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Q: Gout? ( Answered,   7 Comments )
Subject: Gout?
Category: Health > Conditions and Diseases
Asked by: masianto-ga
List Price: $10.00
Posted: 09 Jul 2006 03:53 PDT
Expires: 08 Aug 2006 03:53 PDT
Question ID: 744614
can a pain in the hip joint, with tingling down to the toe be caused
by gout and if so, how to cure it?
Subject: Re: Gout?
Answered By: boquinha-ga on 12 Jul 2006 14:01 PDT
Hello masianto-ga!

It sounds as though you (or someone you know) are dealing with a
painful and frustrating problem. This answer in no way is intended to
be a substitute for the opinion of a qualified medial practitioner,
but it is a place to start in your search for answers. Here is the
information that I found.

- - - - - - - - - - - - - - - - - - - -


Here is some basic information on gout. It comes from MedlinePlus, a
service of the National Institute of Health and National Library of
Medicine. The article mentions that gout can affect one or more joints
(hip, knee, ankle, foot, shoulder, elbow, wrist, hand, or other
joints), but most commonly it affects the great toe, knee, or ankle

?In acute gouty arthritis, symptoms develop suddenly and usually
involve only one or a few joints. The pain frequently starts during
the night and is often described as throbbing, crushing, or
excruciating. The joint appears infected with signs of warmth,
redness, and tenderness.?

It is not uncommon to have fairly significant joint swelling and
stiffness along with the pain, and fever can be another coexisting

?The goals of treatment are mainly to stop the pain and inflammation
associated with the initial attack, and to prevent future attacks.

Colchicine is one of the medications that is effective in reducing the
pain, swelling, and inflammation associated with acute gout attacks.
The pain often subsides within 12 hours of starting treatment, and is
completely relieved in 48 hours. . . . Daily use of colchicine or
allopurinol helps prevent future attacks.

Non-steroidal anti-inflammatory drugs (NSAIDs) can be very effective
in treating the pain and inflammation of an acute gout attack if taken
soon after symptoms start.

Corticosteroids can also be very effective. Your doctor may inject the
inflamed joint with steroids to relieve the pain. Codeine or other
analgesics may occasionally be prescribed for pain relief. . . .
Sometimes, a diet low in purines is prescribed. Organ meats, beer,
wine, and certain types of fish contain high levels of purines.?

Here is another fairly comprehensive article about gout. Toe tingling
is not listed as a symptom of gout, and the article also mentions that
gout rarely affects the hip joint.

- - - - - - - - - - - - - - - - - - - -


Hip pain can also be caused by a number of other reasons. Here is a
list of some to consider.

* Hip strain 
* Hip fracture
* Hip injury
* Hip arthritis 
* Arthritis
* Osteoarthritis
* Rheumatoid arthritis
* Hip bursitis
* Hip tendinitis
* Degenerative joint disease 
* Dislocated hip 
* Infective hip dislocation 
* Hip subluxation  
* Irritable hip 
* Curved spine
* Different length legs 
* Endometriosis - especially if hip pain is cyclic. 
* Menstrual conditions - especially if hip pain is cyclic. 
* Back pain - sometimes causes referred hip pain or groin pain
* Fractured femur

Here is another list, with links to articles about other causes of hip
pain. Many of these are the result of some sort of injury.

- - - - - - - - - - - - - - - - - - - -


?Numbness or tingling [of the toes]may mean that nerves have been
injured or pinched, swelling is putting pressure on nerves, or blood
vessels have been injured. This can occur gradually from an overuse
injury or from a sudden (acute) injury, such as a fracture,
dislocation, or severe sprain.?

Here is list of possible reasons for toe tingling. They are mostly
neurological or vascular conditions.

* Degenerative Disc Disease & Sciatica
* Frostbite
* Multiple Sclerosis
* Peripheral Neuropathy
* Peripheral Vascular Disease
* Raynaud's Phenomenon
* Sciatica
* Vasculitis

Two other possibilities include chronic inflammatory demyelinating
polyneuropathy and diabetic peripheral neuropathy.

- - - - - - - - - - - - - - - - - - - -

There are so many possibilities for hip pain and toe tingling that it
would be wise to consult in person with a physician or other qualified
health care provider that you trust. He or she could then examine you
and order any testing that would be appropriate in making the correct
diagnosis. Then he or she could also start you (or whoever it is who
has the pain) on the most appropriate treatment.

I hope that you find this information to be useful. If you have need
of any further clarification, please let me know how I can help.


Search terms:

?hip pain? cause
?hip pain? gout
toe tingling
gout symptoms
Subject: Re: Gout?
From: pugwashjw65-ga on 09 Jul 2006 04:26 PDT
First up, I am not a medical doctor, so do not do anything without
checking with your doctor first. But I USED TO suffer with gout. I
still would if I was not treating it. DIET; Avoid acidic foods.
Strawberries, peas, broccoli, chocolate, cauliflower, red meat,
oranges, lemons, alcohol. I have been prescribed "ZYLOPRIM" which
contains ALLOPURINOL. Another medical condition I have means that any
gout attacks exacerbate it, so I must prevent gout at all costs. I am
able to have SMALL amounts of the foods mentioned, but do not indulge.
Hope this helps.
Subject: Re: Gout?
From: myoarin-ga on 09 Jul 2006 05:39 PDT
I am also not an MD, but I know about gout.  It does not feel like
what you describe, and the first attack is usually to an extremity, a
big toe as a rule.  The skin on the tender area shows a white spot
when you touch it (ouch!).
It sounds to me rather that you have pinch nerve in your spine.

Regardless of how closely anyone can diagnose your problem here, you
will be advised to go to a doctor.
Subject: Re: Gout?
From: probonopublico-ga on 09 Jul 2006 06:35 PDT
I'm no doctor but a pal of mine recently suffered from Sciatica and
your symptoms sound similar. He says that it was VERY painful.

He went to the doctor who prescribed painkillers and recommended that
he visit a physio but no cure was forthcoming. Eventually he visited a
chiropractor who did a fix. See my Question ID: 744597.

Another pal of mine has gout in his big toe (I think). It's been a
long-running thing and, as far as I know, he's still suffering.

It's my understanding that gout is foot-related and I guess that
someone will tell me that this ain't necessarily so, if it ain't
necessarily so.
Subject: Re: Gout?
From: keystroke-ga on 09 Jul 2006 06:56 PDT
I am also no doctor-- however, my mother just had a weird case of gout
(that's at least the best diagnosis that a specialist could come up
with) in which not her toes, but her index finger was frozen in place,
straight out, and she couldn't move it for weeks.  It does seem that
gout usually affects an extremity, but it actually does not have to be
the toes!
Subject: Re: Gout?
From: welte-ga on 09 Jul 2006 07:01 PDT
If you have tingling down to your toes, you probably need an MRI of
the lumbosacral spine.

Subject: Re: Gout?
From: kemlo-ga on 09 Jul 2006 09:49 PDT
I also. am not a doctor and I havn't a clue as to your illness.


ps. My mother had gout in her wrist joints
Subject: Re: Gout?
From: markvmd-ga on 09 Jul 2006 10:25 PDT
I'm with Myoarin on this. You are describing symptoms of a spinal
nerve pinch, possibly from the early stages of a "slipped disc". You
need to talk to your physician about this. (S)He should see how
"evenly" you bend over to touch your toes and how strongly you can
lift against pressure being applied to the top of your foot, compared
to the other foot. These are, of course, basic tests but (if
"positive") may show a problem. "Failing" these tests is not
diagnostic, mind you.

A doctor, but the four-legged kind (I don't mean I have four legs,
but... oh, never mind!).

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