Gout

Gout is the accumulation of air or toxin in joints.

How is it Gout diagnosed?

• Physical Examination
• Medical History
• Blood Test
• Uric acid blood test – High uric acid levels are associated with gout.
• Joint aspiration – This test involves removing a sample of fluid from the affected joint and examining it under a microscope for urate crystals.
• X-rays
• Dual energy CT scan – This CT scan can detect urate crystals in a joint.
• Ultrasound – Ultrasounds can detect urate crystals in an affected joint.

Symptoms

• Joint pain: Gout joint pain is often intense. It’s most severe within the first 12 hours of the onset of symptoms, and it usually affects the large joint of the big toe. Other joints in the feet, hands, knees, ankles, and wrists can also be affected.
• Inflammation and redness: The affected joints will often become red, swollen, and tender to the touch.
• Decreased mobility: As gout progresses, it may limit your range of motion.
• General discomfort: After the severe pain of a gout attack subsides, the person may experience joint soreness and discomfort for several days to weeks after.

Causes

Gout is caused initially by an excess of uric acid in the blood, or hyperuricemia. 

• Lifestyle including wrong food habit,(inake of hard raw food like carrot reddish dry nuts like cashew, apricot, almonds and dairy products.)
• chronic kidney disease
• long-term use of medications that affect how well the kidneys can remove urate from the body.
• Increase of ESR.

Risk Factors

• Age and gender: Men produce more uric acid than women, though women’s levels of uric acid approach those of men after the menopause.
• Genetics: A family history of gout increases the likelihood of the condition developing.
• Lifestyle choices: Alcohol consumption interferes with the removal of uric acid from the body. Eating a high-purine diet also increases the amount of uric acid in the body.
• Lead exposure:  Chronic lead exposure has been linked to some cases of gout.
• Medications: Certain medications can increase the levels of uric acid in the body; these include some diuretics and drugs containing salicylate.
• Weight: Being overweight increases the risk of gout as there is more turnover of body tissue, which means more production of uric acid as a metabolic waste product. Higher levels of body fat also increase levels of systemic inflammation as fat cells produce pro-inflammatory cytokines.
• Recent trauma or surgery: Increases risk.
• Other conditions
  Several different conditions are linked to raised urate levels. This could be because they affect the way the kidneys filter urate, or because they cause more urate to be produced in the first place. Common conditions associated with gout include:
  • chronic kidney disease
  • high cholesterol and fats in the blood
  • high blood pressure
  • type 2 diabetes
  • osteoarthritis.

Naturopathy Treatment

• Mud Pack on stomach and Effected area.
• Enema(warm water in the morning and cold water before bed)
• Whole body wet sheet pack.
• Alternate Hip Bath.
• Hot Foot bath.
• Tarera( pouring water from 3 feet height on the effected area and spine)
• Alternate fomentation on stomach and effected area.
• Alternate fomentation on liver and kidney
• Wet Friction Bath.
• Dry Friction Bath.
• Deep Tissue Massage.

Yoga

1. Mudras
   • Gyana Mudra
   • Vayu Mudra
   • Apana Mudra
   • Prana Mudra
   • Mukul Mudra ( keeping fingers on the liver region).
2. Pranayam
   • Nadishodhan
   • Anulom vilom
   • Bhastrika
   • Kapalbhati
   • Ujyayi
   • Bhramari
3. Sukshma vyayam of legs, hands griva chalan and eye movement.
4. Vajrasana samooh
   • Thunderpose (vajrasana)
   • Cat pose (marjari asana)
   • Tiger pose (vyaghra asana)
   • Frog pose (Mandookasana)
   • Camel pose (Ushtrasana)
   • Rabbit pose(shashank asana)
5. Yogasanas laying down on back
   • Suptaudrakarshanasan
   • Setubandha asana
   • Suptatadasana
6. Asanas laying down to stomach
   • Makrasana
   • Bhujangasana
   • Tiryakbhujangasana
   • Dhanurasana
7. Sitting pose
   • Nauka chalan
   • Chakki chalan
   •  Pashchimottanasan
   • Meru vakrasana
   • Padmasana
8. Standing pose
   • Tadasana
   •  Triyaktadasana
   • Katichakrasana
   • Vrikshasana
9. Suryanamskar completing with Shithalikaran.

Key Notes

1. Patient should always take care of its own capacity. Capacity of movement, holding the posture and capacity of repeatation
2. Always take care of heart beat while doing yoga it should be normal not so fast.
3. Yoga should be done with full consciousness on inner body and breathing, to get faster and positive results.
4. Yoga doesn’t have any negative effect but it is  necessary to make a proper yoga chart for a speedy recovery.
5. Sukshma vyayam, mudra and shithalikaran is equally necessary and beneficial so it shouldn’t  skipped.

Diet

First three weeks

The patient should take food which is easily digestible. The patient should be on liquids for atleast 3 weeks, if the condition is very serious.

After three weeks

•  In morning: 6am to7am
  • 10 pieces- Raisins, 2 pieces- Dates, Anjeer (soaked in water and grinded to make a solution).
• At 9am
  • One bowl of Daliya ( liquid)
  • One bowl of mix vegetables soup.
  • One Pulpy fruit
• 12 pm
  • One tablespoon of curd mixed with a glass of water
• 1.30 pm to 2 pm
  • Boiled Vegetable, soupy brown rice and one bowl of minutely chopped salad.
• 4pm
  • A glass of citrus juice. Sweet lime juice is always the best .
• 7pm to 8pm
  • One Pulpy fruit ( mango is best in other season, chikoo or papaya or other pulpy fruit can be taken).
  • Before bed, take a cup of warm water and a one inch piece of jaggery.

Myths and Truths

1. Myth – Eating Fruits or fruit juice makes the condition worse.
Truth – Sweet and pulpy fruit improves immunity and helps in fighting arthritis.
2. Myth – Dry ginger, ginger, black pepper, are good for patient.
Truth – It makes the arthritis worse. Consuming bitter things damages Mucus Membrane.
3. Myth – Hot compress is good and cold is bad.
Truth – Hot compress dilates the vein that improve the blood flow and remove toxins whereas after giving cold compression vein comes in its own shape, otherwise dilated vein will accumulate more toxin.
4. Myth – Deficiency of calcium leads to arthritis.
Truth – Intake of calcium and its supplement badly affects the kidney and other organs and it can also lead to bone spurs.

Do’s and Don’ts

Say Yes to:

1. Wake up before sunrise.
2. Take proper rest.
3. Pray and have positive and generous thoughts.
4. Take pure natural satwik food.
5. Milk, butter milk, sprouts, fox nuts dates, raisins, fig, honey, jaggery, and sweet pulpy fruits.
6. Fruit juice and vegetable’s soup.

Strictly Prohibited

• Dairy products
• Bakery items
• Processed Food.
• Food that contains excessive of roughage, white rice, tea, coffee, pickles and watermelon.
• Calcium Tablets.
• Ginger, Black pepper and Red chilly.
• Avoid to eat without hunger and over eating.

All the information available on this website is for education and awareness purposes only. Follow these practices only under the guidance of a trained Yoga and Naturopathy practitioner. Punam Agarwal and her Yoga and Naturopathy initiatives are not liable for any injuries caused during the process.