how do you tell an old attack from a new attack

[haoleboy]

I have been on Alipurinal for alomost one month – I have had the lingering gout from hell and I was feeling better and walking almost normal

I have had gout in both ankles and then a horrible case in my knee

the knee was locked in an extended position and was recently starting to bend some

I watch my diet and I take my alipurinal

so today I start getting pain again in my foot (ankle) and notice some swelling – I hit it with 2 colchcine and I have since taken one more – 3 hours later

I dont want to dance with Lady Colchine all weekend (if you know what I mean)

it has been a slow recovery – but I thought that the “old gout” was getting cleared out and that took time

now I am looking at taking several steps backwards

I really dont know how people keep their jobs witht this horrible thing called gout- I have missed more wrk in 3 months than in 25 years of working

thanks

JIm

[haoleboy]

one more question

before this recent set back I had been doing better

but I was getting these “spasms” or strong twitching of the muscle – esp at night

I wouldnt call then cramps but they sure made sleeping difficult

just as soon as I wouls start drifting off – wop wop wop – these little spasms right in my knee

I was taking a vicaden to help take the edge off and sleep at night

I need some strong pain killers to make it through this

I hope you dont see me on the show “Intevention” soon

thanks again

Jim

[Utubelite]

It is really difficult if someone gets the Gout attack from hell that does not seem to heal. I depends on the job of the person too. If the job requires more walking /moving around, dress up like a sales person etc. it is really a tough call. However, after few months with right medications, things do get under reasoanbale control but with current job market situation, it can be risky.

My gout pain was horrible and I was not able to wear a shoe or walk / move out /drive car for almost 6 months. I am lucky to be in a profession, where there are only a handful of people who can do that job, and I am one of them. The current technologies make it possible to work remote. Without that, it would have been tough. I worked more than 6 months from home.

[trev]

Jim- I had something similar with my recent arthritis attack. On the final night [it only last 2 or 3 ] I was getting shooting pains in my knee and hip, which was also affected. Never had Gout here in five years, btw.

These were nerve twitches that were quite  strong and made me jump some!

I hate to be obvious, but from this forum many have reported success with Black Bean broth, which doesn't cure the SUA problem [afaik] but certainly can work surprisingly well with the special discomfort regime that sets up with an attack.

It just seems to quiet a particular factor involved, in some way. I don't think I used it this last time, actually- but those nerve twinges only happened that last night and I didn't associate the other pains. with gout. So I missed the chance to try what I suggest to you.

Give it a try- but chuck the beans- just use the juice left after the 90 mins simmer and drain. If you do try – let us know result.

[PS: Search post current headlines page, for the details]

[Keith Taylor (GoutPal Admin)]

In answer to your main question: How do you tell an old attack from a new attack, the answer is in your uric acid levels.

I recommend testing at two week intervals for the first few months of allopurinol treatment so that you can be sure that your uric acid is below 6mg/dL. This is also an opportunity to discuss allopurinol side-effects with your doctor.

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