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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for joints pain with gouty arhtritis

I have gouty arthertis in most of my goints and any antiurthemic medications cause fixed drug eruption, so I can not used any treatment exept colchicine

I have sever pain in most of my joint especially kee and toes and big mass (tofi) in my leg

I have DM and HT and I am acrdiac patient

I used herpal medication before without any effect

I get tired can you advice as this case affect my mobility and all activities in my life
Fri, 8 May 2015
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Question is related to
Diseases and Conditions ,  
Drug/Medication
Orthopaedic Surgeon 's  Response
Gout is a form of crystal synovitis common in males after age 20 and is rare in women until menopause.
Since you have not mentioned which antiurthemic medications you were on, i can't comment much on that but i want to know what you were prescribed.
At present should have some form of dietary restriction ( limit legumes and mushrooms also meat , poultry and seafood). Also limit or avoid meat extracts and alcohol for bringing uric acid levels down. You should also start quadriceps strngthening exercises for knee pain.
Please continue your antidiabetic and antihypertensive medication

Get serum uric acid levels done monthly.
Please follow up with serum uric acid and X rays of B/L knees as i would like to know the extent of arthritis.
Also please get the x rays of the involved leg where tophi is present as it might need surgical removal.
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Orthopaedic Surgeon Dr. Sunil Kumar Srivastava's  Response
You may see your rheumatologist again -he may like to add allopurinol if possible.Avoid meats especially red meats.Take help of a physical therapist also
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