Gout, AP and Bursitis

[rdavisiii]

Hello all, ?I have been on AP for about a year now with great results. ?It has returned my life back to normal or as close as it will ever be post Gout. ?I never had issues with bursitis before but in the last few months I had a serious issue on my left heel where?the?Achilles attaches to the heel and now more recently on left patella were the patella tendon meets?the?patella ?sharp pain to the touch. ??What I am wondering is has anyone experienced increased cases of Bursitis while on AP or not on AP? ?It may be just my age catching up with me but am curious to see if there is a link with bursitis and gout or AP. ?I have taken prednisone for gout attacks but the last time was back in July. ?I do understand that prednisone can weaken tendons, maybe I took off out of?the?gate a little too fast after stopping prednisone. ?

?

Ron

[trev]

I've noticed a tendency [ no pun] to tendonitis or similar, these last few months.

Mainly noticeable in ankle and to the rear of it towards the heel on one foot.

I got stuck on the stairs a few weeks back after turning sharply on my heel and hobbled about after gingerly levering myself back to the GF. This was intensly sharp pain.

Occasionally I get a twinge of it to remind me. The knees also can suddenly give sharp twinges, at one point I could barely walk for a few hours, later on that week,?I was back to doing 6 miles in the country- though i was pleasantly surprised at this.

This hasn't been diagnosed by Doc as I have enough going on at the moment therebouts, even being on anitbiotics that can cause tendonitis ,apparently.

My SUA is well down low -and from twinges in finger joints and toes this is still in the settling stages.

I'm on 200mg?Probenecid daily?-[Sulfinpyrazone here] and suspect the joints/tendons/bursa are reacting to?changes in their structures as stuff moves about,? &/or dissipates.

Tendon attachment points do?seem vulnerable.?[Your bursa may be more with the gout- as more fluidic in structure.]

These symptoms are not like gout, with its slow build up, – but quite intense pains that come and go relatively suddenly when?under tension.

Does this seem like yours, Ron?

[rdavisiii]

Yep sounds like my Achilles incident. ?My?Achilles incident kept me from walking, it was real bad. ?You could see?noticeable?swelling and felt like it was going to come apart at any moment. ?The knee has been much less painful, only to the touch but sharp when you do. ?I saw my doc with the?Achilles?incident because I thought it was or about to get very serious. ?When I brought up gout as being a?contributor he shrugged it off?basically?saying that uric acid does not affect bursa?sacks but I have read the contrary. ?He pinned it on over use which is a fair?assessment?as well but the onset of that issue was a week after my “overuse”. ?It seemed very similar to gout attacks I would get post hikes before I started AP. ?As I was trying manage my gout without AP I would frequently go on long day hikes or backpacking trips, about 3-6 days after returning I would get an attack and it would be a sustained attack for a week plus. ?The time between the activity and the onset of symptoms is what I seem to be focusing on when making a link between the two types of incidents. ?I think it may be time to get another docs opinion,?dang, and I thought I had a winner this time around.

[hansinnm]

rdavisiii said:

? I saw my doc with the Achilles incident because I thought it was or about to get very serious. ?When I brought up gout as being a contributor he shrugged it off basically saying that uric acid does not affect bursa sacks but I have read the contrary. ??

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Instead of wasting time, money, and emotion on a doctor, an employee of the medical industry and a drug pusher for the pharmas, I'd spend the time to see Dr. Google who seems to be a hell lot better doctor and who even makes house calls for free:??
?

Bursitis can be caused by chronic overuse, trauma, rheumatoid arthritis, gout, or infection. Sometimes the cause cannot be determined. Bursitis commonly occurs in the shoulder, knee, elbow, and hip. Other areas that may be affected include the Achilles tendon and the foot.

?

[trev]

Ron- Given the amount of confusion over Gout with the average Doc , it's no surprise that secondary issues under such effective management get scant attention.

The relief at not having a gout attack makes us, maybe, rather easily fobbed off- as this is a different league to the worst gout can do.

However, the shock of intense pain can be very alarming- and being a bit older than you ,have learned to accept a few aches and pains as normal, especailly if they go away after a while.

I think, whilst under gout settling regime, it's best to take things a bit easier- it's no crime! Keep up the walking trips and avoid 'shock' loadings for a few months.

Hans has commented before on Docs- Surgeons like to chop and GPs like to prescribe- apart from that, little sympathy for the frustrated active type!

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