Gout

What is gout?

Gout is caused by a build-up of the chemical uric acid in the body which then forms crystals in certain joints. These crystals cause inflammation in the joint which can be very painful. Although uric acid is present in the body, it is usually excreted in urine before it builds up and can cause any damage. However, for unknown reasons, people with gout have an excess of uric acid in the body without it being removed.

Physiotherapy is a very successful way to manage the symptoms of gout, Physiotherapists that are able to provide a comprehensive treatment programme to suit your needs.

What are the symptoms of gout?

There are a number of symptoms that can be experienced as a result of gout and this depends on the severity of your condition and if you are experiencing a flare-up which is an exacerbation of symptoms. Your physiotherapist will provide you with a full assessment to help identify your symptoms which help to create the most effective treatment programme. Symptoms include:

Inflammation in certain joints, particularly the distal interphalangeal (DIP) and proximal interphalangeal joints (PIP) in the big toe, knee, elbow and wrist joints. If more than one joint is affected at the same time this is known as polyarticular gout.

Pain

Redness and heat over the affects joints

Unable to carry out your normal activities of daily living or sports

Tophi (pimples) under the skin from a collection of uric acid

Stiff especially in the mornings or following a period of inactivity

Extreme tiredness

How is gout diagnosed?

Gout can be diagnosed using a combination of tests that are advised by your doctor. It is important that if gout is diagnosed, physiotherapy is started as soon as possible to help manage your symptoms as soon as possible. Potential tests include:

Blood tests

X-rays

Testing of synovial fluid for uric acid crystals

Examination of symptoms

How will physiotherapy help with gout?

Physiotherapy can help you manage the symptoms of gout in a number of ways. Your specialist physiotherapist will work with you to devise a personalised treatment programme tailored to your goals. Physiotherapy can help by:

Controlling your pain

Helping you carry out your normal activities of daily living

Reducing inflammation

Reducing tiredness

Improving your strength and range of movement