finger pain gout - Turf Toe
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Turf Toe

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:


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 To maintain healthy joints, you need to refrain from the consumption of rich fatty foods, refined carbohydrates and alcohol, as they can be converted by the body into inflammatory substances that can aggravate the condition.

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

Celery seed (Apium graveolens) helps the kidneys dispose urates and other unwanted waste products as well as working to reduce acidity in the body. The seeds are also a carminative, with a mild tranquilising effect. Guaiacum is used in Europe, especially in Britain, to help with arthritic and rheumatic conditions. It has anti-inflammatory properties that help to reduce muscle aches, joint pains and swelling. It is also diuretic and speeds the elimination of toxins, which makes it valuable for treating gout.

4.) Avoid or limit Alcohol Consumption. 5.) Exercise on a daily basis! Try to get at least 15 minutes of activity per day. Herbal Formula for Gout & Joint Stiffness

Increase your intake of foods high in dietary fibre (vegetables, fruits) and complex carbohydrates (oats, barley, bran). Reduce or avoid alcohol and caffeine consumption. Wheat, dairy products, corn, beef, tomato, potato, eggplant and peppers can aggravate arthritis. Light exercises like brisk walking help to keep the joint cartilage lubricated. Being overweight can burden the joints, especially the knees, thus aggravating the pain. Losing some weight will be of benefit.


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.

People whose body's produce too much uric acid or are not able to effectively eliminate uric acid from the body are at very high risk of contracting gout. The most common site for uric acid accumulation is in the big toe, although other joints may also be affected by crystalline buildup of uric acid.

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.

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.

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And the kicker! Men with gout were about 50% more likely to die from an acute heart attack than those men without gout! With millions of gout hospital visits each year, and over 500,000 coronary deaths per year... Can you understand the seriousness of gout?

About the author:
href="http://www.medical-explorer.com" target="_blank">www.medical-explorer.co
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Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc.


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.

While sometimes consistent, pain caused by gout can come and go and arise suddenly without warning. Joints affected with gout are usually red, swollen, and especially tender. Gout can also be accompanied by mild fever.

So, as you can see, medication is not the only way to go if suffering from a gout. Some people even say that drugs are not so very useful in gout cases. Because gout is a condition that has long lasting effects, other "treatments " must be used besides medication.

Answer : GOUT is a common type of arthritis caused by an increased concentration of uric acid, a by-product of protein metabolism in the liver. It affects more men than women. Sudden attacks of severe joint pains occur when sharp crystals of uric acid (monosodium urates) form in the fluid surrounding a joint due to an elevated level of uric acid in the blood.

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

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.

Foods that contain a high level of purine should be avoided, and these include red meats, organ meats and shellfish. There are several herbs that have proven benefits for painful joints. Celery seed and guaiacum are two very popular ones. These are usually combined with other herbs such as ginger, capsicum and sarsaparilla for better synergistic effect.

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.

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.

One of the most common forms of arthritis is gout. Gout is characterized by joint inflammation accompanied by terrible pain and sometimes red, shiny skin covering the joint. An attack of gout appears suddenly, often overnight and most often affects the feet and ankles, with the most common area being the ball of the large toe. Gout can be cured by using natural products such as cherries, charcoal, diet, avoidance of alcohol and natural supplements like Arthritin.

 
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A European study reported a 16 year follow-up of over 9,000 men between 41 and 63 who entered the study with no evidence of coronary heart disease (CHD). After the study follow-up, most men continued to suffer with gout attacks but also were considered high risk for coronary heart disease. And as you might know, 1 out of every 5 deaths is associated with heart disease.

Question : I WAS told by my doctor recently that I have gout. My uric acid level is high. Since this may be at an early stage as I just had the pain attack, how can I manage it? Are there any supplements that can help?

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.

3.) Drink half your weight in water! In ounces that is! I weight 180 pounds so I would drink 90 ounces of water per day! Roughly, 11 cups of water per day!

Here is a list of some basic tips if you or a loved one is suffering from gout! 1.) Maintain Your Healthy Weight! 2.) Avoid Eating Meats (Purines)!

If you are intersted in finding more information about gout you can click on this website http://www.gout-info-center.com. Also you will find there valuable information about gout symptoms and causes of gout.

Certain types of foods have in their composition purine. These compounds are known to rise the levels of uric acid. In turn, uric acid is what cause a gout. So, if you stop eating such foods, or at least try to reduce the number, then you can prevent gout attacks. Here is a list of foods that are high in purine, thus leading to gout: bouillon, brains, goose, sardines, dried vegetables, shrimp, heart, liver and many others. These are just some of the foods to avoid if suffering form a gout, or if you are one of those people susceptible to a gout. Furthermore, alcohol is also known to do a lot of damage in gout cases. Try to avoid as much as possible drinking alcohol, especially beer, if you want to lower the number of gout flares. If you can avoid the purine foods and alcohol, you will surely feel a difference in the number of gout flares, as well as in the gout signs. Levels of uric acid can also be risen by sugar and fructose. So if you want to control your gout case, then try to avoid them as well.


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

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.

How did he do it? He was pro-active about curing gout and began living a healthy lifestyle! And you can too! A Natural Gout Cure- No mediations needed and NO side-effects

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

There are many reason that can cause a gout. The main risk factor in a gout case is the levels of uric acid that one has in his/ her body. This increased levels can be cause by many factors, and diet is one of those.

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.

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

Cherry juice or cherries is also good for preventing gout flares. So eat at least a half pound of these fruits to better manage your gout. It does not matter what kind of cherries you eat. All cherries are beneficial in gout cases. Cherry juice is also believed to be very good in relieving some of the gout symptoms, although this has not been proven yet. So as you can see, this tiny fruit can do a world of good in your gout case. There are also some other changes that you have to make if suffering from gout. Besides the dietary modification that you should do, some lifestyle changes must be done as well.

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.

The Gout Relief formula has herbs that help relieve joint pain and other herbs that help alkalize the body from excessive uric acid.

# Uric acid can accumulate in the blood and the tissues, ultimately crystallizing causing pain and joint stiffness. # Devil's Claw : Relieves pain and reduces inflammation. Acts as a diuretic, sedative, and digestive stimulant. # Good for gout cure, back pain, rheumatism, arterioscleroses, lumbago and gout symptoms. Read out Natural cures. Also check out for homeopathic remedies and online doctor


 
 
     
 
 





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