kidney stones in men - Pseudogout
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Pseudogout

Pseudogout, or CPPD, is a disease very similar to gout. Gout and CPPD are often confused due to their similarities in onset. The cause of CPPD is unknown and seems to effect both men and women equally.


Are cherries truly fruit for a healthy you? These day's people want to take care of themselves and tart cherries can help. Tart cherries naturally pack a health-promoting punch that provides pain relief for many people. Recent studies have revealed that tart (sour) cherries offer an assortment of health benefits including the ability to offer natural relief from joint pain caused from gout and other joint inflammation symptoms.


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"week ago i couldnt walk and was in terible pain. i though my big toe was broken i would need a surgery, but doctor said it was gout. After taking some pain killer and goutezol for 2 days i can walk again. thank you" Peter from Chicago
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 In an attempt to find relief from his pain, a friend recommended Fruit Advantage Tart Cherry capsules http://www.fruitadvantage.com "Within the first week of taking the tart cherry capsules my back felt so much better," says Mr. Roth. "I am now able to pick up my grandson without any pain in my back."

According to ongoing research, daily consumption of tart cherries has the potential to reduce the pain associated with joint inflammation. Tart cherries naturally contain anthocyanins and other bioflavonoids which may prevent inflammation in the body. To date, no other fruit or vegetable has been found to have the pain relieving properties of tart cherries. This is great news for the numerous people that feel the pain of the gout and arthritis everyday.

Gout disease is most common in people between the ages of 30 and 50 years of age. The reason for this is that it takes a build up of about twenty years to cause a first gout attack. Uric acid levels will usually begin to increase at least that far ahead of the onset of gout. However, this does not rule out gout in people younger than 30 years old. Therefore, just because you're under 30, it doesn't mean that you can't develop gout.

About the author:
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle
surgeon. Dr. Oster is also board certified in pedorthics. Dr.
Oster is medical director of href=http://www.myfootshop.comMyfootshop.com and is
in active practice in Granville, Ohio.


Differential Diagnosis: The differential diagnosis of turf toe includes; Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis

Your next step is maintaining a healthy body weight. If you are overweight - especially if you are obese - it is important for you to speak to your doctor about losing weight gradually and in a healthy way so you achieve a healthy body mass and maintain it. Though being overweight doesn't directly cause gout, it can put you at higher risk of having attacks. However, take care not to lose weight too quickly as crash dieting can actually increase uric acid levels and lead to a gout attack.

Leading researchers believe that the pain relief may not come from a specific antioxidant in the cherries, but from the synergistic effect of all the natural compounds in cherries. The skin of the cherries holds most of the essential antioxidants vital to their health benefits. Antioxidants are vitamins, minerals and other compounds found naturally in everyday food, especially fruits and vegetables.

What's the actual physical change that takes place in the joint with turf toe? As an easy analogy, consider the changes that takes place when an apple falls from a height and is damaged. The skin of the apple appears intact but the underlying pulp is damaged. In the case of turf toe (hallux limitus), think of the skin of the apple as the cartilage of the joint and the damaged pulp of the apple is the subchondral bone. Mild cases of turf toe (hallux limitus), result in little damage to the subchondral bone and will merely exhibit signs of inflammatory change within the joint. Most authors would refer to these cases as stage one turf toe (hallux limitus). More severe cases result in damage to the joint surface, the subchondral bone or both. These are the stage two and three cases of turf toe (hallux limitus) that show visible change on x-ray. As the subchondral bone becomes increasingly damaged, it will create an uneven supporting surface for the cartilage. An increase in activity results in uneven loading of the joint due to the compression injury of the subchondral bone.

Reduce your alcohol consumption, especially if you tend to binge drink or drink to excess. Alcohol is not a cause of gout, but it can negate all of your other efforts to prevent gout disease from acting up. Alcohol will dehydrate your body and it causes uric acid to form. Therefore, it not only builds your uric acid levels, but it discourages your body from eliminating that uric acid. So it is best to avoid alcohol altogether when you are working to prevent gout disease.

Treatment of turf toe varies with the type of healthcare provider and includes the use of rest, shoe modifications, orthotics, steroid injections and surgery. The success of non-surgical care will vary with the degree of injury, the rate at which the injury is healing and how much osteoarthritis has occurred. We see varying degrees of success with orthotics that promote plantarflexion of the first ray, effectively treating metatarsus primus elevatus and peroneus longus dysfunction. Simple arch supports can make a significant difference in the symptoms of turf toe. Should our patient not respond to conservative care in a reasonable time period, we are not reluctant to suggest surgical revision to address the problem whether it be revisions of the joint defect, shortening of a long first metatarsal or structural revision of metatarsus primus elevatus. As mentioned before, the clinical appearance of dorsal lipping or visible radiographic changes are suggestive of moderately advanced osteoarthritis, a condition that is only repaired by joint revision or replacement.

If you have hyperuricemia, you are at a higher risk for gout disease. Hyperuricemia means that you already have high uric acid levels in your blood. If this is the case, your doctor may prescribe medications to help control that condition. By keeping hyperuricemia under control, you can also help to slow the onset of gout and prevent gout disease occurrences.

Is the onset of turf toe always the same? Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step.

When treating turf toe be sure to recognize the fact that there is no nerve innervation in articular cartilage. Pain associated with stage one turf toe (hallux limitus) is either synovial pain or bone pain. If we recognize that painful stage one turf toe (hallux limitus) may be due to bone pain, we then realize that turf toe should be treated aggressively to insure the long term viability of the joint.

Think of turf toe (hallux limitus) as an isolated case of osteoarthritis limited to the first MPJ. Whether the injury is acute or due to repetitive loading, the result is a load that is applied to the subchondral bone that is greater than what the bone can tolerate. As the injury progresses, a series of micro fractures will develop in the subchondral bone. The typical soft spongy character of the metaphyseal bone changes to become brittle and hard. The result is that the articular cartilage looses its' underlying support and becomes susceptible to damage. Juxtachondral eburnation, osteophytes, lipping, spurring; call them what you like, but what you see on your x-ray is the slow progressive destruction of the joint.

Although not common, gout disease can occur in those younger than 30 years old; usually as a result of an enzyme problem or kidney disease. However, when not a result of another problem in the body - for example, when gout is simply hereditary in your family - there are steps you can take to prevent the early onset of gout.

Unger, K., Rahimi, F., Bareither, D., Muehleman, C. The Relationship Between Articular Cartilage Degeneration and Bone Changes of the First Metatarsophalangeal Joint. J. Foot Surg. 39:1 24-33, 2000

But before we go any further, we need to understand that the terms turf toe and hallux limitus aren't really synonymous. The fundamental difference between the two terms is the patient population that they affect. Turf toe is a term used in athletic circles referring to any injury of the great toe joint. Consequently, discussions about turf toe will focus on the first two causes of hallux limitus mentioned above; functional hallux limitus and direct physical injury. On the other hand, when we discuss hallux limitus, we're actually referring to a broader, 'non-athletic' patient population and need to include all three causes of hallux limitus.

 
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Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc.

Diagnosing CPPD may only be made by testing a small sample of the synovial fluid from the affected joint. Gout and CPPD can be differentiated by specific testing and identification of the type of crystal.

X-ray findings are similar with one exception. Individuals with CPPD with show small islands of calcium deposition in the lining of the joint referred to as calcinosis.

Nomenclature: First MPJ - the big toe joint Metatarsus primus elevatus - a functional or structural position of the first metatarsal First metatarsal - the foot bone making up the proximal portion of the big toe joint Hallux - the great toe

The first step is to make sure that you are always adequately hydrated. Of course, this is a good piece of advice for your health regardless of gout, but it is especially important when you are trying to prevent the condition. This is because hydration is the primary step for helping to flush uric acid from your body. The buildup of uric acid on the joints is the primary cause of gout and therefore the main goal of gout prevention is to stop that from happening.

Functional hallux limitus - biomechanical function that results in metatarsus primus elevatus and subsequent repetitive jamming of the first MPJ. Direct physical injury - injury to the articular cartilage or subchondral bone. These injuries may be due impaction injuries or hyperextension/flexion of the first MPJ.

Treatment of CPPD The most significant consideration in the treatment of CPPD is controlling the frequency of attacks. Frequent attacks (more than one a year) will result in progressive erosion of the joint, leading to painful chronic arthritis. Isolated attacks (less that one a year) lead to minimal destruction of the joint. The frequency of CPPD attacks determines whether treatment is merely for each attack, or whether daily medication should be taken to lower levels of inflammation.

Some of the best known antioxidants include vitamin A, C and E. These powerful antioxidants fight free-radicals within the body and potentially slow down the natural oxidation process that occurs in the body. So with the increasing popularity of tart cherries, what should consumers look for in selecting tart cherry products? For best results, industry experts recommend consumers check the product label to make sure that it contains significant quantities of tart (sour) cherries.

Ronconi, P., Monachino, P., Baleanu, P.M.,Favilli, G. Distal Oblique Osteotomy of the First Metatarsal for the Correction of Hallux Limitus and Rigidus Deformity. J. Foot Surg. 39:3, 154-160, 2000

References: Lombardi, C.M., Silhanek, A.D., Connolly, F.G., Dennis, L.N., Keslonsky, A.J. First Metatarsophalangeal Arthrodesis for Treatment of Hallux Rigidus: A Retrospective Study. J. Foot Surg. 40:3, 137-143, 2001

One significant source of tart cherry is Fruit Advantage Tart Cherry dietary supplement. The entire cherry, except the pit and stem, is used to make Fruit Advantage Tart Cherry -- even the skin. Just two capsules a day give you the benefits of this amazing fruit. Each daily serving provides 1200 mg of tart cherry. This amount equals the specific antioxidant benefits of over 5 glasses of cherry juice concentrate without he sugar.

Differential Diagnosis: The differential diagnosis for this condition should include;- fracture gout osteoarthritis infection of the joint


Symptoms: Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.

By taking these basic healthy precautions, you will be able to minimize the impact gout has on your life, and delay its onset for several years.

Turf toe gets no respect. Let's take a closer look at the causes of turf toe and see how to treat it more effectively. Turf toe is actually a form of hallux limitus. Hallux limitus is classically described as pain and progressive decrease in the range of motion of the first metatarsal phalangeal joint (MPJ). The onset of hallux limitus is due to the following:


Anatomy: The great toe joint, or first metatarsal joint consists of two bones. The proximal bone is the first metatarsal and the distal is called the proximal phalanx or hallux. These two bone move against each other in an up and down motion through what we refer to as the sagital plane. Biomechanics: The motion of the great toe joint is dependant upon the plantarflexion of the first metatasal. If the first metatarsal is limitied in its' ability to plantarflex, the joint will jam resulting in funtional hallux limitus, which as we know is one of the causes of turf toe.

Treatment of acute attacks includes the use of non-steroidal anti-inflammatory medications such as Indocin or Clinoril. Control of pain may require a mild narcotic such as codeine. Recurrent attacks may be contolled by the use of an NSAID.

Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.

Although more research is needed to unlock all of the amazing natural benefits of tart cherries, John Roth is a living testimony of the soothing affects of cherries on his joint pain. "After years of playing sports, my back always hurt. I was in so much pain I could barely get out of bed some days." says Roth.

rheumatic fever

About the author:
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle
surgeon. Dr. Oster is also board certified in pedorthics. Dr.
Oster is medical director of href=http://www.myfootshop.comMyfootshop.com and is
in active practice in Granville, Ohio.

Even if you are already at a healthy body weight, you should examine your diet and make healthy dietary changes to include optimum nutritional choices, and low quantities of foods that are both high in purines and in proteins. These foods, such as meat, fish, and beer, are the primary causes of increased levels of uric acid in the body and should therefore be avoided.

Symptoms: The symptoms of pseudogout are similar to gout showing an abrupt onset and significant pain. Xray finding may resemble gout with juxtachondral (immediately next to the joint) erosions of the bone.

In addition to the tart cherry capsules, many people are drinking the Montmorency tart cherry juice concentrate. One of the benefits of tart cherry juice concentrate is it takes approximately 100 cherries to make just one ounce of tart cherry juice. So the tart cherry juice is a highly concentrated way to get your daily dose of tart cherries. Traverse Bay Farms http://www.traversebayfarms.com is a good source. Fresh tart cherries are another way to get the gout fight benefits of this little fruit. However, the biggest challenge to getting fresh tart cherries is they are only available for a few weeks in the summer time. You can fresh cherries from several farms in the Michigan.


 
 
     
 
 





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