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Suggest Treatment For Tenderness On The Bottom Of Feet And Swollen Toe Joint
i have had tenderness on the bottoms of both feet and big toe joint swelled up got that down then the left ankle swelled up knee had started getting weak have been taking indomethacin and allopurinol. when taken the indomethacin 3 time a day 25 mg seems to get better when try cutting back symptoms are right back. watching diet 5 11 208 lb been fight this for over a year. can it be something else White blood count is moderately elevated
Mon, 19 Sep 2016
Hello,
Thank you for asking at HCM.
If your big toes are tender and swollen and your doctor prescribed indometacine and allopurinol than the mist likely diagnosis is gout.
Gout can recurr and there are some things to do to prevent it:
1- totally avoid alcohol
2- reduce protein rich foods like meat, eggs, diary products, beans, etc
3- do not overuse your legs and feet- this is the time for some rest from exercises if you have been exercising
4- take your medications regularly as prescribed
5- some patients might need allopurinol and low dose indometacine for a few months or another option is allopurinol and cholcicine for a few months. if you try to stop early than recurrences happen.
6- If you suspect of other diagnosis than x-ray and blood tests might be helpful to rule them out (complete blood count, ERS, RF, ANA, tests for rheumatoid disease)
7- meanwhile you can help with pain with RICE measures: R- rest, I- ice, C- kill pain, E- elevate the legs when sited as much as you can.
Hope this is helpful and answers to your question
Best regards,
Dr Antoneta
Thank you for asking at HCM.
If your big toes are tender and swollen and your doctor prescribed indometacine and allopurinol than the mist likely diagnosis is gout.
Gout can recurr and there are some things to do to prevent it:
1- totally avoid alcohol
2- reduce protein rich foods like meat, eggs, diary products, beans, etc
3- do not overuse your legs and feet- this is the time for some rest from exercises if you have been exercising
4- take your medications regularly as prescribed
5- some patients might need allopurinol and low dose indometacine for a few months or another option is allopurinol and cholcicine for a few months. if you try to stop early than recurrences happen.
6- If you suspect of other diagnosis than x-ray and blood tests might be helpful to rule them out (complete blood count, ERS, RF, ANA, tests for rheumatoid disease)
7- meanwhile you can help with pain with RICE measures: R- rest, I- ice, C- kill pain, E- elevate the legs when sited as much as you can.
Hope this is helpful and answers to your question
Best regards,
Dr Antoneta
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