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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Laminectomy Back Surgery Cause Gout?

Hi About 8 weeks ago I had a laminectomy in lower back. A few weeks later I had to go to the urgent care for an appointment because my wrist pain and swollen fingers and hand were unbelievable. That MD diagnosed gout and put me on colchicine which helped the enormous pain within a couple days. I still am unable to open water bottles etc. I had blood tests the next day and they were all normal including uric acid. I went to my regular MD a couple days ago and he has put me on prednisone as pain started up again. The wrist and pain feeling a little better. Could my laminectomy surgery be causing these brand new episodes of gout? I am a female who is 62 5 feet 5 163 lbs otherwise healthy . I will be seeing my back surgeon again in a couple weeks. At onset of first attack my daughter called him, sent him blood tests and she was very concerned. I had an X-ray recently and it showed a little arthritis and a cyst on a bone. Please advise. Thank you so much for your time. Be well Deb Corona
Fri, 17 Apr 2015
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Orthopaedic Surgeon 's  Response
hi Deb
It is unlikely that laminectomy may have anything to do with gout or arthritis of wrist.
Rise of uric acid may sometimes happen with certain drugs like aspirin, dieuretics and anti-hypertensives.In your case, since you are not a hypertensive or taking dieuretics, pain medicines containing aspirin may have a chance iff were taken for pain relief after operation or before for back problem.
You must avoid foods like red meat,beef,lamb,pork and soft drinks rich in sugars like fructose, alcohol and beers
osteoarthritis in wrist and feet also predispose to gout
Regards
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Can Laminectomy Back Surgery Cause Gout?

hi Deb It is unlikely that laminectomy may have anything to do with gout or arthritis of wrist. Rise of uric acid may sometimes happen with certain drugs like aspirin, dieuretics and anti-hypertensives.In your case, since you are not a hypertensive or taking dieuretics, pain medicines containing aspirin may have a chance iff were taken for pain relief after operation or before for back problem. You must avoid foods like red meat,beef,lamb,pork and soft drinks rich in sugars like fructose, alcohol and beers osteoarthritis in wrist and feet also predispose to gout Regards