The disease is accompanied stagnation in the superficial veins of the lower extremities, decreased elasticity and increased permeability of the vascular wall. On late stages the pathology can be complicated by thrombophlebitis, which is characterized by the formation of blood clots on the inflamed mucous membrane of the veins. This causes constant pain syndrome against the background of swelling and heaviness in the leg muscles.
Atherosclerosis of the arteries
Violation of water-salt metabolism
In case of violation water-salt metabolism there is a decrease in the concentration of potassium in the blood serum. This chemical element responsible for excitation processes in cells and transmission of neuromuscular impulses. The result is a contraction disorder muscle cells, including the lower extremities. Causes of potassium loss may include:
- Diseases occurring with profuse diarrhea.
- Conditions accompanied by profuse vomiting.
- Uncontrolled use of diuretics.
As a result of dehydration, the following appear:
- chest pain, rhythm disturbance;
- decrease in blood pressure;
- feeling of thirst;
- spasms of the lower extremities;
- pain and heaviness in the calf muscles;
- impairment of motor function, up to the development of paresis and paralysis.
A critical decrease in potassium levels in the blood can lead to fatal outcome as a result of cardiac dysfunction.
Cramps in the calves, which often occur at night, may indicate a lack of magnesium in the body. Usually, taking this element can eliminate the problem.
Excessive exercise
When tired and overtrained, heaviness in the legs occurs as a result of excess accumulation of lactic acid and does not require treatment. Discomfort in the calf muscles associated with diseases requires careful diagnosis and the prescription of complex therapy.
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Hello, Anastasia.
Consultant doctor's response:There are more than enough reasons for pain:
the outflow of venous blood is impaired;
a focus of inflammation appeared in the nerve fibers on the periphery.
If the pain is throbbing, then there may be development inflammatory process in Vienna. If the place swells and hardens, thrombophlebitis develops, which can cause a blood clot to break off at any time.
In a sitting position, the calves begin to ache due to a deficiency of vitamins and microelements, in particular calcium in the body. It is worth reviewing your diet and taking a general and detailed blood test.
Perhaps there are problems of a neuralgic nature or there were old injuries in the case of sprained ligaments or muscles of the joint.
My calves hurt even when vascular diseases, disruption of venous blood circulation. When walking, the blood rises. With prolonged sitting, it begins to stagnate in the calf muscles. The reason for this is a sedentary lifestyle, excess weight, or the accumulation of toxins, oxygen starvation in the muscles.
For inflammation sciatic nerve The spine itself does not hurt, but a paroxysmal pain syndrome occurs in the muscles.
It is osteochondrosis, as you noted, that leads to muscle discomfort. The reason for this is a pinched nerve, damage nervous system on the periphery. You need the help of a neurologist and most likely you need to contact him.
The musculoskeletal system has a complex structure, practically entangled with nerve fibers, and pain can radiate to the calves of the legs from almost any node peripheral to the spinal column. As a rule, blood circulation is impaired in one leg, i.e. at the site of pathology and has a local course. What to do, the joint loses its elasticity and flexibility.
Required comprehensive examination, CT, MRI. If the cause of pain is unclear calf muscle it is the syndrome that needs to be eradicated, and not the pain itself by rubbing in various ointments and gels. Try using anti-inflammatory medications to increase blood flow as well. Apply a cold towel to the sore area.
You need to see a rheumatologist or infectious disease specialist. And, of course, only full implementation diagnostics Massage, physiotherapy, therapeutic mud, foot baths with the addition of nettle, mint, chamomile, sage, plantain should be beneficial. -
Hello.
Sorry for the delay - I just arrived.
Consultant doctor's response:It’s not entirely clear what “feeling as if someone is walking over a hematoma” means. Feelings in your son’s leg or in yours, as if you are feeling liquid structure? Or are we talking about pain in your son, similar to that if you touch a bruise on the skin?
If you suspect the presence of fluid, you should urgently contact your surgeon directly.If we are talking about pain, and such sensations have not been observed before, then they can indeed be associated with severe hypothermia against the background of a recent cold and pharyngitis. At viral diseases the vessels of the whole body suffer and may even be damaged. Also heat, intoxication impairs performance thyroid gland, which affects metabolic processes in the tissues and blood vessels of the body, and can even contribute to vascular spasms.
Recommended:
Contact your pediatrician or adolescent doctor. Ultrasound of the vessels of the lower extremities, rheovasography can determine functional state vessels and surrounding tissues. Also, consultation with an endocrinologist will rule out Negative influence recent illness on the hormonal activity of the thyroid gland.
Improve metabolism and metabolism in blood vessels, help recovery herbal preparations, which have anti-inflammatory, anti-edematous and antispasmodic effects. For example, Quercetin. Also shown vitamin preparations, which have a positive effect on the vascular wall: rutin or in combination with vitamin C - ascorutin. The choice of specific drugs, dose and time of administration can only be determined by the attending physician after examination and diagnosis. -
Hello, Oksana.
Here's what the consultant doctor (a good therapist) says:With flat feet, equinism, and hallux valgus, uneven and prolonged contractions of individual muscle areas, stretching of the fascia, and disruption of the ligamentous apparatus of the lower extremities occur. In addition, in the described case, shortening of the muscles and tendons of the lower leg is likely. This leads to constant tension in the muscular-ligamentous system and the inability to relax. As a result, blood supply, nutrition and metabolism in the legs are disrupted. And it is foot deformities that are most likely the cause of the child’s disturbed condition. Unfortunately, prolonged, uneven load affects not only muscles, but also joints (knees, hips), which can also hurt and become deformed in the future.
It is necessary to undergo examination, observation and treatment by a competent orthopedic doctor. Pain, exercise intolerance are symptoms, they form part of clinical picture and are significant for the doctor. The degree of flatfoot is recorded during X-ray examination using special techniques (in different projections, with a load). This study must be carried out periodically, images and conclusions must be saved to record possible progression of the process.
It is very important to carry out therapeutic measures under the supervision of an orthopedist. Special massages, physiotherapy, physiotherapy, designed individually to restore the normal arch of the foot. Nice view Swimming is a sport; it reduces the load on joints, muscles, ligaments and blood vessels. To reduce voltage and pain You can recommend taking warm foot baths (for the legs, feet) in the evening with salt (2 tablespoons of coarse or sea salt per 10 liters of water) lasting about 20 minutes.
Depending on the situation, it is possible to resolve the issue not only about orthopedic insoles(they need to be changed several times a year), and also about special shoes with rigid fixation of the foot. Constant medical supervision, as the process progresses, the issue of possible surgical correction is resolved.
Hello, Elina.
Sorry for such a long answer.Yes, pain can be the result of an injury.
With the described symptoms, it is necessary to exclude the presence of muscle injury, sprain of the ligamentous apparatus, traumatic damage to blood vessels, as well as dilatation of venous vessels (deep vein varicose veins). It is important to consider (during sedentary work and intense exercise) that changes in the spine can also manifest as pain in the limbs, swelling and heaviness in them.
IN in this case It is recommended to consult a surgeon. The doctor will examine the leg and refer you for the necessary examinations: general analysis blood (to exclude an inflammatory process), determination of indicators of the blood coagulation system (which is important for possible vascular changes), ultrasound of the vessels of the lower extremities. And also, if necessary, will refer you for consultation to related specialists: a vascular surgeon, traumatologist, neurologist.
Good afternoon, Timur. Now is the time that the main doctors who answer questions are all either traveling (business trips, recertification, etc.) or have just returned and are still busy... That’s why we had to wait so long. Sorry. If the answer is relevant, then here it is:
Such a symptom complex makes it necessary to first exclude pathology of the vessels of the lower extremities, muscles and nerve endings. In this case, nerve fibers are most often affected secondarily.
Also intense physical exercise can provoke pain in the presence of flat feet (both longitudinal and transverse). At the same time, pain in the calves can gradually arise and intensify, and also decrease after rest.
First of all, in this case, consultation with a surgeon is recommended. If necessary, the doctor will refer you for consultation to a vascular surgeon, neurologist, or orthopedist. Used to confirm the diagnosis instrumental methods: X-ray of feet, ultrasound examinations arteries and veins.
After receiving the results full examination and confirmation of the diagnosis by the attending physician, adequate and effective therapy can be prescribed.
Hello Christina.
Answer from a medical practitioner and site consultant:
In medicine, there is restless legs syndrome. In this case, first of all, it is necessary to exclude it. Taking into account the family history (the presence of varicose veins in the father), we can assume the presence of varicose changes in the lower extremities. When deep veins are affected, no changes occur on the surface; upon examination skin will not be changed, dilated veins will not be visible.
Others possible reasons a lot: starting from changes in the spine (osteochondrosis with secondary changes in nerve endings (radiculopathy or radiculitis), nutritional disorders with the development of a lack of certain vitamins and minerals, changes not only in veins, but also in arteries, and ending with general diseases ( hormonal sphere, respiratory system).
To diagnose the described changes, it is necessary to examine the condition vascular system(ultrasound of vessels of the lower extremities, rheovasography), general clinical studies (state of the coagulation system).
Consultation with a surgeon, phlebologist and general practitioner is recommended. Doctors will select the direction of the diagnostic search, and only after establishing a diagnosis will they be able to prescribe an adequate correction.
Good afternoon, Maxim.
Gonarthrosis was diagnosed. This disease can present with knee pain and movement disorders. It is treated over a long period of time (since the disease is usually chronic, it can last for months and years, with periods of exacerbations and remissions). The course of therapy includes anti-inflammatory drugs and physiotherapy. Effectively Spa treatment(mud therapy) during the absence of signs of an active inflammatory process, which often accompany gonarthrosis (arthrosis knee joint). Special attention should be given to the ligamentous apparatus (taking into account surgery). It is treated under the supervision of an orthopedic doctor or surgeon.
Discomfort in the legs can be associated not only with venous vessels, and also with arterial ones. In this context, it is recommended to consult a vascular surgeon and conduct research arterial vessels Ultrasound duplex angioscanning of the arteries of the lower extremities and rheovasography. And based on the results of the studies, doctors will be able to prescribe appropriate treatment.
Good afternoon, Olga.
The described picture most likely corresponds to changes in the veins, internal veins of the lower extremities. Therefore, they may not be visible from the outside.
For diagnostics (exceptions) varicose veins veins of the lower extremities) it is recommended to consult a surgeon (you can see a vascular surgeon, phlebologist). Conducted instrumental studies: rheovasography and ultrasound (Dopplerography) of the veins of the lower extremities. It is important to determine whether there is a tendency to thrombus formation (blood test for coagulation and bleeding duration, blood platelets, coagulogram, IPT or INR).
Therapeutic measures will be determined by the attending physician.
It is also important to exclude the presence of flat feet (it can increase or even cause pain, heaviness in the legs, and is diagnosed by a surgeon).
From general recommendations: comfortable shoes, try not to stay for a long time with bent knees (sitting, in particular), as this impairs the movement of blood in the legs, try not to stand for a long time, take foot salt baths in the evening, lie in the evening for half an hour with the knees raised above the level head with legs (to facilitate the outflow of blood from the veins of the legs to the torso area), a diet without a large amount of salt, so as not to increase tissue swelling.
Hello Dmitry!
Considering such precise localization with the involvement of specific muscles in the process, and symptoms that resemble changes in sensitivity (stony, heavy legs), which can be combined with changes in the blood circulation of these muscles, first of all it is necessary to exclude secondary changes (nerves and muscles) against the background of disorders from the spine (osteochondrosis, pinched nerves, secondary radicular syndrome, up to the exclusion of protrusion and hernia intervertebral disc when the nerve endings are pinched in the area where they exit the spinal column).
It is recommended to visit a competent neurologist. The doctor can diagnose local changes in sensitivity, as well as disorders of the motor nerve endings.
In terms of examination, the most informative is an MRI of the spine; the study can only be prescribed by a doctor.
Until a diagnosis is made, it is recommended to refrain from physical exertion that may aggravate the condition, including stretching. If you can’t do without swimming, then it’s better to do it on your back and with a slight range of motion and speed.
Indicated after diagnosis and determination possible contraindications drug therapy, manual therapy.
Hello Andrei!
With prolonged and intense exercise (which includes long-distance marathon running), injury is possible. vascular formations, nerve structures, muscle tissue and articular-ligamentous apparatus. Therefore, it is necessary to exclude the presence of neuropathy (changes in nerves) and vasopathy (vascular) of a traumatic nature. Injury increases when running on hard and uneven surfaces (asphalt, slabs, rocky roads), poorly selected shoes, and increases in the presence of flat feet.
For an accurate diagnosis, consultation with a doctor (neurologist, surgeon) is necessary. additional research: Ultrasound of blood vessels, blood tests to identify signs of inflammation and the state of the blood coagulation system.
Among the general recommendations, it is important to pay attention to the nature of the warm-up (warming up all muscle groups) and stretching exercises. Water treatments(swimming pool, sauna) and massage help normalize blood circulation (in the absence of inflammatory changes).
Products and vitamin complexes(containing vitamins P, C (ascorutin)), group B, bioflavonoids (quercetin)), agents affecting venous outflow and blood vessels in general (detralex, escin, angionorm), chondroprotectors (containing chondroitin and glucosamine) improve the condition vascular wall, nervous system and musculoskeletal system. The choice of specific remedies can only be made by the attending physician.
Hello Angela!
The described picture requires determining the condition of the vessels and nerve fibers of the lower extremities, along with diagnosing changes in the spine. Changes in blood vessels (both arteries and veins) may be secondary to osteochondrosis of the spine, as well as mechanical pressure and tissue malnutrition due to excess body weight. It is important to exclude any general diseases. Especially those associated with metabolic disorders.
Since it is necessary to exclude radicular syndrome with damage to the sciatic nerve, nerve fibers and plexuses of the thighs, legs and feet (so-called secondary neuropathy), arterial angiopathy, varicose veins of the deep veins of the lower extremities, it is recommended:
Consultation with a therapist (to determine the state of the cardiovascular and other systems), consultation with an endocrinologist (to exclude diseases that cause changes in blood vessels and nerves), a neurologist and, if necessary, as determined by the therapist, a vascular surgeon.
In terms of examination, in addition to general clinical blood and urine tests: x-ray (and, if necessary, MRI) of the lumbar and sacral spine), rheovasography and ultrasound of the vessels of the lower extremities.
After examination and diagnosis, doctors will be able to give clear recommendations on lifestyle and nutrition, select medications, doses and timing of administration.
Hello, Yana!
Therapist's response:
Considering the described picture, first of all it is necessary to exclude changes in the vessels of the veins of the lower extremities. The feeling of fullness and pain may indicate local venous stagnation. At the same time, if the changes concern the internal venous network, then this does not manifest itself in any way from the outside - there may be no expansion and visual appearance of veins, as well as swelling.
The presence of pain indicates the need to determine the condition peripheral nerves. Osteochondrosis of the spine can lead to secondary radicular syndrome and the reaction of nerves located far from the spine. What causes pain.
To diagnose osteochondrosis, an X-ray examination is used at the first stage; in this case, it is necessary to examine the lumbar and sacral sections. Osteochondrosis is often a common process; it may not be limited only to the cervical region.
A person remembers his two only when they get sick. And almost never connects the problem with diseases of other organs. Meanwhile, the culprits of your suffering may be disorders and inflammation in different systems body, explains Doctor of Medical Sciences, Professor, Head of the 2nd Department of Internal Diseases of the Belarusian State Medical University Nikolai Soroka.
What makes you suffer
Indeed, pain in the legs can occur at the most various reasons. For example, due to inflammatory diseases associated with infections, intestinal diseases, psoriasis and rheumatoid arthritis. But still, most often people are plagued by osteoarthritis, popularly known as salt deposition in the joints. In this case, the pain is clearly formed in the area of the joints - ankle, knee or hip.
Another reason is obstructed blood flow through the arteries. Cold and pale people will indicate this lower limbs, as well as pain that occurs when walking - the so-called symptom of intermittent claudication. According to Professor Soroka, the reason may be atherosclerosis - with this disease, an atherosclerotic plaque blocks the artery, disrupting blood flow. And not necessarily at the level of the legs, but often where the largest vessel passes - the aorta.
Arteries are quite often damaged in smokers - obliterating endarteritis occurs, or inflammation of the inner lining of the artery. It causes severe pain, which often annoys even 30-40 year old people.
Pain associated with arterial damage is also common in patients with diabetes - this is the so-called diabetic foot syndrome. They are burning and are initially associated with damage to blood vessels and then to the nervous system.
The knee is hurt? Treat your lower back!
What to do if the pain arose at the level of the knee, lower leg, foot or thigh, and no abnormalities were found in any of these organs? The cause should be sought in the lumbar spine, the professor clarifies. Such symptoms usually occur with radiculitis. Severe pain also causes lumboischialgia - irritation of the roots of nerve structures at the level of the lumbar region. Lower back pain radiates to one or both legs. It mainly spreads along the buttock, as well as along the posterior surface of the leg, sometimes even reaching the toes.
What a burden!
The sensations of varicose veins are also not pleasant - heaviness in the legs and swelling, inflammation of the veins. The condition may worsen if you walk, stand or sit for a long time. Due to stagnation of blood, blood circulation in the extremities is disrupted, the tissues experience a lack of oxygen - hypoxia and begin to “signal” with pain, as if calling for help. With pronounced varicose veins veins, pain of unknown localization may appear - in the lower leg, foot, etc.
With thrombophlebitis - inflammation of varicose veins, swelling, swelling and redness can be found in this place. Naturally, pain will follow.
Helpful hint
If your knee hurts and visible changes not in this joint, then the source of the problem should be sought at the level of the second or third lumbar vertebra. And if the pain is localized in the foot, then in the fifth lumbar and first sacral vertebrae.
Sometimes pain caused by problems with the hip joint radiates to the knee. What do such patients not do? They use ointments and medications, but all in vain. An x-ray will help figure it out. hip joints, which will clarify the nature of the pain.
Sensitive people
Professor Soroka names another group of patients whose legs hurt, but it can be difficult to explain the cause. This is typical for weather dependent people. Their legs ache and “twist” a day or two before the weather changes. Dealing with such manifestations is not easy, the specialist admits.
When the pain in the foot, leg and knee is very burning - as if stung by nettles, or shooting, as if a person has been electrocuted, this is usually associated with damage or compression of the nerve structures, and not simply with inflammation or changes in the nervous system.
The professor points out another reason - the presence of a focus of infection in adolescents and young people from 15 to 20 years old also causes pain in the legs. Boys or girls with chronic tonsillitis With purulent plugs may experience pain along the front surface of the leg, in the bone. This is how intoxication manifests itself.
Flat feet can also be a source of suffering. People with flat feet experience pain in their feet during stress and overload, especially towards the end of the day. To determine if you have flat feet, you can wet the sole of your foot and then step on a dry piece of white paper. With flat feet, the foot is completely imprinted. And healthy person Only the prints of the heel and the edge of the foot will remain on the paper.
AmbulanceAdvice from Professor Nikolai Soroka
If the pain syndrome is associated with the spine, do not seek salvation in compresses and electrical procedures on the area of the leg joints! Relief will come only when the pinched or irritated nerve root is released. All efforts - rubbing, compresses, physical and electrical procedures - should be directed towards lumbar region spine, then the pain will decrease.
If the pain is caused by damage to the arterial vessels, then painkillers are not helpful, warns Professor Soroka.
If it is localized in the joints or associated with damage to the spine, then taking non-steroidal anti-inflammatory drugs (for example, drugs based on diclofenac, meloxicam, nimesulide, etc.) can alleviate the condition. And if there are problems with gastrointestinal tract and pain in the legs, you can use a new generation of non-steroidal anti-inflammatory drugs that are safe for the gastrointestinal tract (etodolac, etoricoxib).
The drug arcoxia has become a kind of emergency aid, which begins to act quickly - after 24 minutes and provides pain relief for 24 hours. There are other medicines.
Anti-inflammatory drugs and venotonics will help with thrombophlebitis.
Endarteritis is very serious illness, which is treated by rheumatologists, they prescribe strong medications.
Atherosclerosis of the arteries is a chronic disease. You shouldn't hope for quick success. Symptomatic therapy is prescribed in the form of vasodilator drugs, but most importantly, long-term use of statins, which reduce cholesterol levels in the blood and “smooth out” atherosclerotic plaques in vessels.
But first, you should still visit a general practitioner, who will determine which specialist to refer you to.
Over one year old
Are your sneakers always laced the same way? But in vain! Replacing the usual “crosses” with a more intricate pattern can be not only fun, but also useful. Want to know why? Let's figure it out.
Usually such experiments are undertaken for the sole purpose of making an impression. Indeed, a pair of bright, colored laces that seem to “stitch” the sneakers with intricate stitches and loops look amazing. But few people know that by passing them through the holes in different ways, you can solve many problems that arise during training. Here are some of them.
Situation: shoelaces keep coming undone
What to do? First, try replacing them. “This happens most often with synthetic round laces,” says the sports doctor Evgeniy Belyanushkin. - Whereas flat cotton ones will be much more “obedient”. To be on the safe side, tie them with a double knot. Alternatively, you can pass their ends in parallel through the upper holes: one through both penultimate holes, the second through the last. It will be more difficult for you to put on your sneakers, but the problem will be solved.” Durable lacing will protect you from possible injuries and even falls.
Situation: bruises appear on the big toes, nails turn black
What to do? The best thing to do is change your sneakers, since they are almost certainly too small for you. “You need to buy sports shoes by size,” comments Elena Palaguta, instructor of group programs “World Class Zhitnaya”. “These are not leather shoes—don’t expect them to stretch over time.” When you try on a pair you like, try to determine what the gap is between the tip of your big toe and the toe of the sneaker, recommends Evgeny Belyanushkin. — The distance should be 0.5-1 cm. Otherwise, the finger will constantly hit the toe of the sneaker, pressing against it forcefully while moving downhill - for example, while jogging or on a “path” operating in the “hills” mode " Hence the darkened nails and bruises.” To make your position easier, try loosening the lacing a little - this will add at least a little free space to your fingers.
Situation: Your heels slip during cardio training
What to do? And, again, choose shoes that fit. “If your sneakers are too big, you can partially correct the situation by wearing fairly thick cotton socks underneath them,” explains sports doctor Evgeniy Belyanushkin. Did not work? Try using the locking lacing technique. To do this, guide the laces from the bottom as usual. But leave the two upper holes on each side free and “do some magic” with them. Take one of the ends and first pass it through the last hole from the inside out, then through the one underneath it, inward. Repeat with the second tip to create a loop on both sides. Pass the ends through the opposite loops, tighten well and tie.
Situation: sneakers squeeze your toes too much
What to do?“This is not such a rare situation,” says Elena Palaguta. - Sports shoes vary in size, but not in fullness - as a result, girls with wide feet suffer because their sneakers are too tight for them. As a way out of this situation, you can try to choose a model with a fairly wide toe. When purchasing, turn over the pair you like, look at the sole, and it will immediately become clear to you how spacious it will be. Please also note that during training the foot will swell and enlarge slightly.” Have you already bought your sneakers and need to “work with what you have”? Try loosening the lacing. It should securely fix the shoe on the foot, but not squeeze the legs, like in a vice. You can also use the partial lacing technique. From the lowest hole to the third, draw the lace along inside sneaker, bypassing the second one. Then, up to the ankle, follow the usual pattern.
Situation: the feet are cramped - they hurt
What to do? First, try lacing your sneakers less tightly. By forcefully tightening them, you deprive the foot of the opportunity to move normally, pinching blood vessels, squeeze the small bones, of which there are many in it. Perhaps the solution to the problem will be next diagram. Pass the laces, as usual, through the two pairs of lower holes, and out through the third. And then run each tip in “stitches” along its side. At the top, tighten the laces again crosswise and tie. “However, it is not a fact that this will solve the problem,” says Evgeniy Belyanushkin. — Feet often cramp with flat feet. In this case, it is more important to replace the insoles in sneakers with anatomical ones. Initially, they are the most common in sports shoes and cannot provide the necessary support for the foot with a lack of shock-absorbing properties.”
- Do not hide the ends of the laces inside the sneakers. When you put them under the tongue, they put pressure on the foot; when you “put them” on the sides, they get hidden under it or rub. If they are too long, just trim them.
- Be sure to tie the ends. If instead you again simply put them inside the sneaker, then this is not only inconvenient, but also dangerous. As you move, the lacing will become looser, you will begin to curl your toes trying not to lose the shoe, and eventually you may get injured.
- Tighten the laces not only at the top, but also along the entire length. Pull them up each time you pass them through the next pair of holes.
In contact with
The name of such an ancient joint disease, known since the time of Hippocrates, as gout, translated from Greek means “foot in a trap.” And there is an explanation for such a flashy name, since most often the joints of the toes, or more precisely, the first toe (where it is “attached” to the foot), suffer from gout. The development of this chronic disease there is a violation of purine metabolism, accompanied by an increase in blood levels uric acid and deposition of its salts (urates) in soft tissues. IN pathological process other joints (elbow, knee, ankle, hand and fingers), kidneys and urinary tract. Frequent companions of gout are diabetes, atherosclerosis, hypertonic disease. The disease is more common among men over 40 years of age and women after menopause. Heredity, a sedentary lifestyle, and overweight, taking diuretics medicines, acetylsalicylic acid. Previously, gout was called the disease of the rich or the master's disease and was even considered a sign of genius. Such famous people suffered from it historical figures like Alexander the Great, Michelangelo, Cromwell, Ivan the Terrible, Peter I, Pushkin, Turgenev, Maupassant, Stendhal, Columbus, Newton, Darwin... However, scientists have not identified any convincing connection between gout and genius.
Heavy holiday food, alcohol intake, hypothermia or injury precede the first attack of gout - gouty arthritis, which usually manifests itself at night or early in the morning with sudden and intense pain, swelling, redness and a feeling of heat in the joint, an increase in body temperature to 39 - 40 ° C. Symptoms in most cases develop within one hour, but their duration can range from two to three days to several weeks (if left untreated). Another similar attack may occur within a few months or even years, but with each subsequent “attack” the time interval between attacks decreases and the disease affects an increasing number of joints.
To establish a diagnosis of gout, the doctor must assess the nature of the complaints, examine the patient and perform biochemical analysis blood with determination of uric acid levels, and in some cases it may be necessary to perform x-ray examination joint
Unfortunately, it is impossible to completely get rid of gout, but it can be effectively controlled with medications that prevent the formation of uric acid and speed up its elimination from the body.
So, if you have gout or have a hereditary predisposition, take these recommendations seriously:
Change your diet - eliminate or significantly limit the consumption of table salt, young varieties of meat, meat offal and rich broths, fatty fish, canned meat and fish, legumes, mushrooms, caviar, tomatoes, smoked meats, marinades, cauliflower, asparagus, sorrel, chocolate, strong tea, coffee, cocoa;
Include whole grains, eggs, vegetables, berries, fruits, low-fat dairy products, white chicken, and lean fish in your diet;
Completely eliminate the consumption of alcoholic beverages (especially beer and grape wines), stop smoking;
Regularly monitor the level of uric acid in the blood;
Maintain a normal weight, but remember that a sharp decline body weight can lead to exacerbation of the disease;
Maintain sufficient drinking regime- drink at least 2 - 2.5 liters of free fluid per day (in the absence of kidney and heart diseases), give preference to fruits, berries, vegetable juices and alkaline mineral waters;
During an attack of gout, try to provide maximum rest to the affected joints, do not injure them with clothing or shoes;
Do not wear narrow and uncomfortable shoes, as they can cause injury. thumb feet, which gout “loves” so much;
Lead an active lifestyle, do exercises for your joints every day, go to exercise more often fresh air and go for walks.
