uric acid poisoning - 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:



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.


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Joe Barton writes for Barton Publishing Inc., a natural health company specializing in educating people of safe, affordable natural remedies. To see how you can naturally treat your gout in minutes... guaranteed! Click here: http://www.cureyourgout.com/g1/

And There is More ... Recent research is suggesting that the human body has an internal intelligence that allows itself to naturally heal itself if given the proper tools. With gout, that includes your diet, nutrition, vitamins, supplements, herbs and exercise.

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.

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.

For most people, the uric acid is dissolved in the blood, and processed by the kidney and eliminated from the body through the urine. If you suffer from this disease, you body probably has an increased production of uric acid that cannot be processed and eliminated efficiently. This condition is called hyperuricemia.

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.

5. Pass the Fruit! Fruits are high in Vitamin C which is great to prevent gout! You might also want to consider 'gout-fighting' Vitamin C supplements!

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

The bloodstream usually carries only a tiny amount of uric acid but if there is an increased concentration then crystals are deposited on the cartilage and tissues that surround the joints. If you have high levels of uric acid in your bloodstream it can also result in uric kidney stones.

Gout commonly affects the big toe but can affect other area such as the joints in the ankle, heel, knee, wrist, instep, fingers, and spine. There have been instances where gout appears in the joints of the small toes which have become immobile because of an impact injury which leads to poor circulation and gout.

8. Weight Train! It is easier than you think! If you join a health club, you will see how easy it is to learn how to lift some weights. Simply, look at the posters on the wall and give it a try! Everybody had to learn sometime or another so do not be embarrassed! Besides, if you choose to lift some weights, you will most likely burn more calories than walking/running because of the body repairing your muscles throughout the whole day! A hard body is a gout-free body!

To get an accurate diagnosis of gout you must have a light microscopy of joint fluid aspirated from the joint to show intracellular monosodium urate crystal in synovial fluid polymorph nuclear leukocytes. Only a well trained specialist can distinguish the difference from other crystals.

You are dealing with a serious disease and you should choose a treatment that works to decrease uric acid levels in the body. You should consider a gout alternative treatment along with your anti-inflammatories and pain killers.

Article by Sven Ullmann, who runs Deserved Health - information on health for you and your family. Read more about gout and nutrition. Get our health newsletter.

3. Obesity can lead to high uric acid levels in your blood. You should make it a goal to get within 30 pounds of your target weight. Remember that the only healthy way to lose weight is a sensible diet and exercise. All other fad diets usually won't work!

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

Gout is a disease that is due to an inborn disorder of the uric acid metabolism and is also referred to as metabolic arthritis. When you suffer from this disease monosodium urate crystals are deposited on the articular cartilage of joints and in tissues such as the tendons. Then also causes an inflammatory reaction to the tissue and the deposits get larger and burst through the skin to form sinuses discharging a white material.

Hyperuricemia is the build up of uric acid crystals and is directly responsible for the pain you are feeling. There crystals can find their way to the joint spaces where they will cause painful inflammation. Sometimes the crystals can appear as lumps under the skin and even disrupt the function of the kidneys.

If you aren't able to get immediate medical attention there are a few things that can provide temporary relief to the pain and swelling commonly associated with gout. NSAIDS including ibuprofen can be used to reduce the pain and inflammation, but stay away from aspirin as it has been known to have adverse affects. You can also apply Preparation H ointment to the affected skin to reduce swelling.

2. Learn what foods are putting you at risk. Foods higher in purines will usually cause the problems. Avoid meats such as kidneys, liver, red meats, fish, beans, lentils, peas and alcohol. To begin your treatment you need to avoid these foods and gradually re-introduce these foods to your diet after you lower your uric acid levels.

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

5. Water can also greatly assist in the prevention and formation of uric acid crystals. In addition, water can also help your body flush the crystals once they have formed!

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.

Fortunately, you can treat gout naturally without even making a $100 trip to the hospital. How? A great starting point is to change your diet with some simple tips to keep you gout-free!

You can also apply ice to the affected area for 20-30 minutes multiple times throughout the day. Some may think that uric acid crystallization is increased with low temperatures but a recent study proved that those who use ice packs experienced a relief in pain without negative effects.


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.

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.

 
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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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6. Cut some calories! Did you know that Americans generally eat twice the amount that is needed during a typical day? Look around you and see how overweight we have become and more prone to gout. Cutting 50 calories a meal will add up to around 15-20 pounds a year! So switch to diet soda, watch the condiments, easy on the chocolate, and you know the rest! With time, gout symptoms will become less and less.

Did you know that gout is more serious than its symptoms? Heat, pain, redness, stiffness, swelling on affected area, arthritis symptoms, and loss of sleep are all symptoms of gout. However, did you know that gout can be a life-threatening disease if left untreated? Gout can also cause the 'silent killer' disease of high blood pressure and the painful disease of kidney stones. Simply baring the agony should NEVER be an option for gout. Your life could be at stake!

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.

Hyperuricemia is a uric acid level higher than 420 ??mol/L in males and 380 ??mol/L in females. High uric acid levels don't always lead to gout. If it is suspected that you are suffering from gout the serum urate test should be repeated once the attack has subsided.

For more gout alternative treatments, please visit our website! We offer the only 100% guaranteed Gout Remedy Report that works in less than 2 hours! These 5 tips will give you a great start for your treatment but more flare-ups are inevitable if you don't change your lifestyle.

Though uric acid crystals will still be in the joints, you can dramatically decrease the gout attacks by learning how to relieve and cure gout symptoms. Let me explain!

How to Cure the Gout Knowledge is the key to not only treating the disease, but preventing any additional damage to your body and kidneys. You most also remember that being healthy is not a once a year type of thing; you must make your health a priority and a lifestyle change.

7. Go for a walk! Being overweight can lead to higher levels of uric acid in your blood (cause of gout). Go for a walk each night or join a fitness club. Start out slow and have fun!

Why Do I Suffer From Gout? Gout most likely can be contributed to your diet and lifestyle. Sufferers from this form of arthritis are typically those people who have a poor diet and an inactive lifestyle. They usually have a diet high in purines (found in animal-based foods). Once in the body purines break down into uric acid.

Because there is no traditional cure for gout, gout alternative treatments have been the newest rave with this type of arthritis. Millions of people suffer from this painful type of arthritis that is contributed to high levels of uric acid between the joints. And these gout remedies work because they naturally lower the levels of uric acid by flushing it out of the body.

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

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.

3. Don't eat those veggies! What? Well, some vegetable are high in purines (uric acid) and therefore should not be touched: beans, lentils, asparagus, mushrooms, spinach and peas.

Here are some tips to get you started for curing your gout symptoms! 1. Watch what you are eating! Keep a food journal of everything that you eat and drink for one week. Try to find what foods or beverages are causing your attacks.

4. Water is better than Alcohol! Again, What? You should try to drink at least 10-12 glasses of water a day and watch the alcohol consumption. If you do decide to drink alcohol, no more than one drink a night!

The common effects of gout include the sudden pain, swelling, redness, warmness, stiffness in the joint, and sometimes a low fever may persist. Those suffering from gout are in pain because of the crystals inside the joint that cause pain whenever the area is moved, as well as the inflammation of the tissues around the joint which tends to cause swelling and soreness.

But Wait, There's More Congratulations! You have just saved yourself $100 and have learned how to begin treating gout yourself! In fact, gout is a disease that you can control naturally by simply choosing the right foods, exercising, and even choosing the right herbs/fruits/food when a gout attack arises! That is right! There is a natural gout remedy for gout attacks that works in minutes. Learn about more gout prevention tips on our Cure Your Gout Website and see how thousands of people have saved hundreds of dollars and treated their gout!

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.

4. Get vitamins A, B5 and E! Studies have shown that fruits and vegetables can drastically flush uric acids because of the fiber content and nutrients and antioxidant properties. People deficient in these vitamins typically get gout.

A Simple Gout Prevention Diet 1. Mooo! You need to immediately starting consuming more LOW-FAT dairy products. 2. Purines are BAD! Avoid foods with high purines (When purines break down in body they form uric acid which causes gout.) Typical high purine foods include: red meats, kidneys, liver, tripe and tongue. Fish have also been linked to causing gout!


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.

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

To see how thousands are flushing uric acid and curing gout symptoms, please visit us today!


 
 
     
 
 





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