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Since I've been on AP and have had my UA levels below 6 for a few weeks, I've had some general soreness. I've kind of expected this as crystals dissolve. Yesterday I jogged a mile after work, ate a lowfat meal and went to bed. This morning I woke up and the top of my right foot was sore and felt almost bruised. NOt taking any chances I took 2 colchicines and the pain was gone in lietrally 15 min. My question is, is this most likely due to crystals forming from the workout? or dissolving from the AP? If I would have skipped my colchicine dose would this have flared up into a full blown attack? Any ideas?
I jogged 1 to 1.5 miles about 3-4 times last week( this week I am walking only though plan to jog tomorrow). I do get some soreness sometimes after jogging but my joggings are in the morning. Only twice I did some jogging ( may be 2 laps) in the evening but it did not cause any soreness next day in the morning.
I have been applying Biofreeze before I sleep to take care of any soreness.
I have my doubts that your symptoms could have converted into full blown gout attack. I also get burning sensations and pains in the big toe and surrounding areas but they go away at their own. I have not taken extra Colchcine to cure them. My dose is 1 tab 0.6 mg after dinner( or lunch sometimes).
My jogging is also at slow pace, around 5.5 to 6 miles pace. I am trying to keep it low impact for some time and observe before going for higher pace.
Hello friend,
I think you should meet to a good phsiotherapist as early as possible..
Don't take colchicines,because it has a high power medicine ,so don't take it without permission of doctor..
Regards,
Nelson
Hi
I get twinges and general soreness in my feet from time to time.
Also get a twinge in my big toe but very rarely.
I take Alopurinol 300.
I always think an attack is imminent but it never develops any further.
I think its where my feet have been damaged by the uric acid crystals.
pagey57 said:
Hi
I get twinges and general soreness in my feet from time to time.
Also get a twinge in my big toe but very rarely.
I take Alopurinol 300.
I always think an attack is imminent but it never develops any further.
I think its where my feet have been damaged by the uric acid crystals.
Do you take Colchicine when you experience these twinges?
Along with pagey, I too think that once we have had gout attacks in our feet they are not quite the same feet as before…some permanent damage is probably likely. My right bunion joint is larger and slightly more pointy than the left and my right was where I had the attack of DEATH!
But then haven't people allways complained of BUNIONS?
Who's to know for sure?
Don't loose focus guys. Keeping uric acid below 6mg/dL is the goal. Ignore twinges until you have had 6 months below 6 with no gout attack.
If you have only just started allopurinol (or other uric acid lowering treatment), then gout flares must be a possibility. Painkillers will work in exactly the same way as they did before you started lowering uric acid.
If you are not taking preventative colchicine then treat the pain as you did before.
If you are taking daily preventative colchicine, then it will mitigate the flare. If you really cannot stand the pain, then go on the hourly colchicine regime, or talk to your doctor about additional pain relief.
cjeezy said:
pagey57 said:
Hi
I get twinges and general soreness in my feet from time to time.
Also get a twinge in my big toe but very rarely.
I take Alopurinol 300.
I always think an attack is imminent but it never develops any further.
I think its where my feet have been damaged by the uric acid crystals.
Do you take Colchicine when you experience these twinges?
No I dont take Colchicine as they are never bad enough.
They are only very slight twinges just letting me know its there and to be careful.
To touch on this again since I started the post a little ways back. It's now been a little over month on 300mg of AP. I still have sore knees and pinching in various spots on both my feet (arch, bunion, tops of toes, bottom of feet, etc). I've never had knee or foot pain problems in my life…ever. I can live through this now, but sInce my first attach in my right bunion (and starting AP) I have pain and soreness all over at times. Will this subside with time or is this pain going to come and go forever? I have not been taking Colchicine lately either because I do not think the pain will develop into a full blown attack. I wouldnt think Ive done any major joint damage since I only had 1 bad attack in my life.
cjeezy,
Your symptoms are very similar to many of mine. I have just written in another post about “Uneasiness” in toe.
I am on 300 mg for 5 weeks with SUA levels of less than 4 most of times. I do get the soreness in the feet, both of them but it is mostly the right foot that my mind gets attached to. No pain in knees( than usual I used to have before sometimes) and no new pain in bottom of feet or arch but I do get sensations around the bunions of both the feet and aches at times.
Top of toe also hurts at times.
I guess it is probably the natural recovery process. I told about it to my doctor in my visit to him last week and he basically told me to forget about these minor sensations as it is common recovery process.
My biggest issue is -Load bearing – as my right foot( it got injury and gout) does not get the load distribution like the left foot. As a result, the load is still more on the middle toes than the big toe. And depending upon which shoe I wear, the pain becomes more or less. As such, my ability to wear shoes is just limited to one or two pairs and I have to wear the tennis shoes even when I go for customer meeting…not a happy situation but I donot know what else can I do but wait for some more time to get it back to normal…
I am taking one Colchicine every other day now for last 4 weeks…before that, I was taking 1 tab every day.
GoutPal said:
Don't loose focus guys. Keeping uric acid below 6mg/dL is the goal. Ignore twinges until you have had 6 months below 6 with no gout attack.
Utubelite said: “I guess it is probably the natural recovery process. I told about it to my doctor in my visit to him last week and he basically told me to forget about these minor sensations as it is common recovery process.”
Absolutely.
Ok sounds like a plan. Do you think after 6 months that's when fluctuations in UA would not be as drastic because most of the easier reached urate has been dissolved? My levels have been all over the board the past couple weeks ranging from 3.3- 5.6. I'm assuming that after 6 months I'll probably stabalize around 4ish…I would hope. I'd hate to have to go up to 400mg of AP.
Hi cjeezy,
I am jut follwoing your footsteps in some ways. Probably you and I are the people regularly checking UA at home and posting the values and trends.
Yesterday evening I felt many twinges in my left foot( I never had gout in left foot)….they continued for hours and even the lower side of bunion was hurting. I checked the UA value at home – it was 4.7. I then got it checked at lab- it was 4.8.
My values have been mostly around 4, so this value was high. I expected it so because it felt like some crystals were dissolving, hence values 4.7 and 4.8.
It looks like that while the Allop is working and crystals dissolving, there are occasions when the UA value goes up than usual. That's why you are seeing these swings in values.
This is negative side of too much monitoring – which probably you and I are doing. Those who depend on lab tests never know the values on daily basis and are probably better of. Sometimes, not knowing the evil helps.
Lol. You are correct on over testing. The funny thing is I cut back, but only started monitoring again closely because I was moving closer to 6. Hopefully levels will stabalize around low 4 and 3's once more crystals are dissolved
I decided to get the monitoring machine and it arrived yesterday. It arrived just as i was eating lunch, so decided my first test would be today.
I'm not taking allipurinol, so am in a slightly different place from you guys. However, much of what you say is familiar to me. I can go periods with no soreness, or tenderness now; but then it will start up again and maybe last a few hours. Sore knees, slightly sore foot where the attack was, slightly tingly elbows, even very slight in the hands. None of this is painful really, it just gets you thinking 'What's that ? Is it crystals dissolving ? Or are they forming ?'. So, I though I'll get the monitor and then I will have a much better idea.
To recap, my blood test result after the attack some weeks ago was 7.8 mg/dl, my second test showed 5.7 mg/dl, which I was delighted with. So, my first blood test with the monitor was…5.7mg/dl.
So, overall, I'm pleased. Of course, it would be even better if they were lower, but without allipurinol that would seem unlikely. I just hope I'm not in that range where crystals dissolve slightly when I'm a little under 6, but then start to form again when (as I'm sure they are at times) I'm a little over 6.
Nokka, that's good news. Effective testing and lower level to boot!
Why not cash in on your new power over the wretch gout and bring in some diet controls that can only help your levels stay the right side.
As you 're not getting 'blinder' attacks and are familiar with your twinges- you are in quite an enviable position for a gouty – able to pinch it off under test conditions and avoid the drug route, untill you HAVE to have them.
There's loads of advice on here about diets and coping strategies- so let us know.
It won't be a doddle ,but I think you would be happier in the long run…
Are you game for it ? 🙂
Excellent news, nokka.
I would think that your greatest risk would come from cold (6.8 is saturation point at normal body temperatures)
Keep warm, and keep us posted.
Yeah, thanks – it is good news and I am hopeful. However, I recognise that this is early days yet and don't want to read too much into these figures.
Regarding diet, Trev, I have already made changes. I felt my diet was pretty good pre-attack. However, it was probably a bit high in certain purine rich foods, which I ate without regard. With hindsight, I probably ate too much protein generally – I could eat a fair bit, for example, after gym sessions. When things lingered for several weeks after the attack, I decided to get tougher on diet to see how much difference it made.
For a few weeks I ate only vegetarian. My wife is a good cook and also very interested in nutrional stuff, so I was lucky there. The new diet caused me almost zero grief. I was not a big red meat eater anyway, though ate quite a lot of chicken, fish, some seafood. Lunchtimes changed from tuna or ham sandwich to hummus, or salads or cheese. I sprinkle flax seeds (good for inflammation) on cereal in the morning and drink cherry juice ( I buy Cherry Good from Morrison's a UK supermarket) which is reasonably priced and really nice.
The last 2 or 3 weeks we have started to move a little back to original diet; we've eaten some fish, a little chicken, even venison sausages one night. However, we both agree (as my wife has been on the same diet) that a lot of the food we've been eating will remain in our diet – we enjoy it, we find it easy to digest and, to be honest, it can be really tasty. Although I'm not overweight I've also lost a few pounds.
I've also cut down on alcohol, though confess I haven't been teetotal.
Pre-attack I was probably in the low 20s (units); recently that been low teens. (I love wine and like to socialise). I've had almost no beer for weeks – until last night when I had 2 bottles of Singha beer with my thai meal. But as for our lovely Yorkshire real ales (Black Sheep, Yorkshire Terrier to name but 2) I have had none. Its a small price to pay; though I'm reminded of a quote I saw – was it Mark Twain ? 'I can resist everything, except temptation'.Well, that'll show me for being such a show off.
Tested again today. I had purposefully had the 2 beers last night, plus a Thai chicken red curry, to see how that may affect things. Same time of day, early pm, before lunch. Result 7.5 mg/dl.
That's a real sickener. I thought the figures may be a up, but not by quite such a large amount. I had a plan in mind to experiment a little with the monitor, to see if periods of pure veggie would be lower; and whether a meal with chicken in it, for example, would add a bit to the result. Or to add a small amount of the potential triggers, such as beer.
Would the figures I've had be expected ? Is there really such a large variation based on one meal ?
Don’t forget my golden rule of being wary about the last result. The next one might show this up as a bit of a rogue.
Also, there are many other factors that could cause a blip in uric acid results. A burst of exercise, a reaction to a germ or virus, some old uric acid crystals dissolving. It is a long list, and so I urge you not to be disheartened over one result. There are a lot of people round here who are relying on you to show that dietary control can work. Let’s hope you’ll look back on this in a few weeks, and see it as one of those occasional high readings that just happens.
Quote: There are a lot of people round here who are relying on you to show that dietary control can work
A agree with that ,GP!
I am trying the tricky business of a mixture af an alkalizing Dr. Hay diet approach [not mixing Protein and Carbs] with a nod to the 'Leptin' idea [Fats NOT bad] and just fish 2x weekly. [Demi Veg]
This is hard to do alone- a wife would nag me into submission probably, if she loved me enough
The good news is I can get away with a bottle of wine a couple of times a week. Very little reaction [next am] so far. My BP is still rather high, I'm taking diuretics and my weight far from ideal, too!
Beer I love- but leave out if I can.Once a glass of wine goes down- beer loses it's attraction- though Black Sheep is a favourite of mine, too.
I'll maybe precis the ground rules for the ad-mixture later- if it stays good.
My main worry now, is whether to go on an 8 mile walk, when not qiute 100%- after flu.
I don't want to get sedentary- and good overall fitness is part of the master plan, too!
*** So Nokka-
Keep at it.
I reckon with the right approach- Gout can be beaten in more ways than one.
Accepting the rider-that a steady urate somewhat <6mg/dl is the arbiter, longterm.
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