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Does Holding Gout Affected Foot Under Hot Water Help Gout Attack By Dissolving Crystals?

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Posted on Tue, 18 Sep 2012
Question: Hi i heard holding gout affected foot under "as hot as you can stand water" for a while helps gout attack by dissolving the chrystals that cause the inflammation. Is this true? also what other things can I try ? I am Taking diclefenac which does help pain , but is not curing the attack.. Thank you
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Answered by Dr. Mihail Iepure (57 minutes later)
Hello,
Welcome to Healthcare Magic,
Gout is crystal induced arhtropathy and must be confirmed by laboratory investigation such: find elevated levels of urate crystals in synovial liquid, and serum uric acid level ( normal range < 7 mg/dl ) plus clinical symptoms and signs ( joint pain, redness, warmth, swelling, etc..). Treatment of acute attacks most effective with hydrocortisone or methylprednisolone injections, to control pain : anti-inflammatory drugs diclofenac, ibuprofen, naproxen etc.. To reduce uric acid level in the blood : allopurinol or colchicine (all these medication can prescribe your Doctor and he will explain treatment details); diet with reduction in high purine foods (sardines, and mussels, anchovies, trout, scallops, mutton, veal, liver, bacon, salmon). Regarding “hot water “ there no medical indication in treatment of gout. I noted you have diabetes type 1 , make sure and monitor glucose level , diet and another recommendation to prevent complications.
I wish you good luck and speedy recovery.
Hope this helps and I have answered your query. If you have additional queries don’t hesitate to ask.
Best Regards,
Dr.Mihail
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Mihail Iepure

General & Family Physician

Practicing since :2003

Answered : 114 Questions

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Does Holding Gout Affected Foot Under Hot Water Help Gout Attack By Dissolving Crystals?

Hello,
Welcome to Healthcare Magic,
Gout is crystal induced arhtropathy and must be confirmed by laboratory investigation such: find elevated levels of urate crystals in synovial liquid, and serum uric acid level ( normal range < 7 mg/dl ) plus clinical symptoms and signs ( joint pain, redness, warmth, swelling, etc..). Treatment of acute attacks most effective with hydrocortisone or methylprednisolone injections, to control pain : anti-inflammatory drugs diclofenac, ibuprofen, naproxen etc.. To reduce uric acid level in the blood : allopurinol or colchicine (all these medication can prescribe your Doctor and he will explain treatment details); diet with reduction in high purine foods (sardines, and mussels, anchovies, trout, scallops, mutton, veal, liver, bacon, salmon). Regarding “hot water “ there no medical indication in treatment of gout. I noted you have diabetes type 1 , make sure and monitor glucose level , diet and another recommendation to prevent complications.
I wish you good luck and speedy recovery.
Hope this helps and I have answered your query. If you have additional queries don’t hesitate to ask.
Best Regards,
Dr.Mihail