Does Gout move from joint to joint?

Stopping Gout Together Forums Help My Gout! The Gout Forum Does Gout move from joint to joint?

This topic contains 9 replies, has 4 voices, and was last updated by  Judy 6 months, 3 weeks ago.

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  • #1990

    Irma Reitz
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    I’m a 71-year-old female and have been fairly active until the last five years when my feet have been really painful. This has stopped me doing most activities.

    But about 2 weeks ago I woke up with a really painful lower back. Just 3 days before I left for a road trip to a game park. So, I thought that I would have to cancel our trip. But it eased and I thought I would be ok.

    I’m not sure whether it is referred pain from my back. Or whether it was caused by sitting in the vehicle for 6+ hours per day. But now my right hip is so painful. I don’t think I have damaged it. But I cannot put any weight on my leg and have hobbled around taking tiny steps to get around. The pain seems to radiate down my leg and is excruciating. So have detoured to a larger city on our way home to see a chiropractor on Monday morning before undertaking the last 1000 kilometer trip home.

    Now taking NSAIDs 3x daily (1 cox flam and 2 Vimovo) 2 paracetamol with codeine every four hours and 1 colchicine. Also, I use Voltaren gel which I have been rubbing into my hip and back area. But I am worried that this many painkillers etc could cause kidney damage.


    Gout pain travels to Hip Joint. Which Joint gets Gout Next?

    Gout pain travels to Hip Joint. Which Joint gets Gout Next?

  • #1994

    Keith Taylor
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    Hi Irma,

    I’m sad reading your pain problems. It’s really bad timing when it spoils a holiday. We tend to push ourselves. And unfamiliar sleeping and traveling adds extra stresses and strains. In the past, I’ve comforted myself with gout pain therapy that works for me. But, you seem to be taking the sort of combination that I’ve relied on in the past.

    I’m concerned that you’re mixing 3 different NSAIDs. I believe: coxflam is meloxicam (Mobic), Vimovo is naproxen (Aleve, Naprosyn), and Volaren is diclofenac. Is this prescription controlled?

    I think you need a doctor or pharmacist to review your combination urgently. Apart from my safety concern, I’m worried that you are not on the right dose. When pain is particularly severe, it’s vital to get the dose right. Of course, we always have to avoid overdose. We also need to see pain control as a short term solution. And, we need monthly kidney and liver function tests to guard against side effects. But, if the dose is not strong enough, the pain relief is largely a waste of time.

    This applies to everyone, Irma. I’m not just picking on you. But, dosage is crucial when we are talking about gout medicines. One colchicine means nothing. Dosage descriptions should be something like: “0.6mg colchicine at bedtime, followed by 0.6mg colchicine in the morning if symptoms persist.”

    Similarly, the anti-inflammatory and analgesic descriptions are very vague. I feel you’re floating somewhere between overdose risk and ineffectual underdose. It’s very worrying.

    Finally, Irma, you’ve posted this in Personal Gout Diaries. Are you applying for a diary, or shall I move this to General Gout?

  • #2001

    Irma Reitz
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    Hi Keith.
    First things first. I am applying for a Personal Gout Diary, as you suggested previously.
    I quite agree with you regarding taking different NSAIDs willynilly is really not a good idea. I have been stuck in the middle of the bush with no access to doctors or pharmacist and have just taken whatever I could get my hands on, although nothing seems to help. I am seeing a chiropractor first thing tomorrow morning now that I am in the city and will ask him to prescribe a pain management schedule and also to advise me on what might be the cause of the problem. I’m just trying to get some relief. I have still not had a definitive diagnosis of gout, but hoping that when I see the rheumatologist in a weeks time, he will be able to give me some answers.

  • #2012

    Keith Taylor
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    OK, Irma. I’m just catching up with other recent forum postings. Then, I will create a Personal Gout Diary for you. It will be later today, or early tomorrow.

  • #2035

    Irma Reitz
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    Hi Keith. I’m now back home after a hectic 2 week road trip. I think sitting in the car for 6 plus hours per day really was not good for my back. I was unable to put any weight on my right leg and hobbled about really uncomfortably. I saw a chiropractor on the way home who manipulated my back but I really did not get much relief from that. I asked him to prescribe anti inflammatories, because as you said I had been mixing up several different Meds which was not a great idea. Anyway he prescribed 50 mg of Cataflam. I took one but got a pain in my stomach so I have not taken another and have gone back to using the Vimovo 500 twice daily and the paracetamol with codeine when necessary. I am still using 1 cholchine 1 mg tablet daily.
    I had an appointment with Doctor, a holistic health care practitioner, who agreed that it was gout and suggested I try to reduce the Uric acid with natural products (I would gave preferred to try the allopurinol but thought I would try what he recommended first). He said to continue with cholicine, NSAIDs and painkillers because my feet are riddled with arthritis and are full of nodules and Spurs which he says is an ideal place for the Uric acid crystal to form. He has prescribed the following:-

    For Sulfation

    Lifetones – 2.5 ml twice daily (a herbal tincture containing celery, birch, nettle, alfalfa,willow and boswella serrate.

    Gout Atomiser – 6 sprays into mouth twice daily (herbal tincture containing alfalfa, cramp bark, cayenne, celery,Devils claw, burdock root, Siberian ginseng) it says on insert that it reduces swelling, eases inflammation, neutralises Uric acid and improves circulation. (We’ll see)!

    Pro collagen – 2 capsules at bedtime.

    Epsom salts 1/4 – 1/2 teaspoon twice daily

    MSM ( didn’t specify amount so am taking 2 X 1000 mg pure MSM capsules)

    He wants to retest Uric acid, also vitamin D3 and homocysteine levels in two weeks time.

    I have also had physio for my back and hip and it has been feeling much better.

    I’m sorry to go on and on with my list of complaints etc, but I thought it might be a good idea to keep a record for my gout diary.

  • #2039

    Keith Taylor
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    Thanks for the update Irma.

    Sorry I didn’t start your gout diary. But, I now have more information to start it with. I’ll get on with it, as soon as I can.

    I hope your latest treatments help you control your pain. Then, if you can get uric acid under control, you can start looking forward to better quality of life.

  • #2047

    Irma Reitz
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    Hi Keith, I’ve started on the herbal regimen the doc recommended. He did not say anything about diet or alcohol consumption. I usually have a couple of whiskies in the evening!! I have noticed that if I eat too much red meat I feel more sore, so try to stick to fish or chicken. I love my morning cafe latte and would be really sad to have to forego those. Will you give me some diet guidelines to follow. I have been having physio for my back/hip pain, which is much improved although not totally better yet.

  • #2059

    Keith Taylor
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    Thank you for your patience, Irma. We now have Personal Gout Diary: Irma Reitz. It’s your area, to do what you want with. I’m here to help you use your diary, as well as answer gout questions.

    The purpose of your gout diary is to help you organize facts, goals, and progress. You can add as much, or as little, as you like. You can organize it in whatever way suits you. If you are ever unsure what to do with your diary, please ask.

    I’ve started with your Gout Facts. That’s a starting post that I’ll use for all new Gout Diaries. We can add to it, or change it however suits you.

    Your important first decision is “do you want to edit it yourself?” If you do, just get on with it! (don’t forget – if you get stuck, you can always ask for help). And, also bear in mind, that I will use your facts as I’ve described in my next-to-last paragraph below.

    If you want me to edit your Gout Facts Summary, just reply to that topic with any changes that you want to make. You will notice I’ve left some red question marks for facts that I don’t have answers to. You might find these are not important to you. That is to be expected, so just ask me to delete that item.

    You might think you’ve already answered the question somewhere else. It’s true that I haven’t gone back through all your previous posts. I have to ask you to do that. Then, if there are any missing facts, just tell me in a reply.

    On some of the items, I’ve added a small comment after the red question mark. That tells you I’m not sure if you have more information to add. Please either confirm I got it right, or tell me what I should change.

    Always remember Irma, anything in your Gout Diary area is for you. When I write anything there in your name, I’m just doing it as your slave. Once you are happy with the way it works, I’ll tackle the outstanding question about diet. Plus any other burning questions you have.

    As you get test results, you can add them as new topics. You can also do this for changes in symptoms, or anything else that you feel is relevant/useful. I envisage a topic for:
    – Test results
    – Today’s Symptoms
    – Treatment changes

    But, as I say, it’s up to you. Nothing is written in stone. Once facts and progress are recorded, we can summarize whenever you like. The important thing for me is, I can see all relevant facts whenever I answer you. I need that, because I can’t remember everything. And, I don’t have time to keep checking back on old topics.

    Thank you, Irma, for helping me making Gout Diaries a useful new service for all gout sufferers.

  • #2063

    Lowell Andrew F.
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    Irma, just my opinion, but I’m not sure those whiskeys are actually helping you…even if they don’t cause gout, they are causing dehydration right before (or while) you sleep for hours & hours…and I am blaming that exact factor for what happened to me. I started drinking whiskey to help me sleep back in March, just 1-2 oz per night, but wasn’t drinking enough water. Everything hit for me in June.
    No problems even with plenty of regular beer consumption until then.
    Just letting you know my experience, not telling you what to do 🙂 & of course at the moment I’m not even 100% sure it’s gout (thanks probably to poor docs), although my kind friends here on the forum know it is, by my symptoms!

  • #6249

    Judy

    Gout in hip?

    Hi,
    Late November my left hip area just to the outer edge of my hip bone became sore. Then, the skin flushed a pinkish purple and the flushed area is about the size of four quarters. Also, there is a sort of dent in the tissue.

    I have had recurring hip bursitis but this is a different pain. I also encounter my sacroiliac needing adjustment. As it causes pain down my left hip and leg to my knee. Add to this that I have had 4 Phenergan injections in the same area over the past 18 months as a part of migraine treatment.

    One doctor told me he would not prescribe Phenergan injection a month ago when I had a migraine. He said Phenergan can cause tissue damage, sort of a wasting–he felt that was my problem so he prescribed Zofran dissolvable tablets.

    My chiropractor adjusted my back 2 months ago and he was concerned and said he felt maybe a small fat pocket was ruptured (my now ex-spouse shoved me down 18 months ago and I fell on this hip causing severe bursitis and sacroiliac attack).

    I do stretch exercises my chiro recommended but it doesn’t help much. I take Tylenol arthritis formula at least at bedtime. I’ve used ice packs. Nothing makes this go away.

    Today I wondered about “gout”. I’ve had gout in my toe 4 times several years ago. I also had pseudo-gout in my ankles about 9 years ago. The tissue near the flushed area is sore. The tissue also appears to have a slightly sunken area to it but today it doesn’t appear to be sunken much, yet flushed and sore. Flushed skin is smooth, no sores or rash and it doesn’t itch yet it is not as excruciating as I remember the pain being on my red toe when I had gout there years ago.

    My hip joint feels like bursitis has started over and my sacroiliac appears to be flared again as the hot spots of pain go down my left leg. This is not keeping me from daily activities but it is always there. I wish I could get this resolved. Also, I wrecked a motorcycle 40 years ago and landed on my left hip which is the reason for recurring bursitis.

    I have had about 6 steroid injections in that hip over a 10-year span but none in the past 8+ years and I don’t plan on anymore. I was told that these injections can cause muscle deterioration : ( My chiro doesn’t feel this is a muscle issue though). I really hate to doctor hop and my last blood work was perfect.

    I am praying this is nothing serious, perhaps gout along with bursitis and sacroiliac all attacking me at once.

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