gout will not go

[oscar68]

I am a 45 year old male and have had gout for 12 years. I have a very good gout diet and for the last 2 years have stopped all alcohol consumption. I have had the odd tingle but the use of diclofenac ?has solved the problem. I dropped 2 stone in weight (28lb) in a month by swimming and reduced calorie intake. Now know shock weight loss is a sure way of getting a full on gout attack. Over the years my attacks have been isolated to my feet (instep heel big toe and ankle), but this time the gout hit yes HIT my feet, knees, elbows, wrists, my left middle finger and my right shoulder. As gout suffers I really did have tears in my eyes and could not get out of bed for a week and when I could I shuffled around. My doctor gave me steroids. I am now on 300 mg allopurinol and 3 diclofenac a day and my uric acid level is down to 380. But the big question is why have I been left with pain in my left finger, left knee left ankle and a large burstle on my right elbow. I really need to go back to work and have been told that MSM may help rebuild any damage the uric crystals have done.
?What do you think??

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Charted from data in a later uric acid study:
Nakhostin-Roohi, Babak, Zahra Niknam, Nasrin Vaezi, Sadollah Mohammadi, and Shahab Bohlooli. “Effect of single dose administration of methylsulfonylmethane on oxidative stress following acute exhaustive exercise.” Iranian journal of pharmaceutical research: IJPR 12, no. 4 (2013): 845.

[KeithTaylor]

I don’t know what MSM is. Who told you that it might help repair gout damage? I’ve never heard of MSM in context of gout, but I’ll have a look into it.

The real problem is that your uric acid is not low enough.

The maximum safe level is 300 μmol/L, though 360 might be the best acceptable top limit – you would need to speak to your doctor about this, or ask for more help here if you have kidney problems or other health issues that stop you getting uric acid down to 300.

The “large burstle” sounds like a gouty tophi. To reduce it, you should discuss several months at a lower uric acid limit. Personally, I recommend the maximum allopurinol dose for at least six months to shrink the tophi as fast as possible. This also reduces the time you are at risk from gout flares.

In modern times, there is no reason why gout should stop anyone working, but you have to have a good pain management package. This is something you need to work out with your doctor. The best approach is a 3-line attack, but your personal circumstances will determine what is best for you.

I recommend one colchicine every day for the first few months of allopurinol treatment. If you get a twinge, take a second colchicine after one hour, but never more than two per day.

Second line is your diclofenac, or other anti-inflammatory. Take as advised by your doctor.

Third line is a painkiler that is compatible with your chosen ant-inflammatory. In most cases it is not necessary, but I have yet to see a gout attack that will not be overcome by this combination approach.

I hope this helps, @oscar68. If not, please ask for clarification. Also please tell me what you’ve heard about MSM – I’m intrigued.

[hansinnm]

Keith, I told you about MSM almost a year ago. Since it is IMPOSSIBLE to retrieve my past? comments on this forum, I am unable to point you to my MSM comments. Are you getting old??? Why haven’t you plugged MSM in one of your SEARCH fields???

[hansinnm]

Keith, since your GoutPal Memory banks seem to be inaccessible I decided to infiltrate my hansinnm memory banks. I have kept copies of my comments in a separate “GoutPal file. Here are some of my comments to you in 2012 on MSM:
11/14/12
“The report does not specifically mention sailing, but I expect MSM makes that more comfortable.”
Funny, interesting that you mention SAILING! See what happened to me:
7/28/2012: Pulled Muscle/tore Tendon? This happened when 5 park rangers in uniform, chest-high in water helped me, other sailors and motor boaters put their boats on the trailers in 25-30mph winds.
7/29/2012: Slight middle back pain
8/13/2012: Back hurting when bending
8/16/2012: Quit sailing 4 time being
8/20/2012: Quit cycling 2, 4 the time being; (stationary bicycle)
9/14/2012: 1.time sailing since 8/16/12
Today is 11/14/2012, two months later. I have sailed 21 times since then. True, I got some help with raising/lowering sails the first 4-5 weeks (to avoid undue force on my back, but for the last 3 weeks I am handling my boat all by myself again). My back pain is practically gone I feel some strain when stretching in the morning, but no more pain when bending. I attribute my relative fast recovery in part to MSM.
?
11/13/12
“I have known for a few years that gout flares are caused by our immune system attacking invading uric acid crystals. Earlier this year, I learned that other cells get caught up in the process. In our joints we have specialist cells that should grow to develop new bones, cartilage, and tendons. These young cells get caught up in the gout war, and cannot develop into joint repairing tissues, so our joints crumble”
As some of you know who have read my comments in the past on GoutPal Interactive, I have had attacks, Tophi on feet and hands, tophi removal by operation and lowering of my UA level to 3-4 mg/dL. I have been free of attacks for almost two years, now. However, I have also done something to combat what the above article refers to: Joint destruction and restoration. I have been taken daily doses of MSM powder since Feb. of 2012 and the results have been close to a miracle. Pain in shoulder and elbow joints, in particular, caused me to look into MSM (when it was brought to my attention by a friend who is into alternative medical solutions.) I started with 2.5 g (1/2 tsp) and I noticed a reduction of pain w/i 4-6 weeks, but it still was there. Then, after about three months, I increased the doses to 5 g (1 tsp) and w/i 3-4 days the pain was gone, and it has been gone ever since. I have been able to convince 5 other people to try it, and they all reordered when I placed my second order. (I am NOT making any money on my friends. It just reduces the S/H costs.)??
My advice is: Read the book to get an inside of MSM:? The Miracle of MSM: The Natural Solution for Pain [Paperback]
Stanley W. Jacob MD (Author)
Amazon has it for $2-5, depending on condition.
I believe firmly in the restoration abilities of MSM. One other advice: Don’t bother with the capsules. You’ll just spend more money for less results and line the pockets of the manufacturers and sellers. Remember Keith’s constant HAMMERING doses, doses, doses!!! When it comes to using Allopurinol to control your UA levels, this holds true for NSM, too.
Good luck to those who dare ignoring the MEDICAL INDUSTRY. (I am pretty certain; you’ll have a hell of a time finding a medical doctor who’ll recommend MSM to anyone.)

[KeithTaylor]

Hi Hans. I’ve missed you.

I know exactly where the MSM comments are. There is a search box near the top of every page, here and on GoutPal.com. If you enter MSM into that box, it directs you to the thread you refer to: https://gout-pal.com/long-term-effects/2012/11/

Am I getting old? Well, it depends whose standards you are judging by. Safe to say, having recently passed the 55 landmark, I now qualify for sheltered housing. Ramped access for my bathchair – how jolly.

Anyway, you are right – I am getting forgetful, so the search box is my savior. I didn’t bother with it in this context, as I was anxious to learn why @oscar68 thought it might be useful.

Forgetfulness is not only due to advancing years. I’ve finally got a diagnosis of the psychological problems I’ve suffered since my accident in April 2011. Apparently, it’s called Adjustment Disorder, so I thought I’d tell my family. One sister got the wrong impression – she thought I was “adjusting myself” also known in these parts as “fiddling wi’ me bits.” I can assure you I was not 😉 🙂

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