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Other than Brewing => The Pub => Topic started by: punatic on March 23, 2011, 02:35:19 PM

Title: Oh My Aching Foot!
Post by: punatic on March 23, 2011, 02:35:19 PM
I was rudely snatched out of my peaceful sleep in the middle of the night last night by an excruciating pain in the big toe of my right foot.  TFW?!  Seems that a uric acid crystal has decided to take up residence in the joint at the base of my big toe.

I knew some serious pain when my appendix ruptured a few years back.  This comes close to that!  Gout sucks!!  Pray that you never get it.  i can't walk.  I can't sleep.  I can hardly concentrate on the book i'm trying to read.  The worst part is no beer till it's gone.  I'm OK with that if it will make my toe stop hurting.

Poor, poor, pitiful me...
Title: Re: Oh My Aching Foot!
Post by: bluesman on March 23, 2011, 02:45:22 PM
That sucks! My father-in-law gets it from time to time and it's very painful for him. Is there something you can take for that?
Title: Re: Oh My Aching Foot!
Post by: phillamb168 on March 23, 2011, 03:06:50 PM
Wait, beer causes the gout? I thought it was eating too much red meat?
Title: Re: Oh My Aching Foot!
Post by: tygo on March 23, 2011, 03:12:12 PM
Wait, beer causes the gout? I thought it was eating too much red meat?

Both beer and red meat can contribute to attacks.  Go to the doctor.  There's something they can prescribe that really helps, and quickly too.  I can't remember the name of it at the moment but it's basically a standard painkiller along with a very strong anti-inflammatory drug.
Title: Re: Oh My Aching Foot!
Post by: tschmidlin on March 23, 2011, 04:14:11 PM
Ouch!  Sorry to hear that, too much beer and seafood and you end up with Rich Man's Disease, eh? ;)

I really hope the dietary changes aren't long-term!
Title: Re: Oh My Aching Foot!
Post by: 1vertical on March 23, 2011, 04:25:27 PM
Cherry juice and fruit....consume them in the interum until you get RX from your Dr.

Edit: My aching foot is the heel. Plantar Fasciitis it seems 24 years of pounding the concrete
is taking it's toll.  I have been getting some Physical Therapy to some small relief....dry needling sux.
Title: Re: Oh My Aching Foot!
Post by: euge on March 23, 2011, 06:39:15 PM
Wow. Sorry to hear than punatic. :-[

My father suffered from it, but he was in his 70's.

Alcohol is one of the culprits. When I went on my Martini "investigations" by drinking 5 a night and eating lots of cheese and cured meats, a flare-up in the medial dorsal aspect of my left foot halted things quickly. I self-diagnosed myself and took an extended break from the hard stuff. That and drinking plenty of water reversed my incipient gout in just over a week. That sh!t is painful- especially if one is on their feet all day long. Thinking about it, I haven't had a martini since...

Cherry juice and fruit....consume them in the interum until you get RX from your Dr.

Edit: My aching foot is the heel. Plantar Fasciitis it seems 24 years of pounding the concrete
is taking it's toll.  I have been getting some Physical Therapy to some small relief....dry needling sux.

Some of my colleagues have it, and they help combat the symptoms by wearing Crocs.
Title: Re: Oh My Aching Foot!
Post by: weithman5 on March 23, 2011, 06:56:28 PM
My brother calls this "drunk toe".  He calls me every now and then for a prescription. For rare cases i usually will prescribe indomethacin 50mg three times a day or colchicine 0.6mg every 6 hours for a few days.  if you get it often (read poor bastard) i use allopurinol 300mg daily.  there is also a new med out (gets advertised a lot) called uloric.  fortunately my brother was able to alter his diet and stop the attacks without stopping beer. ;D
Title: Re: Oh My Aching Foot!
Post by: oscarvan on March 23, 2011, 07:42:27 PM
Interesting..... I had this problem (or similar) when I was a tee totaling vegetarian. Now my staples are beer and meat and I'm doing much better..... ;D
Title: Re: Oh My Aching Foot!
Post by: weithman5 on March 23, 2011, 07:44:19 PM
i can tell you that risk factors are risk factors but genetics plays some role. even more than what people eat it is how much.  same with sugar, cholesterol, blood pressure issues. 80-90 percent of my patients would be off meds (and i would be even more broke) if their weight was appropriate
Title: Re: Oh My Aching Foot!
Post by: redbeerman on March 23, 2011, 08:03:36 PM
I get attacks about once or twice a year.  It really does suck, especially when your usually pretty active.  When you can't walk or run, life gets miserable fast.
Title: Re: Oh My Aching Foot!
Post by: tygo on March 23, 2011, 08:04:48 PM
Not being able to move around is bad.  Having the searing pain shooting through your foot and leg even when you're completely immobile is worse.
Title: Re: Oh My Aching Foot!
Post by: punatic on March 23, 2011, 08:31:01 PM
I've been reading up on gout.  Seems that diet is not the cause of gout, but if you have gout, food and drink can trigger a flare-up.  It's a chronic disease that can be controlled to varying degrees, depending on the person, but there is no cure at the present time.  Diet and lifestyle can reduce the reccurence of the painful flare-ups.  If left untreated it can be disfiguring.

All well and good...  I just wish my F-ing toe would stop hurting so bad.  I am taking a NSAID (ibuprophin) for the pain and inflamation.  It seems to help quite a bit.  But, I'm a bike rider and a hiker.  Right now I can't even put a sock on my foot.  I need to ride and hike!

Fortunately Pele is taking a break right now, so I'm not missing any photo ops out in the lava fields.
Title: Re: Oh My Aching Foot!
Post by: Robert on March 23, 2011, 08:47:26 PM
I had an attack about a year and a half ago. I just waited it out and it went away on it's own. In January, after enjoying a bit of bourbon a few too many nights in a row, it came back. Same story, it went away in about 5-7 days and i thought nothing of it. Except this time, it came back within the next week. I was talking to my dad about it and he said he has been on medication for his since he was about my age. Went to see a doc about it and am waiting on the blood work to come back, but I'm sure that's what it is. I've definitely changed my diet and have severely cut back on alcohol. I've implemented a vegetarian night and a seafood night to my weekly meals to try and cut back on red meat.
Title: Re: Oh My Aching Foot!
Post by: hoser on March 23, 2011, 08:49:17 PM
As someone who works in an orthopedic office here is my recommendation/cyber medicine:
1. Ibuprofen likely will not be a strong enough anti-inflammatory.  Indocin or Indomethicin is first line in treatment of gout flares.
2. See your family doc or an orthopedist.  You will need a perscription for the indocin.  There are other medications that they can also use to treat your current symptoms and prevent recurrence of gout flares as weithman5 stated above.
3. An orthopedist can give you a steroid injection into your joint to give you very quick relief.  Sometimes they will aspirate some fluid and send it to the lab to confirm you truly have gout in your big toe. FYI the shot hurts like hell.
4. Sometimes there is a stiff soled sandal or post op shoe you can wear to unload the foot when walking until your symptoms subside.  
5. Yes, diet restrictions will help minimize but not prevent future gout flare ups.

Good luck! Too bad you are in Hawaii and not Omaha.  I could get you the hook up today ;)
Title: Re: Oh My Aching Foot!
Post by: punatic on March 23, 2011, 10:22:07 PM
Thanks guys!  My doctor agrees.  I have a prescription for indomethacin now.  The ibuprophin was an in-my-house-already stop-gap until I could get the prescription filled.

I also have a very cool antique walking cane my wife bought for me in the French Quarter back when we first met.  I may be limping, but I'm looking dapper as I do.
Title: Re: Oh My Aching Foot!
Post by: maxieboy on March 23, 2011, 10:34:29 PM
Man, good luck getting this under control. I thought I was starting down this road(thoght I had a flareup) and got my uric acid level tested. Tested within normal but still freaked me out. Got my fingers crossed for me and you...
Title: Re: Oh My Aching Foot!
Post by: hoser on March 24, 2011, 02:11:22 AM
It is not uncommon to have a gout flare up with a normal uric acid level.  I see it quite often, actually.  The best way to determine if you truly have a gout flare up is to send fluid from the affected joint to the lab to evaluate for crystals under the microscope.
Title: Re: Oh My Aching Foot!
Post by: maxieboy on March 24, 2011, 02:18:56 AM
Wow. That's good to know(I guess!). My doc didn't tell me that. Wait, would that mean a needle in my big toe joint?
 Thanks for the info, I've got an appt. next month and will be asking questions...
Title: Re: Oh My Aching Foot!
Post by: Robert on March 24, 2011, 02:35:16 AM
My labs just came back. Gout it is...lucky me. Good news is both cholesterol levels came back in the excellent range and my BP was the lowest I've ever seen it. Like my wife said, gout we can deal with a lot easier than all that other stuff.
Title: Re: Oh My Aching Foot!
Post by: hoser on March 24, 2011, 03:31:17 AM
A needle in the big toe will only generate positive results if you are having a flare up at the time.  I would be very surprised if your internal medicine or family doc would attempt this.  They generally leave that up to the orthopedist as they are more experienced in injecting and aspirating joints.  More often than not, treatment is generally based on the symptoms and response to treatment vs. a lab analysis of joint fluid.  Definitely ask what you can do to treat gout prophylatically.  Sometimes it is easier to prevent gout than to treat a flare up.  It is certainly less painful ;D  FYI, gout shows up in lots of other joints and areas other than the big toe: ankle, knee, elbow, wrist, hand, and tendons.
Title: Re: Oh My Aching Foot!
Post by: punatic on March 24, 2011, 06:57:31 AM
... Like my wife said, gout we can deal with a lot easier than all that other stuff.

Hah! It's obvious that she's never had a gout flare-up.  It HURTS!
Title: Re: Oh My Aching Foot!
Post by: euge on March 24, 2011, 07:48:26 AM
... Like my wife said, gout we can deal with a lot easier than all that other stuff.

Hah! It's obvious that she's never had a gout flare-up.  It HURTS!

Does she get leg cramps? I do from time to time. Talk about waking up...
Title: Re: Oh My Aching Foot!
Post by: oscarvan on March 25, 2011, 02:54:02 PM
... Like my wife said, gout we can deal with a lot easier than all that other stuff.

Hah! It's obvious that she's never had a gout flare-up.  It HURTS!

Does she get leg cramps? I do from time to time. Talk about waking up...

Ooooh, Charlie horses....... about 3 or 4 a night on a bad night.

You wanna talk about pain? I'll tell you about pain! By a show of hands..... Who's ever passed a kidney stone.....? ;D
Title: Re: Oh My Aching Foot!
Post by: euge on March 25, 2011, 04:42:40 PM
ME!

And I have one in my left kidney now that sheds and causes me some real discomfort when the little calculi go down the ureter. The first experience I didn't know and ended up in the hospital for three days. I then proceeded to pass a pea-sized stone two weeks later after I'd forgotten about it. Startling 5 am trip to the bathroom. :-\
Title: Re: Oh My Aching Foot!
Post by: Hokerer on March 25, 2011, 05:22:28 PM
You wanna talk about pain? I'll tell you about pain! By a show of hands..... Who's ever passed a kidney stone.....? ;D

Raises hand.

I then proceeded to pass a pea-sized stone two weeks later after I'd forgotten about it. Startling 5 am trip to the bathroom. :-\

"Pea-sized"?!?!?!?!  I think I'd rather have that cut out than try to pass it.
Title: Re: Oh My Aching Foot!
Post by: 1vertical on March 25, 2011, 05:54:57 PM
! By a show of hands..... Who's ever passed a kidney stone.....? ;D

Hand in the air!  You know you are effed up when they bring the Morphine.....
Title: Re: Oh My Aching Foot!
Post by: oscarvan on March 25, 2011, 07:52:02 PM
! By a show of hands..... Who's ever passed a kidney stone.....? ;D

Hand in the air!  You know you are effed up when they bring the Morphine.....

Actually the morphine was for the bacterial ulcer. Google Heliobacter Pyloris......a stubborn little fellah. Oh, and a word of advice....do NOT go into the ER with something like this on Superbowl Sunday. All I remember from my morphine induced stupor is the helicopters coming and going to drop off the party crashers (literally). The hallways were full with triage. It was like I was living a MASH episode......
Title: Re: Oh My Aching Foot!
Post by: punatic on March 27, 2011, 12:07:58 AM
My gout flare-up has subsided to the point where I was able to make my daily bike ride for the first time in 3 days.  Man it feels good to get out in the wind again.  I was beginning to feel quite slug-like.

Feet in riding shoes, toe-clips, and pedaling is one thing.  Hiking across rough, uneven lava in hiking boots is another.  It may be a few more days before I attempt hiking again.
Title: Re: Oh My Aching Foot!
Post by: uthristy on March 27, 2011, 12:57:30 PM
You wanna talk about pain? I'll tell you about pain! By a show of hands..... Who's ever passed a kidney stone.....? ;D


scale of 1 to 10
1 - dislocated ring finger ( stubbed into work table, finger was sitting on the top of hand, I pulled it back into place :o )
**
5 - broke five metatarsal left foot (motorcycle ->foot smacked parked car bumper)
6 - cracked left ankle (motorcycle vs motorcycle 70mph race related)
***
7 - shattered the left ilium "pelvis" ( atv vs telephone pole 55mph)
8 - bruised testicles , black & blue from upper thighs to bellybutton (dented gas tank on racebike during impact)
9 - surgical abdominal catheter removed 5 days after abdominal surgey (ruptured spleen) felt like the tube was attached to my boys :o
****
The worst pain without any doubt was bacterial meningitis, no amount of drugs worked >5 different drug injections  before just knocking me unconscious. While in this drugged induced state I could hear the doctor telling my wife "if theres anybody she needs to call nows the time..."  :o


Title: Re: Oh My Aching Foot!
Post by: 1vertical on April 19, 2011, 04:31:49 PM
Friggin Plantar Fasciitis...grrrrrrr....my heel is not letting me ambulate painlessly.

I am considering a regimen of PRP treatment to see if I can get my stem cells to wake up
the healing response in my foot/feet.  Anyone ever have PRP done and care to talk about it?
PRP= Platelet Rich Plasma

Amazing stories of healing coming from this vector of treatment.  So much so, that some of the
entrenched medical community is feeling threatened and may have to change their ...."here
take these pills and come back in 2 weeks"  noise. Like, how good would that be...to hear noise
like "take this treatment mr. **** and we never want to see you in our office again for many years. But
if this does return, we can do a re-do".