Have you heard of gout? A disease from which men get sick up to 6 times more!

Gout affects who?

In the population, elevated blood urates occur between 10 and 20 percent of the time, and men are more commonly affected. Men to women are split in half, 3.5:1. Gout occurs more or less frequently depending on the nation; in some, up to 10% of the population is affected. These are also the nations with the worst eating habits and the highest cardiovascular risk. In the Republic of Croatia, gout affects between 1 and 4 percent of people. Age and gender are two things we need to consider. Men are more likely than women of the same age to develop gout, which can be up to six times more common in men. Up to 10% of men over the age of 65 will develop gout, which is more common as people age. Age also has a greater impact on women, especially after menopause, but never as much as it does on men. Gout in children is a very uncommon occurrence; it typically occurs in conjunction with metabolic disorders. Gout is becoming more common every year because of deteriorating eating patterns and a sedentary lifestyle. Fast food consumption has increased, and metabolic syndrome and obesity are bad for the musculoskeletal system. The likelihood of dying from cardiovascular causes rises with gout. Gout is predisposed to by trauma or recurrent microtraumas, osteoarthritis, infection, exposure to low temperatures, and poor dietary habits.

Foot health and gout

There are four stages to uric arthritic disease. Patients do not exhibit any overt symptoms or disease signs in the early stages. The results note asymptomatic hyperuricemia; this finding is frequently unintentionally made during thorough examinations. As uric acid salts accumulate over time in the joints, clinically obvious symptoms appear. Serum urate levels are correlated with the likelihood of developing gout. The likelihood of experiencing symptoms increases with the level of urate in the blood. Although there is no need for therapy at this point in the disease, changing lifestyle habits is advised. After the initial gout attack, the first stage is over. 90% of the time, an acute attack is isolated to a single joint. The metatarsophalangeal (MTP) joint, also known as gout, is typically the culprit. The attack usually happens at night, causing excruciating pain to keep people awake. The sore thumb is irritated by the touch of the blanket and sheet. After a few hours, when the inflammation is at its worst, the typical signs of inflammation start to show. When the thumb is impacted, it becomes swollen, warm, tender to the touch, red, and less mobile. All components of the joint system, including large joints, are susceptible to gout. The symptoms are not always obvious when large joints, especially those in the interior, are inflamed. After a week, the initial attack ends on its own without any therapy. Although the disease of gout primarily affects the joints of the legs, it can also affect the hip, ankle, knee, wrist, and hand joints. Soft tissues are also not exempt from damage; the painful, inflamed tissue around the joint is another example. Bursitis, an inflammation of the mucous bags, can also happen. The affected joint’s region is the only one to experience swelling and inflammation. It’s not necessary for gout to only affect one joint (involvement of only one joint). The polyarticular form of gout is more common in females, particularly after menopause. This suggests that several joints are involved at once. People who have not sought treatment or who are unaware of their diagnosis can also develop this form. Spine and shoulder joints are hardly ever impacted.

The patient enters the ‘phase of remission’ after an acute attack that lasts for no more than 10 days. A person does not experience symptoms during the remission phase, which can last for several months or even several years. Uric acid crystals continue to accumulate in the joints over time, resulting in a new acute attack. The aim of treatment is to prolong the period of remission. Changes in lifestyle behaviors and high-quality pharmaceutical care are used to accomplish this. If the patient was not treated, the illness enters a chronic stage. Joints suffer harm, and tophi develops. Hard clusters of uric acid crystals known as tophi are a sign of treatment failure and the beginning of the chronic phase of the disease. Tophi can be discovered in the tissue of the ear, under the skin, in the kidneys, and in joint cracks. Big tophi can break bones. The tophi may disappear if the patient follows his treatment plan. Maintaining low serum urate concentrations is crucial. People who have a chronic form of gout suffer long-term effects. Joint movement is restricted, and mobility is diminished. The range of motion is even more constrained if inflammation is present. Of course, ignoring pains that reduce quality of life is not a good idea. In addition to emphasizing the value of healthy eating for asthma sufferers, it’s important to stress the value of wearing good shoes. It is advised to wear light, wider shoes during acute attacks to prevent aggravating the already inflamed tissue. It’s crucial to be comfortable. DrLuigi shoes are a good option for gout sufferers because they don’t put pressure on the joints, allowing for more painless movement even when the joints are inflamed.

N.R.
12.08.2022.