarco et al (2011). This without a doubt opens up the options for evidence based research. The research evidence suggest that obesity is not only associated with gout, but young obese patients are also at high risk for the onset of gout.
A Gout Diet- Foods You might Take in Previously treating gout accustomed to add a great deal of rigorous nutritional regulations that have been must be adhered in order to thoroughly and also consistently. Nevertheless with the development of new remedies the need for an extremely...
So How Does this Imply in Our Physical Therapy Practice
If you get a great obese young patient with the symptoms of pain and inflammation in the MTP joint, are you going to ever consider other implications associated with the symptoms? PT's normally come across more youthful patients with the the signs of pain and inflammation in the foot, ankle, knee and so on. We rather likely take outdoor games as one of the reason for the signs. Whereas for now it is important for us to look back for the symptoms which may be the likelihood of other pathologies and not just outdoor games.. "Broad Thoughts as well as considering out of the box is an important step in today's PT practice"
Reference: Demarco, M
A, Maynard, J, Huizinga, M.A, Baer, A. N, Kottgen, A, Gelber, A. C & Coresh, J. (2011). Younger age with gout onset is related to obesity in a community-based report. Arthritis Care Res (Hoboken). 2011 August; 63(8): 1108-1114
Susie is a leading curator at omex3.com, a resource about alternative natural health. Last year, Susie worked as a post curator at a well-known tech web site. When she's not sourcing web posts, Susie enjoys working out and skateboarding.