Gout Flashcards
1
Q
- ↑ production of uric acid
- ↓ ability to eliminate
A
Causes of Gout
2
Q
- Moderate PM pain that increases in intensity
- Great toe MTP pain
- Elbow, ankles, fingers, ears
- Red, hot, swollen, shiny skin
- Can’t WB – exquisitely painful
- Desquamation, dryness
- Attack may last a few days if not Tx’d immediately
- Joints may become enlarged (deposits of tophi, 10 years subcutaneously)
A
Clinical Manifestations of Gout
3
Q
- Renal involvement (kidney stones)
- Atherosclerosis/hypertension associated w/ poor diet
- CTS if in wrists
A
Other Conditions Associated with Gout
4
Q
- Flare-up: CI (have MD assess integrity of joint for stability after each flare-up)
- Remission: test appropriately
- Extension > Flexion limitation
- End-feel may be fibrous/capsular, or bony if osteophytes/tophi
A
Assessment for Gout
5
Q
- → joint mobility
- ↓ joint deformity
- ↑ elimination
A
Aims and Treatment Goals for Gout
6
Q
- Positioning considerations
- Flare-up – tx – drainage focus
- Chronic – relaxation focus
- Joint Mobilizations – if tophi not present
- Passive ROM
- FBM for elimination
- Lymphatic drainage techniques
- Abdominal massage for elimination
A
Massage Treatment for Gout
7
Q
- Acute: cold foot soak, cold cloth
- Chronic: contrast hot/cold
- Chronic: steam/sauna to improve elimination **caution if kidneys involved
A
Hydrotherapy for Gout
8
Q
- Exercises for pes planus
- Aerobics
A
Remedial Exercise of Gout
9
Q
- NSAIDS (800 mg Ibuprofin 3 x/s day)
- Allopurinol - ↓ uric acid production
- Colchicine – used in acute to ↓ inflammation
- Uricosurics – speeds up uric acid excretion by kidneys
A
Medications for Gout
