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Gout

Musculoskeletal Disorders
VenugopalGender: MaleAge: 46 years (Adult) Chronicity: 2 years

Presenting Complaints & History

  • Sudden, excruciating pain, swelling, and redness in the big toe joint
  • Joint extremely sensitive to even the touch of a bedsheet
  • Fever and chills during acute joint pain flares
  • Limited mobility and inability to wear shoes

Clinical Assessment

Suffered from recurrent gout attacks, typically triggered by high-protein meals or dehydration. Desired to manage flares without NSAIDs.

Diagnostic Investigations: Serum uric acid elevated at 9.2 mg/dL; joint fluid analysis positive for uric acid crystals.

Homeopathic Therapeutics & Management

Aimed at resolving acute joint inflammation during flares and stabilizing purine excretion over the long term.

Selected Constitutional Remedies: Colchicum Autumnale and Ledum Palustre

Lifestyle & Nutritional Support

Strict purine restriction, absolute avoidance of alcohol, consuming warm fluids, and elevating the foot during acute attacks.

Clinical Outcome

Follow-up Period: 8 months
  • Acute pain and swelling resolved within 48 hours
  • Uric acid levels dropped to 6.2 mg/dL with no new flares
  • Significant improvement in joint mobility and walking
  • Sustained improvement during follow-up without painkiller dependence
Medically reviewed by Dr. Navaneeth K. Unni
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#Gout#JointPain#UricAcid#Colchicum#BigToePain
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