[size=4][b]Purine Bases - How Does Fluid Intake Cause, Affect, and Help Cure Gout?[/b][/size][hr]Learning what it takes to successfully cure or treat Gout is as important as knowing the root causes behind it. First you need to understand what causes Gout so that you can avoid Gout as well as treat Gout. 
[list][*]Beer carries the most risk, not only contains alcohol, which can cause dehydration, but it contains Purine as well.[*]As discussed earlier, the higher amounts of Purine roaming in the body, the more Uric Acid will answer the call.[*]And it is the Uric Acid crystals that cause the excruciating pain associated with Gout![/list]
Since our bodies rely heavily on the urinary system to rid us of excess Uric Acid, it is easy to understand why good hydration and fluid balance is so important. The balance of fluids in our systems plays an integral role in Gout prevention, cure and Gout treatment.
Read on... [b]Water[/b] The most abundant home remedy to prevent Gout on the planet is at our fingertips. Water! There is no cheaper alternative to treat Gout. An individual seeking to prevent Gout or curing Gout it would be wise to drink as much as 96 ounces of water per day to maintain hydration and dilution of Uric Acid crystals in the bloodstream. There has been an uncalculatable amount of information added in this composition on Gout. Don't try counting it!
[list][*]Tip: Counter the ill effects of dehydrating liquids you consume, by drinking more water or decaffeinated teas and low sugar juices.[*]Water is the key to good health.[*]It is the cheapest medicine known to man.[*]And it can take a commanding role to successfully treat Gout.[*]We would like you to leisurely go through this article on Uric Acid to get the real impact of the article.[*]Uric Acid is a topic that has to be read clearly to be understood.[/list]
[b]Alcohol[/b] News flash: Drinking alcohol increases the risk for Gout! There is a proven and direct association between alcohol consumption and the presence of Gout. Therefore, if you are an avid drinker, there's no way you can avoid Gout. The risk is greatest for beer drinkers followed by those indulging in liquor, but wine (in moderation) does not seem to have much of an effect on the incidence of Gout. There is a lot of jargon connected with Www Gout. However, we have eliminated the difficult ones, and only used the ones understood by everyone. :o.
Elevated levels of Purine present in the body at any given time, whether due to genetics or a high protein diet, may give rise to elevated amounts of Uric Acid in the blood stream. Having a penchant for Purine led us to write all that there has been written on Purine here. Hope you too develop a penchant for Purine!
[size=large][b]But It Goes Further[/b][/size][hr]Sugary fruits and juices such as apples and oranges appear to carry an increased risk of Gout as well. For the person trying to avoid Gout flare-ups, the ill effects of sweetened soft drinks proved to be worse than hard liquor and almost as negative as beer. Fructose appears to be the culprit, having been found to raise Uric Acid levels.
During one 12-year study, it was concluded that the risk for developing Gout was significantly increased in participants that drank at least six servings of sweetened carbonated soft drinks per week (these were non-diet sodas). Sometimes, what we hear about Kidney Stones can prove to be rather hilarious and illogical. This is why we have introduced this side of Kidney Stones to you.
Addition to preventing Gout's acute attacks, the effects of good hydration helps keep joints lubricated, flushes Uric Acid out of the body and away from the poor great toe and other inflicted joints and prevents or helps kidney stones pass through if present. The kidneys cannot function optimally in a dehydrated state, nor does any system in the body.
[b]Sweetened Drinks[/b] Americans are drinking more sugary soft drinks than ever, but is there a coincidental rise in occurrence of Gout as well?
The cycle of Gout begins with the presence of a substance called Purine, which is formed during the normal decomposition of protein molecules in our cells. A by-product of Purine is a crystalline substance called Uric Acid.
[b]Coffee[/b] Studies have been conducted that connect the drinking of coffee - and the more of it the better - with marked prevention of Gout in significant numbers of participants. Experts conclude that there is a correlation between elevated insulin levels and the presence of higher Uric Acid levels in the bloodstream. The researchers relieve gout drinking coffee lowers the level of insulin, and with it decreases the Uric Acid levels. Drink another cup of java and help yourself avoid Gout! It was at the spur of the moment that we ventured to write something about Gout. Such is the amount of matter that is available on Gout.
You can prevent Gout. Follow the steps and tips listed here. To avoid Gout or hasten the process of curing Gout avoid Purine rich foods and beverages such as organ meats, poultry, seafood and products containing yeast.
[list][*]Look closer at our every day consumption of liquids and their up close and personal relationship with Gout.[*]Prevention of Gout is not that difficult.[*]What you need is proper knowledge to treat Gout.[/list]
[size=large][b]Turf Toe Gets No Respect[/b][/size][hr]Let's take a closer look at the causes of turf toe and see how to treat it more effectively. Turf toe is actually a form of hallux limitus. Hallux limitus is classically described as pain and progressive decrease in the range of motion of the first metatarsal phalangeal joint (MPJ). The onset of hallux limitus is due to the following:
When treating turf toe be sure to recognize the fact that there is no nerve innervation in articular cartilage. Pain associated with stage one turf toe (hallux limitus) is either synovial pain or bone pain. If we recognize that painful stage one turf toe (hallux limitus) may be due to bone pain, we then realize that turf toe should be treated aggressively to insure the long term viability of the joint. What we have written here about Diseases Gout can be considered to be a unique composition on Diseases Gout. Let's hope you appreciate it being unique.
Think of turf toe (hallux limitus) as an isolated case of osteoarthritis limited to the first MPJ. Whether the injury is acute or due to repetitive loading, the result is a load that is applied to the subchondral bone that is greater than what the bone can tolerate. As the injury progresses, a series of micro fractures will develop in the subchondral bone. The typical soft spongy character of the metaphyseal bone changes to become brittle and hard. The result is that the articular cartilage looses its' underlying support and becomes susceptible to damage. Juxtachondral eburnation, osteophytes, lipping, spurring; call them what you like, but what you see on your x-ray is the slow progressive destruction of the joint. We do hope that you find the information here something worth recommending others to read and think about once you complete reading all there is about Gout Joint.
[size=large][b]Functional Hallux Limitus[/b][/size][hr]Biomechanical function that results in metatarsus primus elevatus and subsequent repetitive jamming of the first MPJ. Direct physical injury - injury to the articular cartilage or subchondral bone. These injuries may be due impaction injuries or hyperextension/flexion of the first MPJ. There are universal applications on Gout Joint everywhere. However, it is up to us to decide the way used for these applications to get the best results from them.
<hr> Anatomy: The great toe joint, or first metatarsal joint consists of two bones. The proximal bone is the first metatarsal and the distal is called the proximal phalanx or hallux. These two bone move against each other in an up and down motion through what we refer to as the sagital plane. Biomechanics: The motion of the great toe joint is dependant upon the plantarflexion of the first metatasal. If the first metatarsal is limitied in its' ability to plantarflex, the joint will jam resulting in funtional hallux limitus, which as we know is one of the causes of turf toe.
[size=medium][b]Alkaline diet[/b][/size]
<hr> Symptoms: Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.
[size=large][b]Unger, K., Rahimi, F., Bareither, D., Muehleman, C[/b][/size][hr]The Relationship Between Articular Cartilage Degeneration and Bone Changes of the First Metatarsophalangeal Joint. J. Foot Surg. 39:1 24-33, 2000 It is only if you find some usage for the matter described here on Gout Joint that we will feel the efforts put in writing on Gout Joint fruitful. So make good usage of it!
But before we go any further, we need to understand that the terms turf toe and hallux limitus aren't really synonymous. The fundamental difference between the two terms is the patient population that they affect. Turf toe is a term used in athletic circles referring to any injury of the great toe joint. Consequently, discussions about turf toe will focus on the first two causes of hallux limitus mentioned above; functional hallux limitus and direct physical injury. On the other hand, when we discuss hallux limitus, we're actually referring to a broader, 'non-athletic' patient population and need to include all three causes of hallux limitus.
[list][*]<hr> Differential Diagnosis: The differential diagnosis of turf toe includes;[*]Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis[/list]
Ronconi, P., Monachino, P., Baleanu, P.M.,Favilli, G. Distal Oblique Osteotomy of the First Metatarsal for the Correction of Hallux Limitus and Rigidus Deformity. J. Foot Surg. 39:3, 154-160, 2000
[b]Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc.[/b]
Treatment of turf toe varies with the type of healthcare provider and includes the use of rest, shoe modifications, orthotics, steroid injections and surgery. The success of non-surgical care will vary with the degree of injury, the rate at which the injury is healing and how much osteoarthritis has occurred. We see varying degrees of success with orthotics that promote plantarflexion of the first ray, effectively treating metatarsus primus elevatus and peroneus longus dysfunction. Simple arch supports can make a significant difference in the symptoms of turf toe. Should our patient not respond to conservative care in a reasonable time period, we are not reluctant to suggest surgical revision to address the problem whether it be revisions of the joint defect, shortening of a long first metatarsal or structural revision of metatarsus primus elevatus. As mentioned before, the clinical appearance of dorsal lipping or visible radiographic changes are suggestive of moderately advanced osteoarthritis, a condition that is only repaired by joint revision or replacement. :o.
References: Lombardi, C.M., Silhanek, A.D., Connolly, F.G., Dennis, L.N., Keslonsky, A.J. First Metatarsophalangeal Arthrodesis for Treatment of Hallux Rigidus: A Retrospective Study. J. Foot Surg. 40:3, 137-143, 2001
What's the actual physical change that takes place in the joint with turf toe? As an easy analogy, consider the changes that takes place when an apple falls from a height and is damaged. The skin of the apple appears intact but the underlying pulp is damaged. In the case of turf toe (hallux limitus), think of the skin of the apple as the cartilage of the joint and the damaged pulp of the apple is the subchondral bone. Mild cases of turf toe (hallux limitus), result in little damage to the subchondral bone and will merely exhibit signs of inflammatory change within the joint. Most authors would refer to these cases as stage one turf toe (hallux limitus). More severe cases result in damage to the joint surface, the subchondral bone or both. These are the stage two and three cases of turf toe (hallux limitus) that show visible change on x-ray. As the subchondral bone becomes increasingly damaged, it will create an uneven supporting surface for the cartilage. An increase in activity results in uneven loading of the joint due to the compression injury of the subchondral bone. As you progress deeper and deeper into this composition on Diseases Gout, you are sure to unearth more information on Diseases Gout. The information becomes more interesting as the deeper you venture into the composition.
[size=large][b]Turf Toe Caused by a Direct Injury to the Joint May or May Not be Obvious[/b][/size][hr]Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise. Looking for something logical on Gout, we stumbled on the information provided here. Look out for anything illogical here.
The onset of turf toe always the same? Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. So after reading what we have mentioned here on Gout, it is up to you to provide your verdict as to what exactly it is that you find fascinating here.
[list][*]Beer carries the most risk, not only contains alcohol, which can cause dehydration, but it contains Purine as well.[*]As discussed earlier, the higher amounts of Purine roaming in the body, the more Uric Acid will answer the call.[*]And it is the Uric Acid crystals that cause the excruciating pain associated with Gout![/list]
Since our bodies rely heavily on the urinary system to rid us of excess Uric Acid, it is easy to understand why good hydration and fluid balance is so important. The balance of fluids in our systems plays an integral role in Gout prevention, cure and Gout treatment.
Read on... [b]Water[/b] The most abundant home remedy to prevent Gout on the planet is at our fingertips. Water! There is no cheaper alternative to treat Gout. An individual seeking to prevent Gout or curing Gout it would be wise to drink as much as 96 ounces of water per day to maintain hydration and dilution of Uric Acid crystals in the bloodstream. There has been an uncalculatable amount of information added in this composition on Gout. Don't try counting it!
Quote:We expect that approximately two-thirds of the Uric Acid to be removed from the body through the kidneys and urinary system. Gout occurs when the Uric Acid is not metabolized properly enough to send it into the urinary system, so the blood levels reach higher proportions. Once there, the crystals may find a cozy joint (usually at the site of a big toe) to gather and collect and proceed to wreak havoc by means of intense, sudden pain and off-the-charts inflammation.
[list][*]Tip: Counter the ill effects of dehydrating liquids you consume, by drinking more water or decaffeinated teas and low sugar juices.[*]Water is the key to good health.[*]It is the cheapest medicine known to man.[*]And it can take a commanding role to successfully treat Gout.[*]We would like you to leisurely go through this article on Uric Acid to get the real impact of the article.[*]Uric Acid is a topic that has to be read clearly to be understood.[/list]
[b]Alcohol[/b] News flash: Drinking alcohol increases the risk for Gout! There is a proven and direct association between alcohol consumption and the presence of Gout. Therefore, if you are an avid drinker, there's no way you can avoid Gout. The risk is greatest for beer drinkers followed by those indulging in liquor, but wine (in moderation) does not seem to have much of an effect on the incidence of Gout. There is a lot of jargon connected with Www Gout. However, we have eliminated the difficult ones, and only used the ones understood by everyone. :o.
Elevated levels of Purine present in the body at any given time, whether due to genetics or a high protein diet, may give rise to elevated amounts of Uric Acid in the blood stream. Having a penchant for Purine led us to write all that there has been written on Purine here. Hope you too develop a penchant for Purine!
[size=large][b]But It Goes Further[/b][/size][hr]Sugary fruits and juices such as apples and oranges appear to carry an increased risk of Gout as well. For the person trying to avoid Gout flare-ups, the ill effects of sweetened soft drinks proved to be worse than hard liquor and almost as negative as beer. Fructose appears to be the culprit, having been found to raise Uric Acid levels.
During one 12-year study, it was concluded that the risk for developing Gout was significantly increased in participants that drank at least six servings of sweetened carbonated soft drinks per week (these were non-diet sodas). Sometimes, what we hear about Kidney Stones can prove to be rather hilarious and illogical. This is why we have introduced this side of Kidney Stones to you.
Addition to preventing Gout's acute attacks, the effects of good hydration helps keep joints lubricated, flushes Uric Acid out of the body and away from the poor great toe and other inflicted joints and prevents or helps kidney stones pass through if present. The kidneys cannot function optimally in a dehydrated state, nor does any system in the body.
[b]Sweetened Drinks[/b] Americans are drinking more sugary soft drinks than ever, but is there a coincidental rise in occurrence of Gout as well?
The cycle of Gout begins with the presence of a substance called Purine, which is formed during the normal decomposition of protein molecules in our cells. A by-product of Purine is a crystalline substance called Uric Acid.
[b]Coffee[/b] Studies have been conducted that connect the drinking of coffee - and the more of it the better - with marked prevention of Gout in significant numbers of participants. Experts conclude that there is a correlation between elevated insulin levels and the presence of higher Uric Acid levels in the bloodstream. The researchers relieve gout drinking coffee lowers the level of insulin, and with it decreases the Uric Acid levels. Drink another cup of java and help yourself avoid Gout! It was at the spur of the moment that we ventured to write something about Gout. Such is the amount of matter that is available on Gout.
You can prevent Gout. Follow the steps and tips listed here. To avoid Gout or hasten the process of curing Gout avoid Purine rich foods and beverages such as organ meats, poultry, seafood and products containing yeast.
[list][*]Look closer at our every day consumption of liquids and their up close and personal relationship with Gout.[*]Prevention of Gout is not that difficult.[*]What you need is proper knowledge to treat Gout.[/list]
[size=large][b]Turf Toe Gets No Respect[/b][/size][hr]Let's take a closer look at the causes of turf toe and see how to treat it more effectively. Turf toe is actually a form of hallux limitus. Hallux limitus is classically described as pain and progressive decrease in the range of motion of the first metatarsal phalangeal joint (MPJ). The onset of hallux limitus is due to the following:
When treating turf toe be sure to recognize the fact that there is no nerve innervation in articular cartilage. Pain associated with stage one turf toe (hallux limitus) is either synovial pain or bone pain. If we recognize that painful stage one turf toe (hallux limitus) may be due to bone pain, we then realize that turf toe should be treated aggressively to insure the long term viability of the joint. What we have written here about Diseases Gout can be considered to be a unique composition on Diseases Gout. Let's hope you appreciate it being unique.
Think of turf toe (hallux limitus) as an isolated case of osteoarthritis limited to the first MPJ. Whether the injury is acute or due to repetitive loading, the result is a load that is applied to the subchondral bone that is greater than what the bone can tolerate. As the injury progresses, a series of micro fractures will develop in the subchondral bone. The typical soft spongy character of the metaphyseal bone changes to become brittle and hard. The result is that the articular cartilage looses its' underlying support and becomes susceptible to damage. Juxtachondral eburnation, osteophytes, lipping, spurring; call them what you like, but what you see on your x-ray is the slow progressive destruction of the joint. We do hope that you find the information here something worth recommending others to read and think about once you complete reading all there is about Gout Joint.
[size=large][b]Functional Hallux Limitus[/b][/size][hr]Biomechanical function that results in metatarsus primus elevatus and subsequent repetitive jamming of the first MPJ. Direct physical injury - injury to the articular cartilage or subchondral bone. These injuries may be due impaction injuries or hyperextension/flexion of the first MPJ. There are universal applications on Gout Joint everywhere. However, it is up to us to decide the way used for these applications to get the best results from them.
<hr> Anatomy: The great toe joint, or first metatarsal joint consists of two bones. The proximal bone is the first metatarsal and the distal is called the proximal phalanx or hallux. These two bone move against each other in an up and down motion through what we refer to as the sagital plane. Biomechanics: The motion of the great toe joint is dependant upon the plantarflexion of the first metatasal. If the first metatarsal is limitied in its' ability to plantarflex, the joint will jam resulting in funtional hallux limitus, which as we know is one of the causes of turf toe.
[size=medium][b]Alkaline diet[/b][/size]
<hr> Symptoms: Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.
[size=large][b]Unger, K., Rahimi, F., Bareither, D., Muehleman, C[/b][/size][hr]The Relationship Between Articular Cartilage Degeneration and Bone Changes of the First Metatarsophalangeal Joint. J. Foot Surg. 39:1 24-33, 2000 It is only if you find some usage for the matter described here on Gout Joint that we will feel the efforts put in writing on Gout Joint fruitful. So make good usage of it!
But before we go any further, we need to understand that the terms turf toe and hallux limitus aren't really synonymous. The fundamental difference between the two terms is the patient population that they affect. Turf toe is a term used in athletic circles referring to any injury of the great toe joint. Consequently, discussions about turf toe will focus on the first two causes of hallux limitus mentioned above; functional hallux limitus and direct physical injury. On the other hand, when we discuss hallux limitus, we're actually referring to a broader, 'non-athletic' patient population and need to include all three causes of hallux limitus.
[list][*]<hr> Differential Diagnosis: The differential diagnosis of turf toe includes;[*]Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis[/list]
Ronconi, P., Monachino, P., Baleanu, P.M.,Favilli, G. Distal Oblique Osteotomy of the First Metatarsal for the Correction of Hallux Limitus and Rigidus Deformity. J. Foot Surg. 39:3, 154-160, 2000
[b]Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc.[/b]
Treatment of turf toe varies with the type of healthcare provider and includes the use of rest, shoe modifications, orthotics, steroid injections and surgery. The success of non-surgical care will vary with the degree of injury, the rate at which the injury is healing and how much osteoarthritis has occurred. We see varying degrees of success with orthotics that promote plantarflexion of the first ray, effectively treating metatarsus primus elevatus and peroneus longus dysfunction. Simple arch supports can make a significant difference in the symptoms of turf toe. Should our patient not respond to conservative care in a reasonable time period, we are not reluctant to suggest surgical revision to address the problem whether it be revisions of the joint defect, shortening of a long first metatarsal or structural revision of metatarsus primus elevatus. As mentioned before, the clinical appearance of dorsal lipping or visible radiographic changes are suggestive of moderately advanced osteoarthritis, a condition that is only repaired by joint revision or replacement. :o.
References: Lombardi, C.M., Silhanek, A.D., Connolly, F.G., Dennis, L.N., Keslonsky, A.J. First Metatarsophalangeal Arthrodesis for Treatment of Hallux Rigidus: A Retrospective Study. J. Foot Surg. 40:3, 137-143, 2001
What's the actual physical change that takes place in the joint with turf toe? As an easy analogy, consider the changes that takes place when an apple falls from a height and is damaged. The skin of the apple appears intact but the underlying pulp is damaged. In the case of turf toe (hallux limitus), think of the skin of the apple as the cartilage of the joint and the damaged pulp of the apple is the subchondral bone. Mild cases of turf toe (hallux limitus), result in little damage to the subchondral bone and will merely exhibit signs of inflammatory change within the joint. Most authors would refer to these cases as stage one turf toe (hallux limitus). More severe cases result in damage to the joint surface, the subchondral bone or both. These are the stage two and three cases of turf toe (hallux limitus) that show visible change on x-ray. As the subchondral bone becomes increasingly damaged, it will create an uneven supporting surface for the cartilage. An increase in activity results in uneven loading of the joint due to the compression injury of the subchondral bone. As you progress deeper and deeper into this composition on Diseases Gout, you are sure to unearth more information on Diseases Gout. The information becomes more interesting as the deeper you venture into the composition.
[size=large][b]Turf Toe Caused by a Direct Injury to the Joint May or May Not be Obvious[/b][/size][hr]Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise. Looking for something logical on Gout, we stumbled on the information provided here. Look out for anything illogical here.
The onset of turf toe always the same? Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. So after reading what we have mentioned here on Gout, it is up to you to provide your verdict as to what exactly it is that you find fascinating here.