gout treatment diet - Cherries - The Supercharged Fruit
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Cherries - The Supercharged Fruit

The little red fruit that has been enjoyed by countless millions offers more than great taste. Are cherries truly fruit for a healthy you? Recent studies have revealed that cherries offer an assortment of health benefits including the ability to offer natural relief from joint pain caused from gout, arthritis and joint inflammation.


About the author:
Tony Anderson is a freelance writer.

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.


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"My big toe was in horrible pain, so i went to emergency room. Dr diagnosed gout in my foot and gave me pain killers. I did some googling and found goutezol. I like that it's natural with no chemicals in it. Ive been taking it for about 6 months and so far no attack, and my doc confirmed lower uric acid in my blood. thank you!" Jeff, NY
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 Functional hallux limitus - 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.


Differential Diagnosis: The differential diagnosis of turf toe includes; Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis

Is 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.

About the author:
Tony Anderson is a freelance writer.

For hundreds of years, medical researchers have suspected that gout is linked to specific lifestyles such as diets high in red meat, salt and alcohol, combined with little to no exercise. This type of lifestyle, which many people in Western countries tend to adopt as they become older and closer to middle age, is very much like the lifestyle that was once led by English kings. In fact, gout is often called "the disease of kings".

Although there are many factors that can contribute to a build up of uric acid within your system, alcohol consumption appears to be a leading factor in gout development. However, this doesn't mean that people who drink alcohol modestly on a regular basis will develop gout. Furthermore, research has discovered that different types of alcoholic beverages have different impacts on uric acid levels.

Linda L. Patterson is a living testimony of the soothing affects of cherries on her joint pain. 'I enjoy crocheting and lately my hands have been so painful, I couldn't crochet for more than about 30 minutes.', says Patterson. In an attempt to find relief from her pain, she located Fruit Advantage Tart Cherry capsules, a supplement made from red tart cherries. 'Within the first week of taking the tart cherry capsules my hands felt so much better.', says Ms. Patterson. 'I am now able to crochet without the pain in my hands.'

In addition, researchers have found that certain types of alcohol have less risk of causing gout than others. Of all the alcohols studied, it appears that Beer poses the highest risk of gout, while moderate consumption of wine or spirits has little to no increased risk of gout.

The little red fruit that has been enjoyed by countless millions offers more than great taste. Are cherries truly fruit for a healthy you? Recent studies have revealed that cherries offer an assortment of health benefits including the ability to offer natural relief from joint pain caused from gout, arthritis and joint inflammation.

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.

So what makes the tasty red fruit so beneficial? The wonder of the cherry is the anthocyanins. According to research from Michigan State University tart cherries contain anthocyanins and bioflavonoids, which inhibit the enzymes Cyclooxygenase-1 and -2, and prevent inflammation in the body. These compounds have similar activity as aspirin, naproxen and ibuprofen. Further investigations revealed that daily consumption of tart cherries has the potential to reduce the pain associated with joint inflammation. Many consumers are choosing to drink cherry juice, eat cherries or consume tart cherry pills to starve off the pain of gout, arthritis and joint inflammation.

Turf toe gets no respect. 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:

Linda L. Patterson is a living testimony of the soothing affects of cherries on her joint pain. 'I enjoy crocheting and lately my hands have been so painful, I couldn't crochet for more than about 30 minutes.', says Patterson. In an attempt to find relief from her pain, she located Fruit Advantage Tart Cherry capsules, a supplement made from red tart cherries. 'Within the first week of taking the tart cherry capsules my hands felt so much better.', says Ms. Patterson. 'I am now able to crochet without the pain in my hands.'

What's so risky about beer? Some researchers believe that beer has a non-alcoholic ingredient that makes the increase of gout even higher than other alcoholic beverages. Beer is apparently the only alcoholic beverage to include purines, and an excessive amount of purines in the system can lead to higher production of uric acid. Conversely, other researchers do not believe it is the purines in the drink that increase the risk of gout. These researchers don't believe that having too many purines in the diet increase the risk of gout. Their reasoning is based on a study that was conducted on vegetarians from Taiwan who indulged in a diet that was high in purines. The study revealed that theses individuals actually had a lower risk of developing gout.

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


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.

In addition to the health benefits offered by cherries, many people are just eating the fruit for the taste. John Simms, a life-long resident of Indianapolis, Indiana, eats cherries for the convenience and taste. 'As a short-haul truck driver, my diet isn't the best, I would eat fast food every day. A year ago, my wife bought some dried cherries and I began eating them to keep my weight down. Now I eat a handful of cherries instead of eating fast food.'

 
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Today, researchers that have conducted studies on men in relation to alcohol consumption and its link to gout, have found that men who drank excessive amounts of certain forms of alcohol - especially beer - greatly increased their risk for developing gout.

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.

About the author:
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle
surgeon. Dr. Oster is also board certified in pedorthics. Dr.
Oster is medical director of href=http://www.myfootshop.comMyfootshop.com and is
in active practice in Granville, Ohio.

In addition to the health benefits offered by cherries, many people are just eating the fruit for the taste. John Simms, a life-long resident of Indianapolis, Indiana, eats cherries for the convenience and taste. 'As a short-haul truck driver, my diet isn't the best, I would eat fast food every day. A year ago, my wife bought some dried cherries and I began eating them to keep my weight down. Now I eat a handful of cherries instead of eating fast food.'

Unger, K., Rahimi, F., Bareither, D., Muehleman, C. The Relationship Between Articular Cartilage Degeneration and Bone Changes of the First Metatarsophalangeal Joint. J. Foot Surg. 39:1 24-33, 2000

So, if it's not the purines in beer then what is it? Some experts have a hunch that excessive beer drinkers have a higher risk in contracting gout due to their lifestyle. For instance, a person who drinks wine usually has their alcoholic beverage with a meal, or with healthy snacks such as fruits, vegetables, crackers and cheese. A beer drinker, on the other hand, will often indulge in eating salty and fatty snacks such as peanuts and chips, while they sit and watch TV on the couch hour after hour. Thus, enthusiastic beer drinkers are likely to have a more sedentary lifestyle.

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.

Not only are cherries a great way to maintain a healthy body they are a natural product. According to Andrew LaPointe, Director of Marketing for Traverse Bay Farms, www.traversebayfarms.com 'many of our customers are looking to eat healthier and fruit products fit this trend. It's certainly better than fast food.' Traverse Bay Farms sells Fruit Advantage Tart Cherry capsules and cherry juice concentrate.

Nomenclature: First MPJ - the big toe joint Metatarsus primus elevatus - a functional or structural position of the first metatarsal First metatarsal - the foot bone making up the proximal portion of the big toe joint Hallux - the great toe

What has been discovered is alcohol may not only affect the production of uric acid, but also its removal from the body. It appears that when alcohol is changed into lactic acid, it decreases the quantity of uric acid that the kidneys are able to remove from the body. The reason is because uric acid has to compete with the lactic acid in order to be removed by the kidneys.

Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc.

So what makes the tasty red fruit so beneficial? The wonder of the cherry is the anthocyanins. According to research from Michigan State University tart cherries contain anthocyanins and bioflavonoids, which inhibit the enzymes Cyclooxygenase-1 and -2, and prevent inflammation in the body. These compounds have similar activity as aspirin, naproxen and ibuprofen. Further investigations revealed that daily consumption of tart cherries has the potential to reduce the pain associated with joint inflammation. Many consumers are choosing to drink cherry juice, eat cherries or consume tart cherry pills to starve off the pain of gout, arthritis and joint inflammation.

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.

Not only are cherries a great way to maintain a healthy body they are a natural product. According to Andrew LaPointe, Director of Marketing for Traverse Bay Farms, www.traversebayfarms.com 'many of our customers are looking to eat healthier and fruit products fit this trend. It's certainly better than fast food.' Traverse Bay Farms sells Fruit Advantage Tart Cherry capsules and cherry juice concentrate.


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.

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.


Regardless of the alcohol beverage you enjoy, you can dramatically reduce your risk of developing gout by drinking modestly (IE a glass of wine or beer per day). Overindulging in alcohol on occasion isn't going to have a dramatic effect on your chances of getting gout, but regular overindulgence may eventually lead to a serious pain in the big toe.


 
 
     
 
 





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